Challenges and implementation of extracorporeal membrane oxygenation transport program in a low-resource setting

Thirty-nine patients (mean age 45 years; 56.4% female) underwent inter-hospital ECMO transport over a median distance of 7.9 km. All patients survived transport, although one patient (2.6%) had a mechanical complication. Other complications recorded during ECMO support included infection in 53.8%, major bleeding in 23.1%, and pneumothorax in 5.1%. Overall survival to discharge was 69.2%. COVID-19 patients had a significantly lower discharge survival than non-COVID-19 patients (42.9% vs. 81.8%, <i>p</i> = 0.029)Conclusion:ECMO transport can be safely implemented in low-resource settings, achieving outcomes comparable to in-house ECMO support. Further research is essential to develop standardized protocols and expand ECMO networks to improve patient outcomes in resource-limited settings.

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Publication Details

Journal
The International Journal of Artificial Organs
Published
2025-09-01
DOI
https://doi.org/10.1177/03913988251365130
Primary Topic
Mechanical Circulatory Support Devices
Type
article
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article

Challenges and implementation of extracorporeal membrane oxygenation transport program in a low-resource setting

Dai Quang Huynh, Huy Minh Pham, Thao Thi Ngoc Pham, Anh Viet Ngo et al.
The International Journal of Artificial Organs
Mechanical Circulatory Support Devices
article

Challenges and implementation of extracorporeal membrane oxygenation transport program in a low-resource setting

Dai Quang Huynh, Huy Minh Pham, Thao Thi Ngoc Pham, Anh Viet Ngo, Ngan Hoang Kim Trieu, Yen Nguyen Hai Le, Toan Ngoc Le, Quan Quoc Minh Du, Xuan Thi Phan, Linh Thanh Tran, Tuan Duc Nguyen, Tuan Manh Nguyen, Ha Quoc Nguyen, Duy Nguyễn
article en

Abstract

Thirty-nine patients (mean age 45 years; 56.4% female) underwent inter-hospital ECMO transport over a median distance of 7.9 km. All patients survived transport, although one patient (2.6%) had a mechanical complication. Other complications recorded during ECMO support included infection in 53.8%, major bleeding in 23.1%, and pneumothorax in 5.1%. Overall survival to discharge was 69.2%. COVID-19 patients had a significantly lower discharge survival than non-COVID-19 patients (42.9% vs. 81.8%, <i>p</i> = 0.029)Conclusion:ECMO transport can be safely implemented in low-resource settings, achieving outcomes comparable to in-house ECMO support. Further research is essential to develop standardized protocols and expand ECMO networks to improve patient outcomes in resource-limited settings.

The International Journal of Artificial OrgansVol. 48(9)
Cho Ray Hospital (VN), University of Medicine and Pharmacy at Ho Chi Minh City (VN), Viet Duc Hospital (VN), Children's Hospital 1 (VN)
Openalex Percentile: Top 77%
Mechanical Circulatory Support Devices
DOISourceOpenAlex
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Challenges and implementation of extracorporeal membrane oxygenation transport program in a low-resource setting — Dai Quang Huynh, Huy Minh Pham, et al. · The International Journal of Artificial Organs (2025) | TGRS Research Map | TGRS