Extracorporeal cardiopulmonary resuscitation for adult cardiac arrest patients

• 作者: Eisuke Kagawa
• 来源期刊: 世界重症医学杂志
• 学科: 医学
• 关键词: EXTRACORPOREAL membrane OXYGENATION EXTRACORPOREAL CARDIOPULMONARY RESUSCITATION Conventional CARDIOPULMONARY RESUSCITATION RETURN of SPONTANEOUS circulation
• 年，卷（期）: 2012,（2）
• 页码范围: 46-49
• 页数: 4页
• 分类号: R

摘要

Cardiac arrest is a major cause of unexpected death in developed countries,and patients with cardiac arrest generally have a poor prognosis.Despite the use of conventional cardiopulmonary resuscitation(CPR),few patients could achieve return of spontaneous circulation(ROSC).Even if ROSC was achieved,some patients showed re-arrest and many survivors were unable to fully resume their former lifestyles because of severe neurological deficits.Safar et al reported the effectiveness of emergency cardiopulmonary bypass in an animal model and discussed the possibility of employing cardiopulmonary bypass as a CPR method.Because of progress in medical engineering,the system of venoarterial extracorporeal membrane oxygenation(ECMO)became small and portable,and it became easy to perform circulatory support in cardiac arrest or shock patients.Extracorporeal cardiopulmonary resuscitation(ECPR)has been reported to be superior to conventional CPR in in-hospital cardiac arrest patients.Venoarterial ECMO is generally performed in emergency settings and it can be used to perform ECPR in patients with out-of-hospital cardiac arrest.Although there is no sufficient evidence to support the efficacy of ECPR in patients with out-of-hospital cardiac arrest,encouraging results have been obtained in small case series.