Henri, a 69-year-old man with chronic obstructive pulmonary disease, was admitted to a hospital intensive care unit (ICU) with respiratory failure. As a result of hypoxemia, the patient was placed on extracorporeal membrane oxygenation (ECMO). About six days after being hospitalized, the patient developed bleeding problems and was taken to the operating theater to change his ECMO circuit. However, while the patient was being transferred, an incident involving the ECMO equipment occurred. The patient went on to develop a gas embolism linked to this incident. An analysis of this adverse event prompted us to put forward three improvement strategies: creating a team dedicated to transporting patients on ECMO; providing specific training for all personnel on ECMO-related incidents; and drawing up a specific checklist for ECMO.
Date de parution : 03/2021
Thème : ECMO
Mots clés : ECMO, Transport intra-hospitalier, Transfert de patients
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