Cargando…

Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department

Extracorporeal cardiopulmonary resuscitation (ECPR) can be associated with increased survival and neurologic benefits in selected patients with out-of-hospital cardiac arrest (OHCA). However, there remains insufficient evidence to recommend the routine use of ECPR for patients with OHCA. A novel int...

Descripción completa

Detalles Bibliográficos
Autores principales: Hayashida, Kei, Kinoshita, Takahiro, Yamakawa, Kazuma, Miyara, Santiago J., Becker, Lance B., Fujimi, Satoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964082/
https://www.ncbi.nlm.nih.gov/pubmed/31948395
http://dx.doi.org/10.1186/s12872-020-01332-4
_version_ 1783488429957316608
author Hayashida, Kei
Kinoshita, Takahiro
Yamakawa, Kazuma
Miyara, Santiago J.
Becker, Lance B.
Fujimi, Satoshi
author_facet Hayashida, Kei
Kinoshita, Takahiro
Yamakawa, Kazuma
Miyara, Santiago J.
Becker, Lance B.
Fujimi, Satoshi
author_sort Hayashida, Kei
collection PubMed
description Extracorporeal cardiopulmonary resuscitation (ECPR) can be associated with increased survival and neurologic benefits in selected patients with out-of-hospital cardiac arrest (OHCA). However, there remains insufficient evidence to recommend the routine use of ECPR for patients with OHCA. A novel integrated trauma workflow concept that utilizes a sliding computed tomography (CT) scanner and interventional radiology (IR) system, named a hybrid emergency room system (HERS), allowing emergency therapeutic interventions and CT examination without relocating trauma patients, has recently evolved in Japan. HERS can drastically shorten the ECPR implementation time and more quickly facilitate definitive interventions than the conventional advanced cardiovascular life support workflow. Herein, we discuss our novel workflow concept using HERS on ECPR for patients with OHCA.
format Online
Article
Text
id pubmed-6964082
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-69640822020-01-22 Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department Hayashida, Kei Kinoshita, Takahiro Yamakawa, Kazuma Miyara, Santiago J. Becker, Lance B. Fujimi, Satoshi BMC Cardiovasc Disord Correspondence Extracorporeal cardiopulmonary resuscitation (ECPR) can be associated with increased survival and neurologic benefits in selected patients with out-of-hospital cardiac arrest (OHCA). However, there remains insufficient evidence to recommend the routine use of ECPR for patients with OHCA. A novel integrated trauma workflow concept that utilizes a sliding computed tomography (CT) scanner and interventional radiology (IR) system, named a hybrid emergency room system (HERS), allowing emergency therapeutic interventions and CT examination without relocating trauma patients, has recently evolved in Japan. HERS can drastically shorten the ECPR implementation time and more quickly facilitate definitive interventions than the conventional advanced cardiovascular life support workflow. Herein, we discuss our novel workflow concept using HERS on ECPR for patients with OHCA. BioMed Central 2020-01-16 /pmc/articles/PMC6964082/ /pubmed/31948395 http://dx.doi.org/10.1186/s12872-020-01332-4 Text en © The Author(s) 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Correspondence
Hayashida, Kei
Kinoshita, Takahiro
Yamakawa, Kazuma
Miyara, Santiago J.
Becker, Lance B.
Fujimi, Satoshi
Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department
title Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department
title_full Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department
title_fullStr Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department
title_full_unstemmed Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department
title_short Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department
title_sort potential impacts of a novel integrated extracorporeal-cpr workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department
topic Correspondence
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964082/
https://www.ncbi.nlm.nih.gov/pubmed/31948395
http://dx.doi.org/10.1186/s12872-020-01332-4
work_keys_str_mv AT hayashidakei potentialimpactsofanovelintegratedextracorporealcprworkflowusinganinterventionalradiologyandimmediatewholebodycomputedtomographysystemintheemergencydepartment
AT kinoshitatakahiro potentialimpactsofanovelintegratedextracorporealcprworkflowusinganinterventionalradiologyandimmediatewholebodycomputedtomographysystemintheemergencydepartment
AT yamakawakazuma potentialimpactsofanovelintegratedextracorporealcprworkflowusinganinterventionalradiologyandimmediatewholebodycomputedtomographysystemintheemergencydepartment
AT miyarasantiagoj potentialimpactsofanovelintegratedextracorporealcprworkflowusinganinterventionalradiologyandimmediatewholebodycomputedtomographysystemintheemergencydepartment
AT beckerlanceb potentialimpactsofanovelintegratedextracorporealcprworkflowusinganinterventionalradiologyandimmediatewholebodycomputedtomographysystemintheemergencydepartment
AT fujimisatoshi potentialimpactsofanovelintegratedextracorporealcprworkflowusinganinterventionalradiologyandimmediatewholebodycomputedtomographysystemintheemergencydepartment