» Articles » PMID: 33432257

ECPR-extracorporeal Cardiopulmonary Resuscitation

Overview
Publisher Springer
Date 2021 Jan 12
PMID 33432257
Citations 6
Authors
Affiliations
Soon will be listed here.
Abstract

Extracorporeal cardiopulmonary resuscitation (ECPR) is a salvage procedure in which extracorporeal membrane oxygenation (ECMO) is initiated emergently on patients who have had cardiac arrest (CA) and on whom the conventional cardiopulmonary resuscitation (CCPR) has failed. Awareness and usage of ECPR are increasing all over the world. Significant advancements have taken place in the ECPR initiation techniques, in its device and in its post-procedure care. ECPR is a team work requiring multidisciplinary experts, highly skilled health care workers and adequate infrastructure with appropriate devices. Perfect coordination and communication among team members play a vital role in the outcome of the ECPR patients. Ethical, legal and financial issues need to be considered before initiation of ECPR and while withdrawing the support when the ECPR is futile. Numerous studies about ECPR are being published more frequently in the last few years. Hence, keeping updated about the ECPR is very important for proper selection of cases and its management. This article reviews various aspects of ECPR and relevant literature to date.

Citing Articles

Extracorporeal Cardiopulmonary Resuscitation-Where Do We Currently Stand?.

Ferrell B, Thomas J, Skendelas J, Uehara M, Sugiura T Biomedicines. 2025; 13(1).

PMID: 39857787 PMC: 11759854. DOI: 10.3390/biomedicines13010204.


Letter to editor: Impact of extracorporeal membrane oxygenation treatments on acquired von willebrand syndrome in patients with out of-hospital cardiac arrest: a retrospective observational study.

Mughal Z, Malik A Thromb J. 2024; 22(1):104.

PMID: 39568032 PMC: 11577710. DOI: 10.1186/s12959-024-00673-w.


Implementing an intelligent diagnosis and treatment system for in-hospital cardiac arrest in the Utstein style: a multi-center case study.

Shao Y, Yang Z, Chen W, Zhang Y J Transl Med. 2024; 22(1):996.

PMID: 39497163 PMC: 11536878. DOI: 10.1186/s12967-024-05792-6.


Impact of extracorporeal membrane oxygenation treatments on acquired von Willebrand syndrome in patients with out-of-hospital cardiac arrest: a retrospective observational study.

Chiba Y, Goto K, Suzuki M, Horiuchi H, Hayakawa M Thromb J. 2024; 22(1):46.

PMID: 38822325 PMC: 11143620. DOI: 10.1186/s12959-024-00617-4.


Prognostic effects of cardiopulmonary resuscitation (CPR) start time and the interval between CPR to extracorporeal cardiopulmonary resuscitation (ECPR) on patient outcomes under extracorporeal membrane oxygenation (ECMO): a single-center,....

Vahedian-Azimi A, Fawzy Hassan I, Rahimi-Bashar F, Elmelliti H, Salesi M, Alqahwachi H BMC Emerg Med. 2024; 24(1):36.

PMID: 38438853 PMC: 10913290. DOI: 10.1186/s12873-023-00905-8.


References
1.
Sekhon M, Ainslie P, Griesdale D . Clinical pathophysiology of hypoxic ischemic brain injury after cardiac arrest: a "two-hit" model. Crit Care. 2017; 21(1):90. PMC: 5390465. DOI: 10.1186/s13054-017-1670-9. View

2.
Brooks S, Anderson M, Bruder E, Daya M, Gaffney A, Otto C . Part 6: Alternative Techniques and Ancillary Devices for Cardiopulmonary Resuscitation: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132(18 Suppl 2):S436-43. DOI: 10.1161/CIR.0000000000000260. View

3.
Bistrussu S, Beeton A, Castaldo G, Han J, Wong I, Tuleu C . Are extracorporeal membrane oxygenation circuits that are primed with plasmalyte and stored a likely source of infection?. J Clin Microbiol. 2004; 42(8):3906. PMC: 497623. DOI: 10.1128/JCM.42.8.3906.2004. View

4.
Callaway C, Donnino M, Fink E, Geocadin R, Golan E, Kern K . Part 8: Post-Cardiac Arrest Care: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2015; 132(18 Suppl 2):S465-82. PMC: 4959439. DOI: 10.1161/CIR.0000000000000262. View

5.
Ramanathan K, Cove M, Caleb M, Teoh K, MacLaren G . Ethical dilemmas of adult ECMO: emerging conceptual challenges. J Cardiothorac Vasc Anesth. 2014; 29(1):229-33. DOI: 10.1053/j.jvca.2014.07.015. View