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Pre-hospital extra-corporeal cardiopulmonary resuscitation.


ABSTRACT: Survival from out-of-hospital cardiac arrest (OHCA) has remained low despite advances in resuscitation science. Hospital-based extra-corporeal cardiopulmonary resuscitation (ECPR) is a novel use of an established technology that provides greater blood flow and oxygen delivery during cardiac arrest than closed chest compressions. Hospital-based ECPR is currently offered to selected OHCA patients in specialized centres. The interval between collapse and restoration of circulation is inversely associated with good clinical outcomes after ECPR. Pre-hospital delivery of ECPR concurrent with conventional resuscitation is one approach to shortening this interval and improving outcomes after OHCA. This article examines the background and rationale for pre-hospital ECPR; summarises the findings of a literature search for published evidence; and considers candidate selection, logistics, and complications for this complex intervention.

SUBMITTER: Singer B 

PROVIDER: S-EPMC5870373 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature

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Pre-hospital extra-corporeal cardiopulmonary resuscitation.

Singer Ben B   Reynolds Joshua C JC   Lockey David J DJ   O'Brien Ben B  

Scandinavian journal of trauma, resuscitation and emergency medicine 20180327 1


Survival from out-of-hospital cardiac arrest (OHCA) has remained low despite advances in resuscitation science. Hospital-based extra-corporeal cardiopulmonary resuscitation (ECPR) is a novel use of an established technology that provides greater blood flow and oxygen delivery during cardiac arrest than closed chest compressions. Hospital-based ECPR is currently offered to selected OHCA patients in specialized centres. The interval between collapse and restoration of circulation is inversely asso  ...[more]

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