Research progress on extracorporeal cardiopulmonary resuscitation
- VernacularTitle:体外心肺复苏的研究进展
- Author:
Ying LIANG
1
;
Fuqing JIANG
2
;
Yulong GUAN
1
Author Information
1. Department of Extracorporeal Circulation, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P.R.China
2. Department of Extracorporeal Circulation, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518057, Guangdong, P.R.China
- Publication Type:Journal Article
- Keywords:
Cardiopulmonary resuscitation;
extracorporeal cardiopulmonary resuscitation;
cardiac arrest;
extracorporeal membrane oxygenation;
complications;
review
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(09):1107-1113
- CountryChina
- Language:Chinese
-
Abstract:
Extracorporeal cardiopulmonary resuscitation (ECPR) is a salvage therapy for patients suffering cardiac arrest refractory to conventional resuscitation, and provides circulatory support in patients who fail to achieve a sustained return of spontaneous circulation. ECPR serves as a bridge therapy that maintains organ perfusion whilst the underlying etiology of the cardiac arrest is determined and treated. Increasing recognition of the survival benefit associated with ECPR has led to increased use of ECPR during the past decade. Commonly used indications for ECPR are: age<70 years, initial rhythm of ventricular fibrillation or ventricular tachycardia, witnessed arrest, bystander cardiopulmonary resuscitation within 5 min, failure to achieve sustained return of spontaneous circulation within 15 min of beginning cardiopulmonary resuscitation. This review provides an overview of ECPR utilization, recent outcomes, risk factors, and complications of ECPR. Identifying ECPR indications, rapid deployment of extracorporeal life support equipment, and high-quality ECPR management strategies are of paramount importance to improve survival.
