Pre-Hospital Extracorporeal Cardiopulmonary Resuscitation

תאור מעניין על נסיון של ביצוע אקמו במסגרת טרום בית חולים

Matteo Pozzi MD, PhDPierre Yves Dubien MDEric Cesareo MDDavid Pinero MDJean Francois Obadia MD, PhD and Jean Christophe Richard MD, PhD Journal of Cardiothoracic and Vascular Anesthesia, 2020-02-01, Volume 34, Issue 2, Pages 571-572, Copyright © 2019 Elsevier Inc.

CONVENTIONAL CARDIOPULMONARY resuscitation (CPR) of out-of-hospital cardiac arrest (OHCA) displays dismal outcomes. Indeed, survival is reported to be between 2% and 11% in OHCA patients with attempted resuscitation.  The implantation of extracorporeal life support (ECLS) during CPR, namely extracorporeal cardiopulmonary resuscitation (ECPR), could be considered as a rescue option when standard resuscitation maneuvers fail and the suspected cause of the cardiac arrest is potentially reversible.  However, observational studies have identified several prognostic factors for ECPR, and the low-flow time is inversely associated with favorable neurologic outcome in OHCA.  Pre-hospital ECPR has been suggested in this specific setting to reduce the low-flow time and improve outcomes. 

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