A qualitative exploratory case series of patient and family experiences with ECPR for out-of-hospital cardiac arrest

Resuscitation Plus

Katie Dainty¹  Ayumi Sasaki²  John Gill³  Ruth MacRedmond⁴  Ken McDonald⁵  Sam D. Shemie⁶  Brian Grunau⁷  Aimee J. Sarti⁸  Anson Cheung⁹ 

[1] Centre for Health Evaluation &Corresponding author at: 1081 Burrard St. Vancouver, B.C., V6Z 1Y6, Canada.;Division of Critical Care, University of British Columbia, Canada;Outcome Sciences, Vancouver, B.C., Canada;St. Paul’s Hospital, Vancouver, B.C., Canada;University of Toronto, Canada;Department of Emergency Medicine, University of British Columbia, Canada;North York General Hospital, Canada;St. Paul’s Hospital, Vancouver, B.C., Canada;

关键词: Extracorporeal membrane oxygenation;    Extracorporeal cardiopulmonary resuscitation;    Heart arrest;    Out-of-hospital cardiac arrest;    Cardiopulmonary resuscitation;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objective: There is currently no existing data examining the opinions of patients and families after treatment with extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA). We sought to interview family members and patients to learn from their experiences and satisfaction with treatment. Methods: We contacted family members and survivors for all cases treated with ECPR for refractory OHCA at St. Paul’s Hospital between January 2014 and July 2018. We performed semi-structured interviews with participants, specifically within the topics of: information sharing (including impressions of an ECPR informational pamphlet), prognostication, organ donation, and perceived value of ECPR. Due to low participant enrolment, we described all interviews in a narrative approach. Results: Within the study period, there were 23 OHCAs treated with ECPR; two survivors and three family members agreed to participate. Participants were satisfied with the treatment provided, including information sharing and prognostication. There were mixed opinions about the best method of information-sharing (verbal vs written), as well as the timing of organ donation conversations. All participants believed ECPR for OHCA to be of high value. Conclusion: Patient’s conveyed satisfaction with ECPR treatment, with mixed views on the best information sharing strategy. Further study is needed to define the optimal methods and timing for discussions of organ donation, especially for treatments of with a relatively low likelihood success.

【 授权许可】

Unknown