Academic Journal
Extracorporeal Membrane Oxygenation During Aeromedical Transport of Cardiovascular Critical Care Patients: Evidence-Based Frameworks and Clinical Challenges.
| Τίτλος: | Extracorporeal Membrane Oxygenation During Aeromedical Transport of Cardiovascular Critical Care Patients: Evidence-Based Frameworks and Clinical Challenges. |
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| Συγγραφείς: | Zhang Z; Wuhan Asia General Hospital, Wuhan, Hubei, China. Electronic address: blyynk@hotmail.com., Zhang Y; Wuhan Asia General Hospital, Wuhan, Hubei, China. |
| Πηγή: | Journal of cardiothoracic and vascular anesthesia [J Cardiothorac Vasc Anesth] 2026 Sep; Vol. 40 (9), pp. 3002-3006. Date of Electronic Publication: 2026 Apr 28. |
| Τύπος έκδοσης: | Journal Article; Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: W.B. Saunders Country of Publication: United States NLM ID: 9110208 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8422 (Electronic) Linking ISSN: 10530770 NLM ISO Abbreviation: J Cardiothorac Vasc Anesth Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Philadelphia, PA : W.B. Saunders, c1991- |
| Ιατρικοί όροι (MeSH): | Extracorporeal Membrane Oxygenation*/methods , Extracorporeal Membrane Oxygenation*/standards , Critical Care*/methods , Critical Care*/standards , Air Ambulances*/standards , Cardiovascular Diseases*/therapy , Cardiovascular Diseases*/diagnosis , Transportation of Patients*/methods , Transportation of Patients*/standards , Emergency Medical Services*/methods , Evidence-Based Medicine*/methods, Humans |
| Περίληψη: | Venoarterial extracorporeal membrane oxygenation (VA-ECMO) aeromedical transport presents the most complex logistical and clinical interface in critical care medicine. This review synthesizes contemporary evidence regarding the retrieval of cardiovascular patients on VA-ECMO, focusing on the operational nuances of helicopter emergency medical services. This study presents a comprehensive analysis of (1) the interplay between flight-specific stressors, (2) technical innovations for circuit stability, and (3) clinical outcomes. A critical benchmark of operational success is the mitigation of category 2 severe complications-events requiring immediate clinical intervention to prevent morbidity. By integrating flight physiology with device engineering, this review establishes a standardized framework for optimizing transport safety, emphasizing that while peri-transport mortality is negligible in specialized programs, high-fidelity monitoring remains essential. (Copyright © 2026 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. |
| Contributed Indexing: | Keywords: aeromedical retrieval; cardiogenic shock; critical care; extracorporeal membrane oxygenation; helicopter emergency medical services; logistical throughput |
| Entry Date(s): | Date Created: 20260518 Date Completed: 20260812 Latest Revision: 20260812 |
| Update Code: | 20260813 |
| DOI: | 10.1053/j.jvca.2026.04.048 |
| PMID: | 42150992 |
| Βάση Δεδομένων: | MEDLINE |
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