Extracorporeal life support in adult patients with out-of-hospital cardiac arrest
| Autor: | MJ Chakaramakkil, Bkk Tan, JH Lim |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Adult patients business.industry Cost-Benefit Analysis General Medicine Cardiopulmonary Resuscitation Extracorporeal Out of hospital cardiac arrest Extracorporeal Membrane Oxygenation Hypothermia Induced Life support Emergency medicine Humans Medicine business Out-of-Hospital Cardiac Arrest Retrospective Studies |
| Zdroj: | Singapore Medical Journal. 62:433-437 |
| ISSN: | 2737-5935 0037-5675 |
| Popis: | The use of extracorporeal life support in cardiopulmonary resuscitation (CPR) of adult patients experiencing out-of-hospital cardiac arrest by the application of veno-arterial extracorporeal membrane oxygenation (ECMO) during cardiac arrest has been increasing over the past decade. This can be attributed to the encouraging results of extracorporeal CPR (ECPR) in multiple observational studies. To date, only one randomised controlled trial has compared ECPR to conventional advanced life support measures. Patient selection is crucial for the success of ECPR programmes. A rapid and organised approach is required for resuscitation, i.e. cannula insertion with ECMO pump initiation in combination with other aspects of post-cardiac arrest care such as targeted temperature management and early coronary reperfusion. The provision of an ECPR service can be costly, resource intensive and technically challenging, as limited studies have reported on its cost-effectiveness. |
| Databáze: | OpenAIRE |
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