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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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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 |
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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 |
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