Aeromedical transport of patients receiving extracorporeal membrane oxygenation: a 12-year experience from a regional mobile extracorporeal Membrane Oxygenation (ECMO) network in the French Caribbean
Authors' conclusion
Aeromedical transport of critically-ill patients under ECMO support appears feasible and relatively safe in our experience, with a low incidence of serious adverse events.
Study context
- Population
- Patients supported with ECMO undergoing aeromedical transfer by a regional mobile ECMO network (University Hospital of Martinique), January 2010–December 2021of 520 ECMO patients
- Participants
- 126 patients
- Exposure
- Intra-Caribbean vs transatlantic ECMO-supported aeromedical transfer
- Intra-Caribbeann = 87reference
- Transatlanticn = 39
- Outcome
- Transport-related adverse events (in-transfer complications)
Methodological detailsobservational, single-centre
- Observational
- Single-centre
Main finding
As reported in the abstract
In-transfer complications, all patients, mainly hemodynamic instability
18.3%
Transport-related deaths
1
Observational data: associations, not effects.
Further findings
In-hospital mortality
- Overall in-hospital mortality
- 54.7%
- No significant difference between intra-Caribbean and transatlantic patients
ECMO configuration
- Veno-venous ECMO in intra-Caribbean transfers, mainly for ARDS
- 80.5%
- Veno-arterial ECMO for refractory cardiogenic shock in transatlantic transfers
- 87.2%
Safety
- In-transfer complications, mainly hemodynamic instability
- 18.3%
- Transport-related death
- 1
Original publication
Aeromedical transport of patients receiving extracorporeal membrane oxygenation: a 12-year experience from a regional mobile ECMO network in the French Caribbean. Ann Intensive Care. Published 3 September 2026. doi:10.
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