Pre-hospital extra-corporeal cardiopulmonary resuscitation

Singer, Ben; Reynolds, Joshua C.; Lockey, David; O’Brien, Ben

doi:10.1186/s13049-018-0489-y

Cited by 49 publications

(30 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Time from arrest to ECPR might be the primary determinant of successful outcomes after ECPR . When ECPR is provided rapidly, the improved oxygenation to vital organs may prevent organ failure.…”

Section: Introductionmentioning

confidence: 99%

Time from arrest to extracorporeal cardiopulmonary resuscitation and survival after out‐of‐hospital cardiac arrest

Park

Song

Shin

et al. 2019

Emerg Medicine Australasia

View full text Add to dashboard Cite

Objectives: The association between the time from arrest to extracorporeal cardiopulmonary resuscitation (ECPR) and survival from out-ofhospital cardiac arrest (OHCA) is unclear. The aim of this study was to determine whether time to ECPR is associated with survival in OHCA. Methods: We analysed the Korean national OHCA registry from 2013 to 2016. We included adult witnessed OHCA patients with presumed cardiac aetiology who underwent ECPR. Patients were excluded if their arrest times or outcomes were unknown. The primary outcome was survival to discharge. Multivariable logistic regression analysis controlling for potential confounders was conducted and adjusted odds ratios (AORs) and 95% confidence intervals (CIs) were calculated to determine the association between time to ECPR and survival. Results: There were 40 352 witnessed OHCAs with presumed cardiac aetiology. One hundred and forty patients had ECPR applied on arriving at their ED, 13 of these patients survived to discharge and seven were neurologically intact. Median time from arrest to ECPR was 74 min (IQR 61-90). Time from arrest to ECPR was significantly and inversely associated with survival to discharge for every 10 min increase in time (AOR 0.73, 95% CI 0.53-1.00) in 10 min intervals. AOR for time from arrest to ECPR ≤60 min was independently associated with improved survival (AOR 6.48, 95% CI 1. 54-27.20). Conclusion: Early initiation of ECPR is associated with improved survival after OHCA. Because we analysed a nationwide OHCA registry, which lacks uniform selection criteria for ECPR, further prospective study is warranted.

show abstract

Section: Introductionmentioning

confidence: 99%

Time from arrest to extracorporeal cardiopulmonary resuscitation and survival after out‐of‐hospital cardiac arrest

Park

Song

Shin

et al. 2019

Emerg Medicine Australasia

View full text Add to dashboard Cite

show abstract

“…En todo paciente que ingresa a la Unidad Critica de Emergencia como Shock Trauma se da prioridad al riesgo de muerte y soporte de vida de la persona (6) , y es tratado como tal. Muchas entidades clínicas se manejan secundariamente e incluso son diagnosticadas posteriormente.…”

Section: Discussionunclassified

Rigidez muscular, trastorno de sensorio y antipsicóticos: Reporte de caso

Ramos-Cabrera

Ramírez-Calderón

2019

HorizMed

View full text Add to dashboard Cite

En los servicios de emergencias que atienden a una gran población, muchas veces se encuentran cuadros aislados, como deshidratación severa, hipernatremia o hiponatremia, injuria renal aguda, trastorno de sensorio, entre otras. Sin embargo, muchos de estos cuadros forman parte de una sola patología, y si no se hace una unidad clínica en el momento adecuado, la morbimortalidad se puede incrementar drásticamente. Sobre todo, en enfermedades con baja frecuencia, muy raras o poco habituales, como la que se narrará a continuación, podría empeorar el estado crítico del paciente si no se detecta a tiempo o no se maneja adecuadamente. Este caso clínico es el de una paciente mujer de 74 años, con antecedente de patología psicótica con tratamiento irregular que, tras ingerir carbamazepina y risperidona, presenta los síntomas típicos y poco frecuentes del síndrome neuroléptico maligno (SNM).

show abstract

“…Transport to a hospital under ongoing CPR is rare in such systems. In selected cases, however, transporting the patient still in cardiac arrest to a hospital for causal treatment of a potentially reversible cause of cardiac arrest is warranted [1,2]. Some EMS-systems prefer establishing extracorporeal cardiopulmonary resuscitation (eCPR) by implanting a veno-arterial extracorporeal membrane oxygenation (ECMO) on scene [3], whereas other concepts recommend transporting the patient to the hospital under ongoing CPR and establishing ECMO in-hospital [1].…”

Section: Introductionmentioning

confidence: 99%

Rescue under ongoing CPR from an upper floor: evaluation of three different evacuation routes and mechanical and manual chest compressions: a manikin trial

Drinhaus

Nüsgen²,

Adams

et al. 2020

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

Background: If transport under ongoing cardiopulmonary resuscitation (CPR) from an upper floor is indicated, the ideal CPR-method and evacuation route is unknown hitherto. We aimed to elaborate a strategy for evacuation of patients under ongoing CPR from an upper floor, comparing three different evacuation routes and manual and mechanical chest compressions. Methods: A CPR-training manikin recording CPR-quality was placed on the fifth floor and was evacuated to an ambulance via lift, turntable ladder, or staircase. Chest compressions were performed manually or with a mechanical CPR-device. Efficiency endpoints were compression depth and frequency, sufficiency of chest release, compared with European Resuscitation Council (ERC) Guidelines, and duration of the evacuation. Adverse outcomes were disconnection/dislocation of devices and hazards/accidents to the personnel.Results: For all evacuation routes, compression depth and frequency were significantly more compliant with ERCguidelines under mechanical CPR. Manual CPR was associated with considerable deviations from correct compression depth and frequency. Chest release only slightly differed between groups. Evacuation via lift under mechanical CPR was fastest and evacuation via turntable ladder under manual CPR was slowest. No device disconnections or accidents occurred, but hazard to personnel was perceived during evacuation via ladder under manual CPR. Conclusions:In this study, a mechanical CPR-device proved to deliver better CPR-quality during evacuation from an upper floor. If a lift accessible with a stretcher is available, this route should be preferred, regardless of manual or mechanical CPR. Turntable ladders can only be meaningfully used with mechanical CPR, otherwise CPR-quality is poor and hazard to the personnel is increased. Not all evacuation routes may be useable in a specific real-life scenario.

show abstract

Pre-hospital extra-corporeal cardiopulmonary resuscitation

Cited by 49 publications

References 51 publications

Time from arrest to extracorporeal cardiopulmonary resuscitation and survival after out‐of‐hospital cardiac arrest

Time from arrest to extracorporeal cardiopulmonary resuscitation and survival after out‐of‐hospital cardiac arrest

Rigidez muscular, trastorno de sensorio y antipsicóticos: Reporte de caso

Rescue under ongoing CPR from an upper floor: evaluation of three different evacuation routes and mechanical and manual chest compressions: a manikin trial

Contact Info

Product

Resources

About