Extracorporeal cardiopulmonary resuscitation for cardiac arrest.
Journal
Current opinion in critical care
ISSN: 1531-7072
Titre abrégé: Curr Opin Crit Care
Pays: United States
ID NLM: 9504454
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
entrez:
30
4
2020
pubmed:
30
4
2020
medline:
1
12
2020
Statut:
ppublish
Résumé
Extracorporeal cardiopulmonary resuscitation (ECPR) is a contemporary resuscitation approach that employs veno-arterial extracorporeal membrane oxygenation (VA-ECMO). This approach is increasingly used worldwide to mitigate the widespread hemodynamic and multiorgan dysfunction that accompanies cardiac arrest. In this review, the physiology of VA-ECMO and ECPR, the role of ECPR in contemporary resuscitation care, the complications associated with ECPR and VA-ECMO usage, and intensive care considerations for this population are discussed. ECPR offers a promising mechanism to mitigate multiorgan injury and allow time for the institution of supportive interventions required to effectively treat cardiac arrest. More prospective data in the context of extensive prehospital and hospital collaboration is needed to promote its successful use.
Identifiants
pubmed: 32348091
doi: 10.1097/MCC.0000000000000717
pii: 00075198-202006000-00003
pmc: PMC7340131
mid: NIHMS1602377
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
228-235Subventions
Organisme : NHLBI NIH HHS
ID : R33 HL142696
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL133818
Pays : United States
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