Prolonged extracorporeal membrane oxygenation-assisted support provides improved survival in hypothermic patients with cardiocirculatory arrest

Abstract

Extracorporeal rewarming with an extracorporeal membrane oxygenation system allows prolonged cardiorespiratory support after initial resuscitation. Our data indicate that prolonged extracorporeal membrane oxygenation support reduces the risk of intractable cardiorespiratory failure commonly observed after rewarming.

Part 8: Advanced Life Support

“…426 Those cooling rates suggested that, at 35 minutes of burial, the core temperature may drop as low as 32°C. Three relevant studies (LOE P3) 423,432,433 and 4 case series or reports (LOE P4) 434,435426,431 recorded ROSC in 22, and survival to hospital discharge in 7 of those 22, buried avalanche victims in cardiac arrest with a core temperature less than 32°C with aggressive rewarming using extracorporeal circulation.…”

“…422,432 Five studies found an inverse correlation between admission potassium concentration and survival to discharge in allcause hypothermic patients (LOE P3). 430,422,433,436,437 Four studies (LOE P3) 422,432,438,439 found that high potassium values were associated with asphyxia in all hypothermic patients. The highest reported serum potassium value in an avalanche survivor was 6.4 mmol/L, 432 although survival to hospital discharge from all-cause hypothermia with a potassium concentration as high as 11.8 mmol/L has been documented.…”

Management of hypothermia — Severe Accidental Hypothermia Centre in Krakow

“…Metoda ta jest w niektórych ośrodkach preferowaną formą ogrzewania pozaustrojowego, gdyż zmniejsza ryzyko wystąpienia opornej na leczenie niewydolności krążeniowo--oddechowej, często występującej po ogrzewaniu [16][17][18][19][20][21][22][23].…”

Veno-arterial extracorporeal membrane oxygenation for short-term mechanical circulation support in adults with cardiogenic shock: a single centre experience

“…Successful application of extracorporeal warming for VA ECMO in cases of accidental hypothermia was described in some centres [5][6][7][8]. Recently, there is a tendency to use VA ECMO as a treatment of choice for hypotermic patients [9][10][11][12][13]. Extracorporeal life support may be an effective treatment in patients developing cardiogenic shock due to drug poisoning, not responding to conventional therapy [14].…”