Extracorporeal membrane oxygenation for refractory cardiac arrest
Extracorporeal cardiopulmonary resuscitation (ECPR) is the use of rapid deployment venoarterial (VA) extracorporeal membrane oxygenation to support systemic circulation and vital organ perfusion in patients in refractory cardiac arrest not responding to conventional cardiopulmonary resuscitation (CP...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=5;spage=4;epage=10;aulast=Conrad |
| _version_ | 1819319636145995776 |
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| author | Steven A Conrad Peter T Rycus |
| author_facet | Steven A Conrad Peter T Rycus |
| author_sort | Steven A Conrad |
| collection | DOAJ |
| description | Extracorporeal cardiopulmonary resuscitation (ECPR) is the use of rapid deployment venoarterial (VA) extracorporeal membrane oxygenation to support systemic circulation and vital organ perfusion in patients in refractory cardiac arrest not responding to conventional cardiopulmonary resuscitation (CPR). Although prospective controlled studies are lacking, observational studies suggest improved outcomes compared with conventional CPR when ECPR is instituted within 30-60 min following cardiac arrest. Adult and pediatric patients with witnessed in-hospital and out-of-hospital cardiac arrest and good quality CPR, failure of at least 15 min of conventional resuscitation, and a potentially reversible cause for arrest are candidates. Percutaneous cannulation where feasible is rapid and can be performed by nonsurgeons (emergency physicians, intensivists, cardiologists, and interventional radiologists). Modern extracorporeal systems are easy to prime and manage and are technically easy to manage with proper training and experience. ECPR can be deployed in the emergency department for out-of-hospital arrest or in various inpatient units for in-hospital arrest. ECPR should be considered for patients with refractory cardiac arrest in hospitals with an existing extracorporeal life support program, able to provide rapid deployment of support, and with resources to provide postresuscitation evaluation and management. |
| first_indexed | 2024-12-24T11:06:50Z |
| format | Article |
| id | doaj.art-42c6480bf6b346668e995ad0355bf41b |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-24T11:06:50Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-42c6480bf6b346668e995ad0355bf41b2022-12-21T16:58:36ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842017-01-0120541010.4103/0971-9784.197790Extracorporeal membrane oxygenation for refractory cardiac arrestSteven A ConradPeter T RycusExtracorporeal cardiopulmonary resuscitation (ECPR) is the use of rapid deployment venoarterial (VA) extracorporeal membrane oxygenation to support systemic circulation and vital organ perfusion in patients in refractory cardiac arrest not responding to conventional cardiopulmonary resuscitation (CPR). Although prospective controlled studies are lacking, observational studies suggest improved outcomes compared with conventional CPR when ECPR is instituted within 30-60 min following cardiac arrest. Adult and pediatric patients with witnessed in-hospital and out-of-hospital cardiac arrest and good quality CPR, failure of at least 15 min of conventional resuscitation, and a potentially reversible cause for arrest are candidates. Percutaneous cannulation where feasible is rapid and can be performed by nonsurgeons (emergency physicians, intensivists, cardiologists, and interventional radiologists). Modern extracorporeal systems are easy to prime and manage and are technically easy to manage with proper training and experience. ECPR can be deployed in the emergency department for out-of-hospital arrest or in various inpatient units for in-hospital arrest. ECPR should be considered for patients with refractory cardiac arrest in hospitals with an existing extracorporeal life support program, able to provide rapid deployment of support, and with resources to provide postresuscitation evaluation and management.http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=5;spage=4;epage=10;aulast=ConradExtracorporeal cardiopulmonary resuscitationextracorporeal membrane oxygenationrefractory cardiac arrest |
| spellingShingle | Steven A Conrad Peter T Rycus Extracorporeal membrane oxygenation for refractory cardiac arrest Annals of Cardiac Anaesthesia Extracorporeal cardiopulmonary resuscitation extracorporeal membrane oxygenation refractory cardiac arrest |
| title | Extracorporeal membrane oxygenation for refractory cardiac arrest |
| title_full | Extracorporeal membrane oxygenation for refractory cardiac arrest |
| title_fullStr | Extracorporeal membrane oxygenation for refractory cardiac arrest |
| title_full_unstemmed | Extracorporeal membrane oxygenation for refractory cardiac arrest |
| title_short | Extracorporeal membrane oxygenation for refractory cardiac arrest |
| title_sort | extracorporeal membrane oxygenation for refractory cardiac arrest |
| topic | Extracorporeal cardiopulmonary resuscitation extracorporeal membrane oxygenation refractory cardiac arrest |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=5;spage=4;epage=10;aulast=Conrad |
| work_keys_str_mv | AT stevenaconrad extracorporealmembraneoxygenationforrefractorycardiacarrest AT petertrycus extracorporealmembraneoxygenationforrefractorycardiacarrest |