The impact of extracorporeal membrane oxygenation on cerebral oxygen delivery during cardiac arrest: a case series.

Autor: Roellke E; NYU Long Island School of Medicine, 101 Mineola Blvd, Mineola, NY 11501, USA., Parnia S; Division of Pulmonary, Critical Care, and Sleep Medicine, NYU Grossman School of Medicine, 462 First Avenue, New York, NY 10016, USA., Patel J; Division of Pulmonary, Critical Care, and Sleep Medicine, Stony Brook University Medical Center, Health Sciences Center, T17-040, Stony Brook, NY 11794, USA., Friedman S; Division of Biostatistics, NYU Langone Health, 180 Madison Avenue, New York, NY, USA., Mengotto A; Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461, USA.
Jazyk: angličtina
Zdroj: Resuscitation plus [Resusc Plus] 2021 Jan 08; Vol. 5, pp. 100068. Date of Electronic Publication: 2021 Jan 08 (Print Publication: 2021).
DOI: 10.1016/j.resplu.2020.100068
Abstrakt: Aim: To describe the impact of extracorporeal membrane oxygenation (ECMO) assisted CPR (E-CPR) on cerebral oxygen delivery during in-hospital cardiac arrest (IHCA).
Methods: Retrospective case series from a tertiary academic medical center. Regional cerebral oxygen saturation (rSO2) was measured continuously using cerebral oximetry in six patients who experienced IHCA. During CPR, the time of E-CPR initiation was recorded, and rSO2 values were subsequently analyzed for a period beginning 5 min before and ending 2.5 min after the initiation of E-CPR.
Results: The average rSO 2 value in the 2.5 min period following E-CPR initiation increased by 20.8% as compared to the 5-min period before E-CPR initiation.
Conclusions: ECMO can be employed in parallel with cerebral rSO2 monitoring during CPR for adult IHCA patients. E-CPR is associated with rapid and significant increases in brain oxygen delivery.
(© 2020 The Author(s).)
Databáze: MEDLINE
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