The impact of extracorporeal membrane oxygenation on cerebral oxygen delivery during cardiac arrest: a case series.

Brain oxygen delivery CPR Cardiac arrest ECMO Ischemic brain injury Resuscitation

Journal

Resuscitation plus
ISSN: 2666-5204
Titre abrégé: Resusc Plus
Pays: Netherlands
ID NLM: 101774410

Informations de publication

Date de publication:
Mar 2021
Historique:
received: 16 10 2020
revised: 05 12 2020
accepted: 11 12 2020
entrez: 5 7 2021
pubmed: 6 7 2021
medline: 6 7 2021
Statut: epublish

Résumé

To describe the impact of extracorporeal membrane oxygenation (ECMO) assisted CPR (E-CPR) on cerebral oxygen delivery during in-hospital cardiac arrest (IHCA). Retrospective case series from a tertiary academic medical center. Regional cerebral oxygen saturation (rSO2) was measured continuously using cerebral oximetry in six patients who experienced IHCA. During CPR, the time of E-CPR initiation was recorded, and rSO2 values were subsequently analyzed for a period beginning 5 min before and ending 2.5 min after the initiation of E-CPR. The average rSO ECMO can be employed in parallel with cerebral rSO2 monitoring during CPR for adult IHCA patients. E-CPR is associated with rapid and significant increases in brain oxygen delivery.

Identifiants

pubmed: 34223338
doi: 10.1016/j.resplu.2020.100068
pii: S2666-5204(20)30069-2
pmc: PMC8244461
doi:

Types de publication

Case Reports

Langues

eng

Pagination

100068

Informations de copyright

© 2020 The Author(s).

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Auteurs

Emma Roellke (E)

NYU Long Island School of Medicine, 101 Mineola Blvd, Mineola, NY 11501, USA.

Sam Parnia (S)

Division of Pulmonary, Critical Care, and Sleep Medicine, NYU Grossman School of Medicine, 462 First Avenue, New York, NY 10016, USA.

Jignesh Patel (J)

Division of Pulmonary, Critical Care, and Sleep Medicine, Stony Brook University Medical Center, Health Sciences Center, T17-040, Stony Brook, NY 11794, USA.

Steven Friedman (S)

Division of Biostatistics, NYU Langone Health, 180 Madison Avenue, New York, NY, USA.

Amanda Mengotto (A)

Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461, USA.

Classifications MeSH