Pre-hospital extra-corporeal cardiopulmonary resuscitation.

Autor: Singer B; St Bartholomew's Hospital and Barts Heart Centre, Barts Health NHS Trust, London, UK. Ben.singer@bartshealth.nhs.uk.; The Blizard Institute, Queen Mary University, London, UK. Ben.singer@bartshealth.nhs.uk.; William Harvey Research Institute, Queen Mary University, London, UK. Ben.singer@bartshealth.nhs.uk., Reynolds JC; Department of Emergency Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI, USA., Lockey DJ; The Blizard Institute, Queen Mary University, London, UK., O'Brien B; St Bartholomew's Hospital and Barts Heart Centre, Barts Health NHS Trust, London, UK.; William Harvey Research Institute, Queen Mary University, London, UK.; Outcomes Research Consortium, Cleveland, OH, USA.
Jazyk: angličtina
Zdroj: Scandinavian journal of trauma, resuscitation and emergency medicine [Scand J Trauma Resusc Emerg Med] 2018 Mar 27; Vol. 26 (1), pp. 21. Date of Electronic Publication: 2018 Mar 27.
DOI: 10.1186/s13049-018-0489-y
Abstrakt: Survival from out-of-hospital cardiac arrest (OHCA) has remained low despite advances in resuscitation science. Hospital-based extra-corporeal cardiopulmonary resuscitation (ECPR) is a novel use of an established technology that provides greater blood flow and oxygen delivery during cardiac arrest than closed chest compressions. Hospital-based ECPR is currently offered to selected OHCA patients in specialized centres. The interval between collapse and restoration of circulation is inversely associated with good clinical outcomes after ECPR. Pre-hospital delivery of ECPR concurrent with conventional resuscitation is one approach to shortening this interval and improving outcomes after OHCA. This article examines the background and rationale for pre-hospital ECPR; summarises the findings of a literature search for published evidence; and considers candidate selection, logistics, and complications for this complex intervention.
Databáze: MEDLINE
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