TY - JOUR
T1 - Extracorporeal cardiopulmonary resuscitation for cardiac arrest
AU - Kalra, Rajat
AU - Kosmopoulos, Marinos
AU - Goslar, Tomaz
AU - Raveendran, Ganesh
AU - Bartos, Jason A.
AU - Yannopoulos, Demetris
N1 - Publisher Copyright:
Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2020/6/1
Y1 - 2020/6/1
N2 - Purpose of review Extracorporeal cardiopulmonary resuscitation (ECPR) is a contemporary resuscitation approach that employs veno-arterial extracorporeal membrane oxygenation (VA-ECMO). This approach is increasingly used worldwide to mitigate the widespread hemodynamic and multiorgan dysfunction that accompanies cardiac arrest. Recent findings In this review, the physiology of VA-ECMO and ECPR, the role of ECPR in contemporary resuscitation care, the complications associated with ECPR and VA-ECMO usage, and intensive care considerations for this population are discussed. Summary ECPR offers a promising mechanism to mitigate multiorgan injury and allow time for the institution of supportive interventions required to effectively treat cardiac arrest. More prospective data in the context of extensive prehospital and hospital collaboration is needed to promote its successful use.
AB - Purpose of review Extracorporeal cardiopulmonary resuscitation (ECPR) is a contemporary resuscitation approach that employs veno-arterial extracorporeal membrane oxygenation (VA-ECMO). This approach is increasingly used worldwide to mitigate the widespread hemodynamic and multiorgan dysfunction that accompanies cardiac arrest. Recent findings In this review, the physiology of VA-ECMO and ECPR, the role of ECPR in contemporary resuscitation care, the complications associated with ECPR and VA-ECMO usage, and intensive care considerations for this population are discussed. Summary ECPR offers a promising mechanism to mitigate multiorgan injury and allow time for the institution of supportive interventions required to effectively treat cardiac arrest. More prospective data in the context of extensive prehospital and hospital collaboration is needed to promote its successful use.
KW - cardiac arrest
KW - cardiopulmonary resuscitation
KW - extracorporeal cardiopulmonary resuscitation
KW - extracorporeal membrane oxygenation
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U2 - 10.1097/MCC.0000000000000717
DO - 10.1097/MCC.0000000000000717
M3 - Review article
C2 - 32348091
AN - SCOPUS:85084277308
SN - 1070-5295
VL - 26
SP - 228
EP - 235
JO - Current opinion in critical care
JF - Current opinion in critical care
IS - 3
ER -