About: Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil

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About: Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil Goto Sponge NotDistinct Permalink

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil
Creator	Adler, Bruno Azevedo, Pontes Barbosa, Santos Cesar, Luciano Foronda, Flavia Hirota, Adriana Joelsons, Daniel Leite Viera Costa, Eduardo Li, Ho Maria, Livia Melro, Garcia Mendes, Pedro Park, Marcelo Pinheiro Besen, Maccagnan Romano, Thiago Vasconcelos, Edzangela
Source	PMC
abstract	OBJECTIVE: To characterize the transport of severely ill patients with extracorporeal respiratory or cardiovascular support. METHODS: A series of 18 patients in the state of São Paulo, Brazil is described. All patients were consecutively evaluated by a multidisciplinary team at the hospital of origin. The patients were rescued, and extracorporeal membrane oxygenation support was provided on site. The patients were then transported to referral hospitals for extracorporeal membrane oxygenation support. Data were retrieved from a prospectively collected database. RESULTS: From 2011 to 2017, 18 patients aged 29 (25 - 31) years with a SAPS 3 of 84 (68 - 92) and main primary diagnosis of leptospirosis and influenza A (H1N1) virus were transported to three referral hospitals in São Paulo. A median distance of 39 (15 - 82) km was traveled on each rescue mission during a period of 360 (308 - 431) min. A median of one (0 - 2) nurse, three (2 - 3) physicians, and one (0 - 1) physical therapist was present per rescue. Seventeen rescues were made by ambulance, and one rescue was made by helicopter. The observed complications were interruption in the energy supply to the pump in two cases (11%) and oxygen saturation < 70% in two cases. Thirteen patients (72%) survived and were discharged from the hospital. Among the nonsurvivors, there were two cases of brain death, two cases of multiple organ dysfunction syndrome, and one case of irreversible pulmonary fibrosis. CONCLUSIONS: Transportation with extracorporeal support occurred without serious complications, and the hospital survival rate was high.
has issue date	2018-01-01(xsd:dateTime)
bibo:doi	10.5935/0103-507x.20180052
bibo:pmid	30328986
has license	cc-by
sha1sum (hex)	97d0e0033e74b01cefd3c71a23aa1fec45a72296
schema:url	https://doi.org/10.5935/0103-507x.20180052
resource representing a document's title	Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil
has PubMed Central identifier	PMC6180471
has PubMed identifier	30328986
schema:publication	Rev Bras Ter Intensiva
resource representing a document's body	covid:97d0e0033e74b01cefd3c71a23aa1fec45a72296#body_text
is schema:about of	named entity 'RESPIRATORY' named entity 'CHARACTERIZATION' named entity 'SUPPLEMENTARY MATERIAL' named entity 'BRAZIL' named entity 'CARDIOVASCULAR' named entity 'STATE' named entity 'SUPPORT' named entity 'EXTRACORPOREAL' named entity 'PATIENTS' named entity 'Brazil' named entity 'Contraindication' named entity 'cardiorespiratory arrest' named entity 'intensive care unit' named entity 'Mechanical ventilation' named entity 'salvage therapy' named entity 'multidrug-resistant' named entity 'Bridge to transplantation' named entity 'contraindication' named entity 'Body mass index' named entity 'metabolic acidosis' named entity 'organ transplantation' named entity 'positive end expiratory pressure' named entity 'chronic disease' named entity 'Dialysis' named entity 'hypercapnia' named entity 'anticoagulation' named entity 'hematologic' named entity 'Chronic disease' named entity 'metabolic acidosis' named entity 'adrenergic' named entity 'extracorporeal membrane oxygenation' named entity 'fraction of inspired oxygen' named entity 'neoplasm' named entity 'AIDS' named entity 'rheumatologic' named entity 'microorganism' named entity 'vasopressor' named entity 'extracorporeal membrane oxygenation' named entity 'Mechanical ventilation' named entity 'Hemoglobinopathy' named entity 'ECMO' named entity 'sedatives' named entity 'central venous' named entity 'extracorporeal' named entity 'State of São Paulo, Brazil' named entity 'cardiovascular' named entity 'cardiovascular' named entity 'extracorporeal' named entity 'transported' named entity 'patients' named entity 'respiratory' named entity 'São Paulo' named entity 'Characterization'
is part of of	covid:97d0e0033e74b01cefd3c71a23aa1fec45a72296#body_text OBJECTIVE: To characterize the transport of severely ill patients with extracorporeal respiratory or cardiovascular support. METHODS: A series of 18 patients in the state of São Paulo, Brazil is described. All patients were consecutively evaluated by a multidisciplinary team at the hospital of origin. The patients were rescued, and extracorporeal membrane oxygenation support was provided on site. The patients were then transported to referral hospitals for extracorporeal membrane oxygenation support. Data were retrieved from a prospectively collected database. RESULTS: From 2011 to 2017, 18 patients aged 29 (25 - 31) years with a SAPS 3 of 84 (68 - 92) and main primary diagnosis of leptospirosis and influenza A (H1N1) virus were transported to three referral hospitals in São Paulo. A median distance of 39 (15 - 82) km was traveled on each rescue mission during a period of 360 (308 - 431) min. A median of one (0 - 2) nurse, three (2 - 3) physicians, and one (0 - 1) physical therapist was present per rescue. Seventeen rescues were made by ambulance, and one rescue was made by helicopter. The observed complications were interruption in the energy supply to the pump in two cases (11%) and oxygen saturation < 70% in two cases. Thirteen patients (72%) survived and were discharged from the hospital. Among the nonsurvivors, there were two cases of brain death, two cases of multiple organ dysfunction syndrome, and one case of irreversible pulmonary fibrosis. CONCLUSIONS: Transportation with extracorporeal support occurred without serious complications, and the hospital survival rate was high. Characterization of patients transported with extracorporeal respiratory and/or cardiovascular support in the State of São Paulo, Brazil

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