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A review of ECMO for cardiac arrest

Cardiac arrest is an important public health concern, affecting an estimated 356,500 people in the out-of-hospital setting and 209,000 people in the in-hospital setting each year. The causes of cardiac arrest include acute coronary syndromes, pulmonary embolism, dyskalemia, respiratory failure, hypo...

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Detalles Bibliográficos
Autores principales: Klee, Tyler E., Kern, Karl B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244483/
https://www.ncbi.nlm.nih.gov/pubmed/34223349
http://dx.doi.org/10.1016/j.resplu.2021.100083
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author Klee, Tyler E.
Kern, Karl B.
author_facet Klee, Tyler E.
Kern, Karl B.
author_sort Klee, Tyler E.
collection PubMed
description Cardiac arrest is an important public health concern, affecting an estimated 356,500 people in the out-of-hospital setting and 209,000 people in the in-hospital setting each year. The causes of cardiac arrest include acute coronary syndromes, pulmonary embolism, dyskalemia, respiratory failure, hypovolemia, sepsis, and poisoning among many others. In order to tackle the enormous issue of high mortality among sufferers of cardiac arrest, ongoing research has been seeking improved treatment protocols and novel therapies. One of the mechanical devices that has been increasingly utilized for cardiac arrest is venoarterial extracorporeal membrane oxygenation (VA-ECMO). Presently there is only one published randomized controlled trial examining the use of VA-ECMO as part of cardiopulmonary resuscitation (CPR), a process referred to as extracorporeal cardiopulmonary resuscitation (ECPR). Recently there has been significant progress in providing ECPR for refractory cardiac arrest patients. This narrative review seeks to outline the use of ECPR for both in-hospital and out-of-hospital cardiac arrest, as well as provide information on the expected outcomes associated with its use.
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spelling pubmed-82444832021-07-02 A review of ECMO for cardiac arrest Klee, Tyler E. Kern, Karl B. Resusc Plus Review Cardiac arrest is an important public health concern, affecting an estimated 356,500 people in the out-of-hospital setting and 209,000 people in the in-hospital setting each year. The causes of cardiac arrest include acute coronary syndromes, pulmonary embolism, dyskalemia, respiratory failure, hypovolemia, sepsis, and poisoning among many others. In order to tackle the enormous issue of high mortality among sufferers of cardiac arrest, ongoing research has been seeking improved treatment protocols and novel therapies. One of the mechanical devices that has been increasingly utilized for cardiac arrest is venoarterial extracorporeal membrane oxygenation (VA-ECMO). Presently there is only one published randomized controlled trial examining the use of VA-ECMO as part of cardiopulmonary resuscitation (CPR), a process referred to as extracorporeal cardiopulmonary resuscitation (ECPR). Recently there has been significant progress in providing ECPR for refractory cardiac arrest patients. This narrative review seeks to outline the use of ECPR for both in-hospital and out-of-hospital cardiac arrest, as well as provide information on the expected outcomes associated with its use. Elsevier 2021-02-06 /pmc/articles/PMC8244483/ /pubmed/34223349 http://dx.doi.org/10.1016/j.resplu.2021.100083 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Review
Klee, Tyler E.
Kern, Karl B.
A review of ECMO for cardiac arrest
title A review of ECMO for cardiac arrest
title_full A review of ECMO for cardiac arrest
title_fullStr A review of ECMO for cardiac arrest
title_full_unstemmed A review of ECMO for cardiac arrest
title_short A review of ECMO for cardiac arrest
title_sort review of ecmo for cardiac arrest
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244483/
https://www.ncbi.nlm.nih.gov/pubmed/34223349
http://dx.doi.org/10.1016/j.resplu.2021.100083
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