کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5999113 | 1181470 | 2012 | 5 صفحه PDF | دانلود رایگان |
SummaryObjectiveExtracorporeal membrane oxygenation (ECMO) support has been suggested to improve the survival rate in patients with refractory in- and out-of-hospital cardiac arrest (IHCA and OHCA). The aim of our study is to report our experience with ECMO in these patients.DesignRetrospective, single-centre, observational study.PatientsFrom January 2006 to February 2011 we studied 42 patients (31 males) with refractory cardiac arrest.Measurement and main resultsECMO implantation was successful in 38 (90%) of the 42 patients. ECMO support was positioned: three times (8%) in the operating room, six (16%) in the cardiac surgery intensive care unit, 21 (55%) in the emergency room, five (13%) in the catheterisation laboratory and three (8%) in the general ward. A total of 14 IHCA (58%) and three OHCA (16%) patients were weaned from ECMO (p < 0.05). Eleven IHCA (46%) and one OHCA (5%, p < 0.05) patients were discharged from intensive care unit (ICU). Among IHCA patients, 10 were alive at 6 months, nine of whom (38%) with good neurological outcome. Among OHCA patients weaned from ECMO, one was alive at 6 months with good neurological outcome (5%, p < 0.05 vs. IHCA).ConclusionsECMO support should be considered as a resuscitation alternative in selected patients. More specifically, patients with witnessed IHCA benefit more from ECMO treatment compared to those who experience an out-of-hospital cardiac arrest.
Journal: Resuscitation - Volume 83, Issue 5, May 2012, Pages 579-583