The ECMO retrieval team Alain Combes, MD, PhD Cardiology Institute, Hôpital Pitié-Salpêtrière, AP-HP Inserm UMRS 1166, iCAN, Institute of Cardiometabolism and Nutrition Sorbonne Pierre et Marie Curie University, Paris, France www.paris-ecmo.org [email protected] Cardiology Institute [email protected] www.paris-ecmo.org Conflict of interest • Principal Investigator: EOLIA trial • VV ECMO in ARDS • NCT01470703 • Sponsored by MAQUET, Getinge Group • Received honoraria from • MAQUET, GAMBRO, ALUNG Cardiology Institute [email protected] www.paris-ecmo.org The First Mobile ECMO rescue teams The Ann Arbor experience… Cardiology Institute [email protected] www.paris-ecmo.org • May 1990 / Jan 1999 • 100 patients • 68 Adult • 32 Pediatric • Severe respiratory or cardiac failure • 53 VV ECMO • 47 VA ECMO • “Old fashioned ECMO” • Roller pump • Kolobow silicone Oxygenator Cardiology Institute [email protected] www.paris-ecmo.org Cardiology Institute [email protected] www.paris-ecmo.org Cardiology Institute [email protected] www.paris-ecmo.org More recent reports… Cardiology Institute [email protected] www.paris-ecmo.org Cardiology Institute [email protected] www.paris-ecmo.org • 29 Patients: • 15 neonates, 7 pediatric, 7 adults • Acute respiratory failure • Distance: 4-1500 km • No patient’s complications • During transportation • Survive to discharge: 72% Cardiology Institute [email protected] www.paris-ecmo.org Cardiology Institute [email protected] www.paris-ecmo.org