Practice of extracorporeal cardiopulmonary resuscitation in China after publication of the 2015 AHA guidelines for resuscitation: A multiinstitution survey

Lan-fang DU; Hong-xia GE; Qing-bian MA; Bao-lan GE; Jian-zhong Yang; Yu-hong MI; Yi-xiong Zhang

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Practice of extracorporeal cardiopulmonary resuscitation in China after publication of the 2015 AHA guidelines for resuscitation: A multiinstitution survey

Author: Lan-Fang DU ¹ ; Hong-Xia GE ¹ ; Qing-Bian MA ¹ ; Bao-Lan GE ¹ ; Jian-Zhong YANG ² ; Yu-Hong MI ³ ; Yi-Xiong ZHANG ⁴
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1. Department of Emergency Medicine, Peking University Third Hospital
2. Department of Emergency Medicine, First Affiliated Hospital of Xinjiang Medical University
3. Department of Emergency Medicine, Beijing Anzhen Hospital
4. Department of Emergency Medicine, Hunan Provincial People's Hospital
Publication Type:Journal Article
Keywords: Cardiac arrest; Extracorporeal cardiopulmonary resuscitation; Extracorporeal life support; Extracorporeal membrane oxygenation; Resuscitation
From: Asian Pacific Journal of Tropical Medicine 2019;12(14):12-16
CountryChina
Language:Chinese
Abstract: Objective: To investigate the current practice of extracorporeal cardiopulmonary resuscitation (ECPR) for Chinese cardiac arrest patients after the publication of 2015 American Heart Association guidelines for cardiopulmonary resuscitation. Methods: A questionnaire was distributed to healthcare providers of emergency departments (EDs) and/or Intensive Care Units (ICUs) across 52 hospitals in China from August to November 2016. Data collection ended in February 2017. The questionnaire included three parts: (1) characteristics of the departments and the respondents; (2) knowledge about ECPR; (3) practice of ECPR in cardiac arrest patients (case volume, inclusion/exclusion criteria, ECPR procedure). The characteristics of the departments/hospitals were only answered by the head of the department. Results: A total of 1 952 (86.8%) respondents fulfilled the survey. Only 2.5% of the respondents from 3 of 52 hospitals performed ECPR. Among the three hospitals, the case number of ECPR were ≤5 per year and none of them had written ECPR procedures. Only one hospital had formal inclusion/exclusion criteria. The inclusion criteria included age between 18 to 60 years, suspected cardiogenic cardiac arrest, beginning of cardiopulmonary resuscitation <5 min after cardiac arrest and duration of cardiopulmonary resuscitation >10 min. The top three reasons for the nonuse of ECPR were unknown fields (31.2%), potential ECMO-related side effects (26.9%) and cost (18.7%). Conclusions: ECPR for cardiac arrest patients are not well understood by healthcare providers in the emergency department or ICUs and its application is still in the early stage in China. Educational training and other interventions are needed to promote the clinical practice.