Korean J Crit Care Med.  2017 Feb;32(1):52-59. 10.4266/kjccm.2016.00885.

Five-year Experience of Extracorporeal Life Support in Emergency Physicians

• Cho YS
• Song KH
• Lee BK
• Jeung KW
• Jung YH
• Lee DH
• Lee SM

• KMID: 2371154
• DOI: http://doi.org/10.4266/kjccm.2016.00885

Abstract

BACKGROUND
This study aimed to present our 5-year experience of extracorporeal cardiopulmonary resuscitation (ECPR) performed by emergency physicians.
METHODS
We retrospectively analyzed 58 patients who underwent ECPR between January 2010 and December 2014. The primary parameter analyzed was survival to hospital discharge. The secondary parameters analyzed were neurologic outcome at hospital discharge, cannulation time, and ECPR-related complications.
RESULTS
Thirty-one patients (53.4%) were successfully weaned from extracorporeal membrane oxygenation, and 18 (31.0%) survived to hospital discharge. Twelve patients (20.7%) were discharged with good neurologic outcomes. The median cannulation time was 25.0 min (interquartile range 20.0-31.0 min). Nineteen patients (32.8%) had ECPR-related complications, the most frequent being distal limb ischemia. Regarding the initial presentation, 52 patients (83.9%) collapsed due to a cardiac etiology, and acute myocardial infarction (33/62, 53.2%) was the most common cause of cardiac arrest.
CONCLUSIONS
The survival to hospital discharge rate for cardiac arrest patients who underwent ECPR conducted by an emergency physician was within the acceptable limits. The cannulation time and complications following ECPR were comparable to those found in previous studies.

Keyword

cardiopulmonary resuscitation; extracorporeal membrane oxygenation; heart arrest; treatment outcome

MeSH Terms

Cardiopulmonary Resuscitation
Catheterization
Emergencies*
Extracorporeal Membrane Oxygenation
Extremities
Heart Arrest
Humans
Ischemia
Myocardial Infarction
Retrospective Studies
Treatment Outcome

Reference

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