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Scientific article
Review
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English

ECMO in Cardiac Arrest: A Narrative Review of the Literature

Published inJournal of clinical medicine, vol. 10, no. 3, 534
Publication date2021-02-02
First online date2021-02-02
Abstract

Cardiac arrest (CA) is a frequent cause of death and a major public health issue. To date, conventional cardiopulmonary resuscitation (CPR) is the only efficient method of resuscitation available that positively impacts prognosis. Extracorporeal membrane oxygenation (ECMO) is a complex and costly technique that requires technical expertise. It is not considered standard of care in all hospitals and should be applied only in high-volume facilities. ECMO combined with CPR is known as ECPR (extracorporeal cardiopulmonary resuscitation) and permits hemodynamic and respiratory stabilization of patients with CA refractory to conventional CPR. This technique allows the parallel treatment of the underlying etiology of CA while maintaining organ perfusion. However, current evidence does not support the routine use of ECPR in all patients with refractory CA. Therefore, an appropriate selection of patients who may benefit from this procedure is key. Reducing the duration of low blood flow by means of performing high-quality CPR and promoting access to ECPR, may improve the survival rate of the patients presenting with refractory CA. Indeed, patients who benefit from ECPR seem to carry better neurological outcomes. The aim of this present narrative review is to present the most recent literature available on ECPR and to clarify its potential therapeutic role, as well as to provide an in-depth explanation of equipment and its set up, the patient selection process, and the patient management post-ECPR.

eng
Keywords
  • ECMO
  • ECPR
  • Cardiac arrest
  • Extracorporeal membrane oxygenation
Citation (ISO format)
DE CHARRIÈRE, Amandine Solange Marie et al. ECMO in Cardiac Arrest: A Narrative Review of the Literature. In: Journal of clinical medicine, 2021, vol. 10, n° 3, p. 534. doi: 10.3390/jcm10030534
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Article (Published version)
Identifiers
ISSN of the journal2077-0383
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Technical informations

Creation10/18/2021 4:05:00 PM
First validation10/18/2021 4:05:00 PM
Update time03/16/2023 2:29:36 AM
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