Outcome analysis of ECMO applying in extracorporeal cardiopulmonary resuscitation in adult cardiac arrest patients
10.3760/cma.j.issn.1001-4497.2016.05.003
- VernacularTitle:ECMO技术在成人体外心肺复苏中的效果分析
- Author:
Juntao QIU
;
Xinjin LUO
;
Wei WANG
;
Cun LONG
;
Hansong SUN
;
Cuntao YU
;
Shengshou HU
- Publication Type:Journal Article
- Keywords:
Heart arrest;
Cardiopulmonary resuscitation;
Extracorporeal membrane oxygenation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(5):265-268
- CountryChina
- Language:Chinese
-
Abstract:
Objective Summarizing single clinical experience with extracorpomreal membrane oxygenation(ECMO) as a supplement to extracorporeal cardiopulmonary resuscitation(ECPR) in adult patients with cardiac arrest to explore new ideas.Methods We retrospectively analyzed the characteristics of 17 patients who underwent ECMO as part of ECPR from July 2005 to September 2014 at Fuwai Hospital,and analyzed the differences between the survival group(n =6) and the in-hospital death group.Results The mean CPR time was(44.53 ± 21.39) min.The support duration of ECMO was(106.38-± 70.43) h.12 patients of all were successfully weaned from ECMO,and 6 patients survived to hospital discharge.There were significant differences between the two groups in terms of the last serum creatinine and blood lactate acid level before ECMO,and the time to lactate normalization.11 patients died,7 patients developed bleeding,and 8 cases developed infection.Conclusion Single-center data showed that applying ECMO as a means of ECPR improved the survival rate in cardiac arrest patients.Additionally,creatinine and lactic acid were good indicators for assessing prognosis.Refractory circulatory dysfunction and neurologic complications have an adverse impact on the survival of cardiac arrest patients.
