{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T09:02:58Z","timestamp":1793437378114,"version":"4.5.0"},"reference-count":48,"publisher":"SAGE Publications","issue":"1_suppl","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Extracorporeal membrane oxygenation (ECMO) is an established life support technique for refractory acute cardiorespiratory failure in children and adult patients. However, ECMO support is provided only by specialized centers; therefore, demand for ECMO transport retrieval services is increasing. Mobile teams assess, accept, implant ECMO, and then transport for continued support at an ECMO center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To provide an updated practical review to support ECMO teams for safe and effective transports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed literature limited to ECMO transport published between January 2014 to October 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty-five manuscripts were included in this narrative review. Patient selection focused on reversible, refractory respiratory or cardiac failure not responding to maximal conventional therapy. Time to reach the referring hospital is the most frequent factor limiting the feasibility of transport; both ground ambulances and aircraft were the most common means used, depending on distance. Weather and road conditions may influence transport safety. Familiar equipment was generally used during transport, but with adaptation and certification for transport. Team experience and training were important factors for safe transport since complications frequently occurred, requiring fast decision and action. Foreign country missions required involvement of insurance, legal, and administrative support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Regional, national, and international inter-hospital ECMO transports can be conducted safely. Preparation of ECMO transport services regarding adapted equipment, checklists, and comprehensive training for ECMO team members is essential to ensure secure transport, enabling early identification and appropriate management of adverse events. International transports operate within different regulatory frameworks and therefore require special considerations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591261424682","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:30:36Z","timestamp":1778049036000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["ECMO transports perspectives on organization and patient management: A narrative review"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4124-4581","authenticated-orcid":false,"given":"Lars Mikael","family":"Broman","sequence":"first","affiliation":[{"name":"Karolinska University Hospital"},{"name":"Karolinska Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5906-9107","authenticated-orcid":false,"given":"J\u00e9r\u00f4me","family":"Rambaud","sequence":"additional","affiliation":[{"name":"Armand-Trousseau Hospital, Sorbonne University"},{"name":"Equipe 3- Strat\u00e9gies pharmacologiques et th\u00e9rapeutiques de l\u2019isch\u00e9mie myocardique et l\u2019insuffisance coronaire- Ecole V\u00e9t\u00e9rinaire de Maisons-Alfort (ENVA), Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Moscatelli","sequence":"additional","affiliation":[{"name":"Anesthesia and Critical Care, IRCCS Istituto Giannina Gaslini"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0051-8080","authenticated-orcid":false,"given":"Matteo","family":"Di Nardo","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Bambino Ges\u00f9, IRCCS"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/membranes11070491"},{"issue":"4","key":"e_1_3_4_3_2","first-page":"262","article-title":"Mobile ECMO team for inter-hospital transportation of patients with ARDS: a retrospective case series","volume":"6","author":"Lucchini A","year":"2014","unstructured":"Lucchini A, De Felippis C, Elli S, et al. Mobile ECMO team for inter-hospital transportation of patients with ARDS: a retrospective case series. Heart Lung Vessel 2014; 6(4): 262\u2013273.","journal-title":"Heart Lung Vessel"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-015-0994-6"},{"issue":"63","key":"e_1_3_4_5_2","first-page":"63","article-title":"Transportation of critically ill patients on extracorporeal membrane oxygenation","volume":"4","author":"Broman LM","year":"2016","unstructured":"Broman LM, Frenckner B. Transportation of critically ill patients on extracorporeal membrane oxygenation. Front. Pediatr 2016; 4(63): 63.","journal-title":"Front. Pediatr"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000897"},{"issue":"5","key":"e_1_3_4_7_2","first-page":"940","article-title":"Transportation of children on extracorporeal membrane oxygenation: one-year experience of the first neonatal and paediatric mobile ECMO team in the north of France","volume":"42","author":"Rambaud J","year":"2016","unstructured":"Rambaud J, L\u00e9ger PL, Larroquet M, et al. Transportation of children on extracorporeal membrane oxygenation: one-year experience of the first neonatal and paediatric mobile ECMO team in the north of France. ICU 2016; 42(5): 940\u2013941.","journal-title":"ICU"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.10.084"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0267659118766829"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2017.08.050"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000000997"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/02676591231161268"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.5114\/ait.2024.139526"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000002349"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/02676591251331952"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","unstructured":"Gottula AL Gillespie L Lauria M et al. Global survey of extracorporeal membrane oxygenation transport programs: variability in team composition training and capabilities. Asaio J 2025; Online ahead of print. doi: 10.1097\/MAT.0000000000002515.","DOI":"10.1097\/MAT.0000000000002515"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2019.00329"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaa215"},{"key":"e_1_3_4_19_2","unstructured":"ELSO guideline webpage. https:\/\/www.elso.org\/ecmo-resources\/elso-ecmo-guidelines.aspx. Accessed 02 December 2025."},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10047-018-1065-y"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001653"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201404-0630CP"},{"issue":"11","key":"e_1_3_4_23_2","first-page":"1091","article-title":"ECMO for severe acute respiratory distress syndrome","volume":"379","author":"Combes A","year":"2018","unstructured":"Combes A, Slutsky AS, Brodie D. ECMO for severe acute respiratory distress syndrome. N Engl J Med 2018; 379(11): 1091\u20131092.","journal-title":"N Engl J Med"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0267659118824006"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-019-0687-9"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.3357\/AMHP.4470.2017"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.5152\/TurkArchPediatr.2022.22068"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/03913988241300860"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000002543"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.3390\/membranes11030210"},{"key":"e_1_3_4_31_2","unstructured":"IATA dangerous goods regulation. https:\/\/www.iata.org\/en\/publications\/dgr\/?utm_source=google&utm_medium=cpc&utm_campaign=pubs-evergreen&utm_content=dg-nonbrand&utm_term=dg-dgr&gad_source=1&gad_campaignid=20495164044&gbraid=0AAAAAD5_atd_LnzLDDYz6sie_tsCloukY&gclid=Cj0KCQiA6NTJBhDEARIsAB7QHD24P6cVql3R9vmMzPp9oCihXPbq1uyLA8SKTUOXwDRlKqTmPATNupUaAqGvEALw_wcB. Accessed 02 December 2025."},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2021.05.047"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1080\/10903127.2017.1282561"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2018.11.022"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001918"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.26555"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000002371"},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-15903-0_4"},{"issue":"4","key":"e_1_3_4_39_2","first-page":"S172","article-title":"Effects of simulated altitude on ventilator performance","volume":"66","author":"Rodriquez D","year":"2009","unstructured":"Rodriquez DJr, Branson RD, Dorlac W, et al. Effects of simulated altitude on ventilator performance. J Trauma 2009; 66(4 Suppl): S172\u2013S177.","journal-title":"J Trauma"},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0000000000000153"},{"key":"e_1_3_4_41_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2017.12.010"},{"key":"e_1_3_4_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/02676591231157273"},{"key":"e_1_3_4_43_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.05.77"},{"key":"e_1_3_4_44_2","doi-asserted-by":"publisher","DOI":"10.1177\/0267659120909001"},{"key":"e_1_3_4_45_2","doi-asserted-by":"publisher","DOI":"10.1086\/JCE2022331013"},{"key":"e_1_3_4_46_2","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.981"},{"key":"e_1_3_4_47_2","doi-asserted-by":"publisher","DOI":"10.1177\/02676591231176243"},{"key":"e_1_3_4_48_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001422"},{"key":"e_1_3_4_49_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAT.0000000000001602"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261424682","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591261424682","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591261424682","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T07:22:57Z","timestamp":1778311377000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591261424682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":48,"journal-issue":{"issue":"1_suppl","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/02676591261424682"],"URL":"https:\/\/doi.org\/10.1177\/02676591261424682","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]}}}