{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T08:49:33Z","timestamp":1785746973685,"version":"3.56.0"},"reference-count":25,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr. Rep.","Pediatric Reports"],"abstract":"<jats:p>Objective: Extracorporeal Membrane Oxygenation (ECMO) has long been used in the treatment of acute respiratory and circulatory failure by providing time for damaged organs to recover. The aim of this study was to evaluate the safety and feasibility of interhospital transport of pediatric patients with acute respiratory failure who had undergone venovenous extracorporeal membrane oxygenation (VV ECMO) initiated at the referring facilities. Subjects and methods: Because of the critical condition of these patients, the high risk associated with transport, and the failure of conventional therapies, ECMO was initiated at the referring center. After cannulation, the patients were transported by ground ambulance to the Pediatric Intensive Care Unit in Pozna\u0144 for further treatment. Results: Fourteen patients aged 2 months to 11 years with acute respiratory failure were transferred to our ECMO center. The mean time from decision to departure was 7.62 h, and the mean ICU stay before transfer was 4.14 days. The mean transport distance was 157.5 km. No mortality occurred during transport, and no serious adverse events were reported. Two technical complications were noted. Conclusions: Interhospital transport of pediatric patients on VV ECMO initiated at referring centers was feasible and safe, with favorable outcomes in patients who have exhausted conventional intensive care options. Effective collaboration between referring hospitals, ECMO centers, and emergency medical services was essential for optimal results.<\/jats:p>","DOI":"10.3390\/pediatric18040102","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T08:04:59Z","timestamp":1785744299000},"page":"102","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Interhospital Transportation of Pediatric Patients Undergoing Venovenous Extracorporeal Membrane Oxygenation (VV ECMO) Support\u2014A 3-Year Regional Experience"],"prefix":"10.3390","volume":"18","author":[{"given":"Bart\u0142omiej","family":"Koci\u0144ski","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Poznan University of Medical Sciences, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8116-4028","authenticated-orcid":false,"given":"Jowita","family":"Rosada-Kurasi\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesiology and Intensive Therapy, Poznan University of Medical Sciences, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"\u0141adzi\u0144ski","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Poznan University of Medical Sciences, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicja","family":"Muszy\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Poznan University of Medical Sciences, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Zawierucha","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Poznan University of Medical Sciences, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Judek","sequence":"additional","affiliation":[{"name":"Provincial Emergency Medical Services Station in Pozna\u0144, 60-346 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142 R.","family":"Bednarek","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Poznan University of Medical Sciences, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7319-2133","authenticated-orcid":false,"given":"Marcin","family":"G\u0142adki","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Surgery, Poznan University of Medical Sciences, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4950-2346","authenticated-orcid":false,"given":"Alicja","family":"Bartkowska-\u015aniatkowska","sequence":"additional","affiliation":[{"name":"Department of Pediatric Anesthesiology and Intensive Therapy, Poznan University of Medical Sciences, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Rosada-Kurasi\u0144ska, J., Koci\u0144ski, B., Wiernik, A., G\u0142adki, M., Pu\u015blecki, M., \u0141adzi\u0144ski, P., Ogino, M.T., and Bartkowska-\u015aniatkowska, A. 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