Pre-hospital extra-corporeal cardiopulmonary resuscitation

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Joshua C. Reynolds¹  Ben Singer²  Ben O’Brien²  David J. Lockey³ 

[1] Department of Emergency Medicine, Michigan State University College of Human Medicine;St Bartholomew’s Hospital and Barts Heart Centre, Barts Health NHS Trust;The Blizard Institute, Queen Mary University;

关键词: Pre-hospital;    Extracorporeal cardiopulmonary resuscitation;    Extracorporeal membrane oxygenation;    Extracorporeal life support;   

DOI  :  10.1186/s13049-018-0489-y

来源: DOAJ

【 摘 要 】

Abstract 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.

【 授权许可】

Unknown