Interhospital Transport of the ECMO Patients in Bangkok Hospita

Main Article Content

Siriwasan Akanitthapichat, MD
Pranya Sakiyalak, MD
Kris Chirasanta, MD
Sathit Chairatthanawanit, MD
Sombat Gunyaphan


An extracorporeal membrane oxygenator (ECMO) is used to support the heart and lungs in patients with severe cardiogenic shock and respiratory failure. When these cases occur in hospitals that cannot provide ECMO care, the interhospital transport of ECMO is necessary. Since November 2014, Bangkok Hospital has had 3 ECMO cases from Chiangmai, Trad and Pattaya respectively. There were no complications with establishing ECMO during transportation. Two of the patients survived, although they developed deep vein thrombosis after the removal of ECMO. Unfortunately one patient suffered pulmonary hemorrhage and died from circuit thrombosis due to pulmonary hemorrhage.

Article Details

How to Cite
Akanitthapichat S, Sakiyalak P, Chirasanta K, Chairatthanawanit S, Gunyaphan S. Interhospital Transport of the ECMO Patients in Bangkok Hospita. BKK Med J [Internet]. 2015 Sep. 18 [cited 2024 Apr. 17];10(1):34. Available from:
Case Report


1. Allen S, Holena D, McCunn M, et al. A review of the fundamental principles and evidence base in the use of extracorporeal membrane oxygenation (ECMO) in critically ill adult patients. J Intens Care Med 2011;26:13-26.
2. Marasco SF, Lukas G, McDonald M, et al. Review of ECMO (extracorporeal membrane oxygenation) support in critically ill adult patients. Heart Lung Circ 2008;17 Suppl 4:41-7.
3. Beurtheret S, Mordant P, Paoletti X, et al. Emergency circulatory support in refractory cardiogenic shock patients in remote institutions: a pilot study (the cardiac- RESCUE program). Eur Heart J 2013;34:112-20.
4. Gariboldi V, Grisoli D, Tarmiz A, et al. Mobile extracorporeal membrane oxygenation unit expands cardiac assist surgical programs. Ann Thorac Surg 2010;90:1548-52.
5. Haneya A, Philipp A, Foltan M, et al. Extracorporeal circulatory systems in the interhospital transfer of critically ill patients: experience of a single institution. Ann Saudi Med 2009;29:110-4.
6. Zangrillo A, Landoni G, Biondi-Zoccai G, Greco M, Greco T, et al. A meta-analysis of complications and mortality of extracorporeal membrane oxygenation. Crit Care Resusc. 2013 Sep;15(3):172-8.
7. Pei-Hung W, Wai Hung C, Ying-Cheng C, Yao-Li C, et al. Non-heparinized ECMO serves a rescue method in a multitrauma patient combining pulmonary contusion and nonoperative internal bleeding: a case report and literature review. World J Emerg Surg. 2015 Mar 12;10:15.
8. Raspé C, Rückert F, Metz D, et al. Inter-hospital transfer of ECMO-assisted patients with a portable miniaturized ECMO device: 4 years of experience. Perfusion 2015; 30:52-9.
9. Desebbe O, Rosamel P, Henaine R, et al. Interhospital transport with extracorporeal life support: results and perspectives after 5 years experience. Ann Fr Anesth Reanim 2013;32:225-30.
10. Isgrò S, Patroniti N, Bombino M, et al. Extracorporeal membrane oxygenation for interhospital transfer of severe acute respiratory distress syndrome patients: 5-year experience. Int J Artif Organs 2011;34:1052-60.