array:24 [
  "pii" => "S2173572719301444"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2018.08.007"
  "estado" => "S300"
  "fechaPublicacion" => "2019-11-01"
  "aid" => "1248"
  "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
  "copyrightAnyo" => "2018"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Med Intensiva. 2019;43:507-8"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2
    "HTML" => 2
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0210569118302213"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2018.08.002"
      "estado" => "S300"
      "fechaPublicacion" => "2019-11-01"
      "aid" => "1248"
      "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Med Intensiva. 2019;43:507-8"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 76
        "formatos" => array:3 [
          "EPUB" => 16
          "HTML" => 27
          "PDF" => 33
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">CARTA CIENT&#205;FICA</span>"
        "titulo" => "Complicaciones del traslado intrahospitalario del paciente pedi&#225;trico en oxigenaci&#243;n por membrana extracorp&#243;rea"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "507"
            "paginaFinal" => "508"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Complications during intra-hospital transport of pediatric patient on extracorporeal membrane oxygenation"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "A&#46; Bosch-Alcaraz, S&#46; Alcolea-Monge, M&#46;C&#46; Dominguez-Delso, M&#46; Santaolalla-Bertolin, S&#46; Segura-Matute"
            "autores" => array:5 [
              0 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Bosch-Alcaraz"
              ]
              1 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Alcolea-Monge"
              ]
              2 => array:2 [
                "nombre" => "M&#46;C&#46;"
                "apellidos" => "Dominguez-Delso"
              ]
              3 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Santaolalla-Bertolin"
              ]
              4 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Segura-Matute"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572719301444"
          "doi" => "10.1016/j.medine.2018.08.007"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301444?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118302213?idApp=WMIE"
      "url" => "/02105691/0000004300000008/v1_201910220814/S0210569118302213/v1_201910220814/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173572719301833"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2018.09.014"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1274"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2019;43:509-10"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5
      "HTML" => 5
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "Severity scores should incorporate limitations on life support for predicting mortality"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "509"
          "paginaFinal" => "510"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Las puntuaciones de intensidad deber&#237;an incorporar las limitaciones del soporte vital para predecir la mortalidad"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1398
              "Ancho" => 2078
              "Tamanyo" => 125291
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Comparison of observed and predicted hospital mortality in patients according to the existence or not of limitations of life-support on ICU admission&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Rafael Fernandez, Lara Ventura, Caroline Macharete, Ignacio Catalan, Silvia Cano, Josep-Maria Alcoverro, Carles Subira, Jaume Masclans, Gina Rognoni, Olga Rubio"
          "autores" => array:10 [
            0 => array:2 [
              "nombre" => "Rafael"
              "apellidos" => "Fernandez"
            ]
            1 => array:2 [
              "nombre" => "Lara"
              "apellidos" => "Ventura"
            ]
            2 => array:2 [
              "nombre" => "Caroline"
              "apellidos" => "Macharete"
            ]
            3 => array:2 [
              "nombre" => "Ignacio"
              "apellidos" => "Catalan"
            ]
            4 => array:2 [
              "nombre" => "Silvia"
              "apellidos" => "Cano"
            ]
            5 => array:2 [
              "nombre" => "Josep-Maria"
              "apellidos" => "Alcoverro"
            ]
            6 => array:2 [
              "nombre" => "Carles"
              "apellidos" => "Subira"
            ]
            7 => array:2 [
              "nombre" => "Jaume"
              "apellidos" => "Masclans"
            ]
            8 => array:2 [
              "nombre" => "Gina"
              "apellidos" => "Rognoni"
            ]
            9 => array:2 [
              "nombre" => "Olga"
              "apellidos" => "Rubio"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301833?idApp=WMIE"
    "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301833/v1_201910261026/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173572719301341"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2019.06.009"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1167"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2019;43:503-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2
      "HTML" => 2
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "Laryngeal injury in closed cervical traumatism"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "503"
          "paginaFinal" => "507"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Lesi&#243;n lar&#237;ngea en el traumatismo cervical cerrado"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1480
              "Ancho" => 1300
              "Tamanyo" => 171201
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Case &#35;2&#46; Fracture of thyroid cartilage with a 4<span class="elsevierStyleHsp" style=""></span>mm opening &#40;arrow&#41; and subcutaneous emphysema &#40;asterisk&#41;&#46; &#40;B&#41; Case &#35;3&#58; nondisplaced fracture of the thyroid cartilage with solution of continuity &#40;arrow&#41; and subcutaneous emphysema &#40;asterisk&#41;&#46; &#40;C&#41; Case &#35;4&#58; sagittal fracture of the thyroid cartilage with solution of continuity &#40;arrow&#41; and cervical emphysema &#40;asterisk&#41;&#46; &#40;D&#41; Case &#35;6&#58; hematoma and edema with occlusion of the airway &#40;arrow&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R&#46; Viejo-Moreno, C&#46; Garc&#237;a-Fuentes, C&#46; Mudarra-Reche, L&#46;J&#46; Terceros-Almanza, M&#46; Chico-Fern&#225;ndez"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Viejo-Moreno"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Garc&#237;a-Fuentes"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Mudarra-Reche"
            ]
            3 => array:2 [
              "nombre" => "L&#46;J&#46;"
              "apellidos" => "Terceros-Almanza"
            ]
            4 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Chico-Fern&#225;ndez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569118300147"
        "doi" => "10.1016/j.medin.2018.01.003"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118300147?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301341?idApp=WMIE"
    "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301341/v1_201910261026/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
    "titulo" => "Complications during intra-hospital transport of pediatric patient on extracorporeal membrane oxygenation"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "507"
        "paginaFinal" => "508"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "A&#46; Bosch-Alcaraz, S&#46; Alcolea-Monge, M&#46;C&#46; Dominguez-Delso, M&#46; Santaolalla-Bertolin, S&#46; Segura-Matute"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "A&#46;"
            "apellidos" => "Bosch-Alcaraz"
            "email" => array:1 [
              0 => "abosch@sjdhospitalbarcelona.org"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "Alcolea-Monge"
          ]
          2 => array:2 [
            "nombre" => "M&#46;C&#46;"
            "apellidos" => "Dominguez-Delso"
          ]
          3 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Santaolalla-Bertolin"
          ]
          4 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "Segura-Matute"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidad de Cuidados Intensivos Pedi&#225;tricos&#44; Hospital Sant Joan de D&#233;u&#44; Barcelona&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Complicaciones del traslado intrahospitalario del paciente pedi&#225;trico en oxigenaci&#243;n por membrana extracorp&#243;rea"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">During the clinical care of pediatric patients admitted to a pediatric intensive care unit &#40;PICU&#41;&#44; organ damage can be serious and lead to the implementation of more complex techniques such as extracorporeal membrane oxygenation &#40;ECMO&#41; support&#46; ECMO is an extracorporeal life support technique that can be used in neonatal&#44; pediatric or adult patients with heart and&#47;or respiratory failure that is refractory to conventional medical support or to advanced ventilation strategies&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> Added to the implementation of complex therapeutic techniques&#44; we should also bear in mind that these critically ill children may require treatment at the hospital through diagnostic and&#47;or therapeutic interventions&#44; that is&#44; procedures that are associated with clinical complications and more morbimortality for the patient&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Fully aware of this and since the Spanish medical literature is shorthanded on this regard&#44; we reviewed the complications derived from the intra-hospital transfer of pediatric patients on ECMO and the initiatives taken in a tertiary care pediatric hospital from October 2013 to January 2018 after the implementation of a protocol on the management of intra-hospital transfers on ECMO back in October 2013 &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; We gathered the clinical histories associated with age&#44; the clinical diagnosis of the patient that triggered the use of ECMO&#44; the type of support used &#40;veno-venous or veno-arterial&#41;&#44; the location of the cannulas &#40;cervical&#44; femoral or transthoracic&#41;&#44; the factors affecting the transfer &#40;reperfusion cannula or thoracic drainage&#41;&#44; the appearance of transfer-related complications&#44; the consequences to these complications&#44; and the solutions proposed&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Thus&#44; from October 2013 to April 2017 a total of 26 ECMOs were used on 24 patients with an average 8&#46;1 days &#40;1&#8211;15&#41; on ECMO support&#46; Out of all the ECMOs analyzed&#44; there were 16 transfers in 12 of the 24 patients included in the study &#40;2 of them were twice on ECMO support&#41;&#46; Nine &#40;9&#41; of these 12 patients were males and 3 were females with a mean age of 60 months &#40;1&#8211;132&#41;&#46; Three &#40;3&#41; patients required 2 intra-hospital transfers each and the remaining 10 required only transfer one&#46; Seven &#40;7&#41; of these patients were transferred to the cath&#46; lab&#44; 7 to the pediatric surgical block&#44; and 2 to the radiology unit&#46; All of them were on veno-arterial ECMO&#58; 10 patients due to cardiogenic shock &#40;7 after cardiovascular surgery&#44; 1 due to myocarditis&#44; and 2 due to sepsis&#41;&#44; 1 due to severe hypoxia and another one due to congenital tracheal hypoplasia&#46; Two &#40;2&#41; patients were on central cannulation and the remaining ones&#44; on peripheral cannulas&#58; 8 patients were on exclusive cervical cannulation&#44; and another 2 on cervical and femoral cannulas &#40;one of them had a femoral artery reperfusion cannula&#41;&#46; Five &#40;5&#41; patients were also on thoracic drainage and 2 of them remained with their chest opened&#46; These were the complications seen&#58; the coagulation of a femoral reperfusion cannula &#40;that was changed after the PICU readmission&#41;&#44; the pump accidentally stopped working because of a malfunctioning battery and the elevator had a breakdown that ended up changing the routine circuit without any repercussions for the patient&#46; Due to all this&#44; an alternative route for the intra-hospital transfer was proposed&#44; a protocol was established for the thorough and routine check of the batteries&#44; and the devices carried by the patient during PICU readmission were immediately checked&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">It seems obvious that the transfer of patients on ECMO is a complex and risky procedure<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a> due both to the patient&#39;s clinical severity and the great amount of devices that need to be mobilized together with the patient&#46; Even so&#44; the data on long-term survival with good quality of life in pediatric patients on ECMO suggest using this technique when conventional therapies fail&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Heart disease is the most common cause for ECMO support and the cath&#46; lab was one of the most sought after units following PICU transfers in our series of cases&#44; which is consistent with other papers reviewed on this regard&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">4&#44;5</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">A study conducted in Pittsburgh confirms that an experienced interdisciplinary team reduces the complications that appear during the intra-hospital transfer of patients on ECMO support&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> While such center had no adverse events during the procedure&#44; in our case&#44; since we have been involved with intra-hospital transfers since 2013 only&#44; we had 3 adverse events&#58; the coagulation of one femoral reperfusion cannula&#44; the accidental stoppage of the pump due to a malfunctioning battery&#44; and an elevator breakdown&#46; This ended up changing the initial transfer protocol including the need to go over a checklist to verify the correct functioning of all the necessary equipment&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Therefore&#44; the benefits and drawbacks of ECMO support should be assessed prior to the intra-hospital transfer of pediatric patients on ECMO&#46; If ECMO is decided&#44; preparations are needed beforehand&#44;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a> prior training of the personnel involved&#44; and perfect coordination among all the members of the interdisciplinary team&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a> Therefore&#44; we strongly believe in the implementation and update of specific protocols that make these transfers safe and effective while minimizing all possible risks&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Bosch-Alcaraz A&#44; Alcolea-Monge S&#44; Dominguez-Delso MC&#44; Santaolalla-Bertolin M&#44; Segura-Matute S&#46; Complicaciones del traslado intrahospitalario del paciente pedi&#225;trico en oxigenaci&#243;n por membrana extracorp&#243;rea&#46; Med Intensiva&#46; 2019&#59;43&#58;507&#8211;508&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Personnel required for the transfer and functions&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Equipment required for the transfer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Orderly&#58; He should be in charge of the stretcher&#46; Two nurses&#58; One should be in charge of the cannulas and the other one should be in charge of monitorization&#46;Pediatric intensivist&#58; He should be stationed between the ECMO support cart and the stretcher to make sure that the entire team moves at the same time and that the circuit is not pulling the cannulasA 4th person &#40;nurse or doctor&#41;&#58; He will be pushing the ECMO support cart&#46; A 5th person &#40;nurse or doctor&#41;&#58; Opening way&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Spinal board for the transfer of the child from the bed to the stretcher&#46; Stretcher for the transfer&#46;Screen and respirator during the transfer&#46;Full oxygen tank&#46; Ambu bag and mask adapted to the patient&#39;s age&#46; Continuous infusion pumps with current-carrying cables&#46; 4 protected clamps&#46;ECMO support cart&#46; Manual ECMO pump&#46; Pediatric intensive care unit transfer bag with equipment and drugs&#46; Sedation&#44; relaxation&#44; and cardiopulmonary resuscitation drugs&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2151936.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Equipment and personnel required for the intra-hospital transfer of patients on ECMO&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Extracorporeal membrane oxygenation for refractory cardiac arrest"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;A&#46; Conrad"
                            1 => "P&#46;T&#46; Rycus"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4103/0971-9784.197790"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Card Anaesth"
                        "fecha" => "2017"
                        "volumen" => "20"
                        "paginaInicial" => "S4"
                        "paginaFinal" => "S10"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28074817"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A 16-year neonatal&#47;pediatric extracorporeal membrane oxygenation transport experience"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "B&#46;J&#46; Wilson"
                            1 => "H&#46;S&#46; Heiman"
                            2 => "T&#46;J&#46; Butler"
                            3 => "K&#46;A&#46; Negaard"
                            4 => "R&#46; DiGeronimo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/s12887-019-1556-x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "2002"
                        "volumen" => "19"
                        "paginaInicial" => "189"
                        "paginaFinal" => "193"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31176364"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical outcomes in pediatric patients hospitalized with fulminant myocarditis requiring extracorporeal membrane oxygenation&#46; A meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46; Xiong"
                            1 => "B&#46; Xia"
                            2 => "J&#46; Zhu"
                            3 => "B&#46; Li"
                            4 => "W&#46; Huang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00246-016-1517-1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Cardiol"
                        "fecha" => "2017"
                        "volumen" => "38"
                        "paginaInicial" => "209"
                        "paginaFinal" => "214"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27878629"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outcomes of pediatric patients undergoing cardiac catheterization while on extracorporeal membrane oxygenation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Callahan"
                            1 => "S&#46;M&#46; Trucco"
                            2 => "P&#46;D&#46; Wearden"
                            3 => "L&#46;B&#46; Beerman"
                            4 => "G&#46; Arora"
                            5 => "J&#46; Kreutzer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00246-014-1057-5"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Cardiol"
                        "fecha" => "2015"
                        "volumen" => "36"
                        "paginaInicial" => "625"
                        "paginaFinal" => "632"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25381624"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrahospital transport of children on extracorporeal membrane oxygenation&#58; Indications&#44; process&#44; interventions&#44; and effectiveness"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Prodhan"
                            1 => "R&#46;T&#46; Fiser"
                            2 => "S&#46; Cenac"
                            3 => "A&#46;T&#46; Bhutta"
                            4 => "E&#46; Fontenot"
                            5 => "M&#46; Moss"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PCC.0b013e3181b063b2"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Crit Care Med"
                        "fecha" => "2010"
                        "volumen" => "11"
                        "paginaInicial" => "227"
                        "paginaFinal" => "233"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19593245"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Interfacility transport of the critically ill pediatric patient"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;J&#46; Ajizian"
                            1 => "T&#46;A&#46; Nakagawa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.07-0222"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2007"
                        "volumen" => "132"
                        "paginaInicial" => "1361"
                        "paginaFinal" => "1367"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17934123"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301444/v1_201910261026/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "15647"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Scientific letters"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004300000008/v1_201910261026/S2173572719301444/v1_201910261026/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301444?idApp=WMIE"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Scientific Letter
Complications during intra-hospital transport of pediatric patient on extracorporeal membrane oxygenation
Complicaciones del traslado intrahospitalario del paciente pediátrico en oxigenación por membrana extracorpórea
A. Bosch-Alcaraz
Corresponding author
abosch@sjdhospitalbarcelona.org

Corresponding author.
, S. Alcolea-Monge, M.C. Dominguez-Delso, M. Santaolalla-Bertolin, S. Segura-Matute
Unidad de Cuidados Intensivos Pediátricos, Hospital Sant Joan de Déu, Barcelona, Spain
Read
3689
Times
was read the article
1630
Total PDF
2059
Total HTML
Share statistics
 array:24 [
  "pii" => "S2173572719301444"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2018.08.007"
  "estado" => "S300"
  "fechaPublicacion" => "2019-11-01"
  "aid" => "1248"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
  "copyrightAnyo" => "2018"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "crp"
  "cita" => "Med Intensiva. 2019;43:507-8"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2
    "HTML" => 2
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0210569118302213"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2018.08.002"
      "estado" => "S300"
      "fechaPublicacion" => "2019-11-01"
      "aid" => "1248"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "crp"
      "cita" => "Med Intensiva. 2019;43:507-8"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 76
        "formatos" => array:3 [
          "EPUB" => 16
          "HTML" => 27
          "PDF" => 33
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">CARTA CIENT&#205;FICA</span>"
        "titulo" => "Complicaciones del traslado intrahospitalario del paciente pedi&#225;trico en oxigenaci&#243;n por membrana extracorp&#243;rea"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "507"
            "paginaFinal" => "508"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Complications during intra-hospital transport of pediatric patient on extracorporeal membrane oxygenation"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "A&#46; Bosch-Alcaraz, S&#46; Alcolea-Monge, M&#46;C&#46; Dominguez-Delso, M&#46; Santaolalla-Bertolin, S&#46; Segura-Matute"
            "autores" => array:5 [
              0 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Bosch-Alcaraz"
              ]
              1 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Alcolea-Monge"
              ]
              2 => array:2 [
                "nombre" => "M&#46;C&#46;"
                "apellidos" => "Dominguez-Delso"
              ]
              3 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Santaolalla-Bertolin"
              ]
              4 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Segura-Matute"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572719301444"
          "doi" => "10.1016/j.medine.2018.08.007"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => true
            "ES2" => true
            "LATM" => true
          ]
          "gratuito" => true
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301444?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118302213?idApp=WMIE"
      "url" => "/02105691/0000004300000008/v1_201910220814/S0210569118302213/v1_201910220814/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S2173572719301833"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2018.09.014"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1274"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2019;43:509-10"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5
      "HTML" => 5
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "Severity scores should incorporate limitations on life support for predicting mortality"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "509"
          "paginaFinal" => "510"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Las puntuaciones de intensidad deber&#237;an incorporar las limitaciones del soporte vital para predecir la mortalidad"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1398
              "Ancho" => 2078
              "Tamanyo" => 125291
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Comparison of observed and predicted hospital mortality in patients according to the existence or not of limitations of life-support on ICU admission&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Rafael Fernandez, Lara Ventura, Caroline Macharete, Ignacio Catalan, Silvia Cano, Josep-Maria Alcoverro, Carles Subira, Jaume Masclans, Gina Rognoni, Olga Rubio"
          "autores" => array:10 [
            0 => array:2 [
              "nombre" => "Rafael"
              "apellidos" => "Fernandez"
            ]
            1 => array:2 [
              "nombre" => "Lara"
              "apellidos" => "Ventura"
            ]
            2 => array:2 [
              "nombre" => "Caroline"
              "apellidos" => "Macharete"
            ]
            3 => array:2 [
              "nombre" => "Ignacio"
              "apellidos" => "Catalan"
            ]
            4 => array:2 [
              "nombre" => "Silvia"
              "apellidos" => "Cano"
            ]
            5 => array:2 [
              "nombre" => "Josep-Maria"
              "apellidos" => "Alcoverro"
            ]
            6 => array:2 [
              "nombre" => "Carles"
              "apellidos" => "Subira"
            ]
            7 => array:2 [
              "nombre" => "Jaume"
              "apellidos" => "Masclans"
            ]
            8 => array:2 [
              "nombre" => "Gina"
              "apellidos" => "Rognoni"
            ]
            9 => array:2 [
              "nombre" => "Olga"
              "apellidos" => "Rubio"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301833?idApp=WMIE"
    "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301833/v1_201910261026/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173572719301341"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2019.06.009"
    "estado" => "S300"
    "fechaPublicacion" => "2019-11-01"
    "aid" => "1167"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2019;43:503-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2
      "HTML" => 2
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
      "titulo" => "Laryngeal injury in closed cervical traumatism"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "503"
          "paginaFinal" => "507"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Lesi&#243;n lar&#237;ngea en el traumatismo cervical cerrado"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figure 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 1480
              "Ancho" => 1300
              "Tamanyo" => 171201
            ]
          ]
          "descripcion" => array:1 [
            "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Case &#35;2&#46; Fracture of thyroid cartilage with a 4<span class="elsevierStyleHsp" style=""></span>mm opening &#40;arrow&#41; and subcutaneous emphysema &#40;asterisk&#41;&#46; &#40;B&#41; Case &#35;3&#58; nondisplaced fracture of the thyroid cartilage with solution of continuity &#40;arrow&#41; and subcutaneous emphysema &#40;asterisk&#41;&#46; &#40;C&#41; Case &#35;4&#58; sagittal fracture of the thyroid cartilage with solution of continuity &#40;arrow&#41; and cervical emphysema &#40;asterisk&#41;&#46; &#40;D&#41; Case &#35;6&#58; hematoma and edema with occlusion of the airway &#40;arrow&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R&#46; Viejo-Moreno, C&#46; Garc&#237;a-Fuentes, C&#46; Mudarra-Reche, L&#46;J&#46; Terceros-Almanza, M&#46; Chico-Fern&#225;ndez"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Viejo-Moreno"
            ]
            1 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Garc&#237;a-Fuentes"
            ]
            2 => array:2 [
              "nombre" => "C&#46;"
              "apellidos" => "Mudarra-Reche"
            ]
            3 => array:2 [
              "nombre" => "L&#46;J&#46;"
              "apellidos" => "Terceros-Almanza"
            ]
            4 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "Chico-Fern&#225;ndez"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569118300147"
        "doi" => "10.1016/j.medin.2018.01.003"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118300147?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301341?idApp=WMIE"
    "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301341/v1_201910261026/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>"
    "titulo" => "Complications during intra-hospital transport of pediatric patient on extracorporeal membrane oxygenation"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "507"
        "paginaFinal" => "508"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "A&#46; Bosch-Alcaraz, S&#46; Alcolea-Monge, M&#46;C&#46; Dominguez-Delso, M&#46; Santaolalla-Bertolin, S&#46; Segura-Matute"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "A&#46;"
            "apellidos" => "Bosch-Alcaraz"
            "email" => array:1 [
              0 => "abosch@sjdhospitalbarcelona.org"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "Alcolea-Monge"
          ]
          2 => array:2 [
            "nombre" => "M&#46;C&#46;"
            "apellidos" => "Dominguez-Delso"
          ]
          3 => array:2 [
            "nombre" => "M&#46;"
            "apellidos" => "Santaolalla-Bertolin"
          ]
          4 => array:2 [
            "nombre" => "S&#46;"
            "apellidos" => "Segura-Matute"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Unidad de Cuidados Intensivos Pedi&#225;tricos&#44; Hospital Sant Joan de D&#233;u&#44; Barcelona&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Complicaciones del traslado intrahospitalario del paciente pedi&#225;trico en oxigenaci&#243;n por membrana extracorp&#243;rea"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">During the clinical care of pediatric patients admitted to a pediatric intensive care unit &#40;PICU&#41;&#44; organ damage can be serious and lead to the implementation of more complex techniques such as extracorporeal membrane oxygenation &#40;ECMO&#41; support&#46; ECMO is an extracorporeal life support technique that can be used in neonatal&#44; pediatric or adult patients with heart and&#47;or respiratory failure that is refractory to conventional medical support or to advanced ventilation strategies&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> Added to the implementation of complex therapeutic techniques&#44; we should also bear in mind that these critically ill children may require treatment at the hospital through diagnostic and&#47;or therapeutic interventions&#44; that is&#44; procedures that are associated with clinical complications and more morbimortality for the patient&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Fully aware of this and since the Spanish medical literature is shorthanded on this regard&#44; we reviewed the complications derived from the intra-hospital transfer of pediatric patients on ECMO and the initiatives taken in a tertiary care pediatric hospital from October 2013 to January 2018 after the implementation of a protocol on the management of intra-hospital transfers on ECMO back in October 2013 &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; We gathered the clinical histories associated with age&#44; the clinical diagnosis of the patient that triggered the use of ECMO&#44; the type of support used &#40;veno-venous or veno-arterial&#41;&#44; the location of the cannulas &#40;cervical&#44; femoral or transthoracic&#41;&#44; the factors affecting the transfer &#40;reperfusion cannula or thoracic drainage&#41;&#44; the appearance of transfer-related complications&#44; the consequences to these complications&#44; and the solutions proposed&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Thus&#44; from October 2013 to April 2017 a total of 26 ECMOs were used on 24 patients with an average 8&#46;1 days &#40;1&#8211;15&#41; on ECMO support&#46; Out of all the ECMOs analyzed&#44; there were 16 transfers in 12 of the 24 patients included in the study &#40;2 of them were twice on ECMO support&#41;&#46; Nine &#40;9&#41; of these 12 patients were males and 3 were females with a mean age of 60 months &#40;1&#8211;132&#41;&#46; Three &#40;3&#41; patients required 2 intra-hospital transfers each and the remaining 10 required only transfer one&#46; Seven &#40;7&#41; of these patients were transferred to the cath&#46; lab&#44; 7 to the pediatric surgical block&#44; and 2 to the radiology unit&#46; All of them were on veno-arterial ECMO&#58; 10 patients due to cardiogenic shock &#40;7 after cardiovascular surgery&#44; 1 due to myocarditis&#44; and 2 due to sepsis&#41;&#44; 1 due to severe hypoxia and another one due to congenital tracheal hypoplasia&#46; Two &#40;2&#41; patients were on central cannulation and the remaining ones&#44; on peripheral cannulas&#58; 8 patients were on exclusive cervical cannulation&#44; and another 2 on cervical and femoral cannulas &#40;one of them had a femoral artery reperfusion cannula&#41;&#46; Five &#40;5&#41; patients were also on thoracic drainage and 2 of them remained with their chest opened&#46; These were the complications seen&#58; the coagulation of a femoral reperfusion cannula &#40;that was changed after the PICU readmission&#41;&#44; the pump accidentally stopped working because of a malfunctioning battery and the elevator had a breakdown that ended up changing the routine circuit without any repercussions for the patient&#46; Due to all this&#44; an alternative route for the intra-hospital transfer was proposed&#44; a protocol was established for the thorough and routine check of the batteries&#44; and the devices carried by the patient during PICU readmission were immediately checked&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">It seems obvious that the transfer of patients on ECMO is a complex and risky procedure<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a> due both to the patient&#39;s clinical severity and the great amount of devices that need to be mobilized together with the patient&#46; Even so&#44; the data on long-term survival with good quality of life in pediatric patients on ECMO suggest using this technique when conventional therapies fail&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Heart disease is the most common cause for ECMO support and the cath&#46; lab was one of the most sought after units following PICU transfers in our series of cases&#44; which is consistent with other papers reviewed on this regard&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">4&#44;5</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">A study conducted in Pittsburgh confirms that an experienced interdisciplinary team reduces the complications that appear during the intra-hospital transfer of patients on ECMO support&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> While such center had no adverse events during the procedure&#44; in our case&#44; since we have been involved with intra-hospital transfers since 2013 only&#44; we had 3 adverse events&#58; the coagulation of one femoral reperfusion cannula&#44; the accidental stoppage of the pump due to a malfunctioning battery&#44; and an elevator breakdown&#46; This ended up changing the initial transfer protocol including the need to go over a checklist to verify the correct functioning of all the necessary equipment&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Therefore&#44; the benefits and drawbacks of ECMO support should be assessed prior to the intra-hospital transfer of pediatric patients on ECMO&#46; If ECMO is decided&#44; preparations are needed beforehand&#44;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a> prior training of the personnel involved&#44; and perfect coordination among all the members of the interdisciplinary team&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a> Therefore&#44; we strongly believe in the implementation and update of specific protocols that make these transfers safe and effective while minimizing all possible risks&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Bosch-Alcaraz A&#44; Alcolea-Monge S&#44; Dominguez-Delso MC&#44; Santaolalla-Bertolin M&#44; Segura-Matute S&#46; Complicaciones del traslado intrahospitalario del paciente pedi&#225;trico en oxigenaci&#243;n por membrana extracorp&#243;rea&#46; Med Intensiva&#46; 2019&#59;43&#58;507&#8211;508&#46;</p>"
      ]
    ]
    "multimedia" => array:1 [
      0 => array:8 [
        "identificador" => "tbl0005"
        "etiqueta" => "Table 1"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at1"
            "detalle" => "Table "
            "rol" => "short"
          ]
        ]
        "tabla" => array:1 [
          "tablatextoimagen" => array:1 [
            0 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Personnel required for the transfer and functions&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Equipment required for the transfer&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Orderly&#58; He should be in charge of the stretcher&#46; Two nurses&#58; One should be in charge of the cannulas and the other one should be in charge of monitorization&#46;Pediatric intensivist&#58; He should be stationed between the ECMO support cart and the stretcher to make sure that the entire team moves at the same time and that the circuit is not pulling the cannulasA 4th person &#40;nurse or doctor&#41;&#58; He will be pushing the ECMO support cart&#46; A 5th person &#40;nurse or doctor&#41;&#58; Opening way&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Spinal board for the transfer of the child from the bed to the stretcher&#46; Stretcher for the transfer&#46;Screen and respirator during the transfer&#46;Full oxygen tank&#46; Ambu bag and mask adapted to the patient&#39;s age&#46; Continuous infusion pumps with current-carrying cables&#46; 4 protected clamps&#46;ECMO support cart&#46; Manual ECMO pump&#46; Pediatric intensive care unit transfer bag with equipment and drugs&#46; Sedation&#44; relaxation&#44; and cardiopulmonary resuscitation drugs&#46;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab2151936.png"
              ]
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Equipment and personnel required for the intra-hospital transfer of patients on ECMO&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:6 [
            0 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Extracorporeal membrane oxygenation for refractory cardiac arrest"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;A&#46; Conrad"
                            1 => "P&#46;T&#46; Rycus"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.4103/0971-9784.197790"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Card Anaesth"
                        "fecha" => "2017"
                        "volumen" => "20"
                        "paginaInicial" => "S4"
                        "paginaFinal" => "S10"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28074817"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A 16-year neonatal&#47;pediatric extracorporeal membrane oxygenation transport experience"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "B&#46;J&#46; Wilson"
                            1 => "H&#46;S&#46; Heiman"
                            2 => "T&#46;J&#46; Butler"
                            3 => "K&#46;A&#46; Negaard"
                            4 => "R&#46; DiGeronimo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/s12887-019-1556-x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "2002"
                        "volumen" => "19"
                        "paginaInicial" => "189"
                        "paginaFinal" => "193"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31176364"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical outcomes in pediatric patients hospitalized with fulminant myocarditis requiring extracorporeal membrane oxygenation&#46; A meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46; Xiong"
                            1 => "B&#46; Xia"
                            2 => "J&#46; Zhu"
                            3 => "B&#46; Li"
                            4 => "W&#46; Huang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00246-016-1517-1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Cardiol"
                        "fecha" => "2017"
                        "volumen" => "38"
                        "paginaInicial" => "209"
                        "paginaFinal" => "214"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27878629"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Outcomes of pediatric patients undergoing cardiac catheterization while on extracorporeal membrane oxygenation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46; Callahan"
                            1 => "S&#46;M&#46; Trucco"
                            2 => "P&#46;D&#46; Wearden"
                            3 => "L&#46;B&#46; Beerman"
                            4 => "G&#46; Arora"
                            5 => "J&#46; Kreutzer"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00246-014-1057-5"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Cardiol"
                        "fecha" => "2015"
                        "volumen" => "36"
                        "paginaInicial" => "625"
                        "paginaFinal" => "632"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25381624"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrahospital transport of children on extracorporeal membrane oxygenation&#58; Indications&#44; process&#44; interventions&#44; and effectiveness"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Prodhan"
                            1 => "R&#46;T&#46; Fiser"
                            2 => "S&#46; Cenac"
                            3 => "A&#46;T&#46; Bhutta"
                            4 => "E&#46; Fontenot"
                            5 => "M&#46; Moss"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/PCC.0b013e3181b063b2"
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatr Crit Care Med"
                        "fecha" => "2010"
                        "volumen" => "11"
                        "paginaInicial" => "227"
                        "paginaFinal" => "233"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19593245"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Interfacility transport of the critically ill pediatric patient"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;J&#46; Ajizian"
                            1 => "T&#46;A&#46; Nakagawa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.07-0222"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2007"
                        "volumen" => "132"
                        "paginaInicial" => "1361"
                        "paginaFinal" => "1367"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17934123"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301444/v1_201910261026/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "15647"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Scientific letters"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004300000008/v1_201910261026/S2173572719301444/v1_201910261026/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301444?idApp=WMIE"
]
Article information
ISSN: 21735727
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 8 12
2024 October 52 76 128
2024 September 46 28 74
2024 August 58 39 97
2024 July 30 29 59
2024 June 49 40 89
2024 May 41 35 76
2024 April 43 38 81
2024 March 41 22 63
2024 February 37 40 77
2024 January 36 30 66
2023 December 34 41 75
2023 November 37 28 65
2023 October 38 33 71
2023 September 37 43 80
2023 August 25 17 42
2023 July 23 24 47
2023 June 28 19 47
2023 May 30 28 58
2023 April 32 22 54
2023 March 51 29 80
2023 February 54 31 85
2023 January 29 14 43
2022 December 46 30 76
2022 November 60 34 94
2022 October 43 24 67
2022 September 40 31 71
2022 August 39 43 82
2022 July 22 28 50
2022 June 27 26 53
2022 May 40 31 71
2022 April 23 32 55
2022 March 29 36 65
2022 February 31 25 56
2022 January 42 45 87
2021 December 41 34 75
2021 November 45 24 69
2021 October 57 63 120
2021 September 29 30 59
2021 August 45 44 89
2021 July 26 33 59
2021 June 44 26 70
2021 May 42 56 98
2021 April 106 72 178
2021 March 59 29 88
2021 February 58 21 79
2021 January 49 19 68
2020 December 44 12 56
2020 November 26 17 43
2020 October 13 11 24
2020 July 16 8 24
2020 June 9 7 16
2020 May 19 6 25
2020 April 18 12 30
2020 March 12 6 18
2020 February 3 1 4
2020 January 1 0 1
Show all

Follow this link to access the full text of the article

Idiomas
Medicina Intensiva (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?