Cardiopulmonary arrest and extracorporeal membrane oxygenation: Case report and review

Alexander Robinson; Aniket S. Rali; Zubair Shah; Travis Abicht; Eric Hockstad; Andrew Sauer

doi:10.4103/ijccm.IJCCM_222_18

SEARCH WITHIN CONTENT

Online First

Cardiopulmonary arrest and extracorporeal membrane oxygenation: Case report and review

Alexander Robinson, Aniket S. Rali, Zubair Shah, Travis Abicht, Eric Hockstad, Andrew Sauer

Keywords : Cardiopulmonary arrest, critical care cardiology, extracorporeal membrane oxygenation, extracorporeal membrane oxygenation-assisted cardiopulmonary resuscitation, intrahospital arrest

Citation Information : Robinson A, Rali AS, Shah Z, Abicht T, Hockstad E, Sauer A. Cardiopulmonary arrest and extracorporeal membrane oxygenation: Case report and review. Indian J Crit Care Med 2018; 22 (7):544-546.

DOI: 10.4103/ijccm.IJCCM_222_18

License: CC BY-ND 3.0

Published Online: 01-04-2015

ARTICLE
REFERENCES

Abstract

National trends suggest that less than one in four patients experiencing in-hospital cardiac arrest (IHCA) in the United States survive to discharge. This is especially relevant as the rates of IHCA are expected to rise in the years to come. Only a modest upward trend in survival to discharge among patients with IHCA over the past decade warrants evaluation of novel ideas to improve outcomes postcardiopulmonary resuscitation. One such idea is that the use of veno-arterial-extracorporeal membrane oxygenation (VA-ECMO) to augment standard advanced cardiac life support algorithm in patients with an identifiable and reversible cause of cardiac arrest would improve survival to discharge. Here, we present the case of a patient with refractory ventricular fibrillation arrest who was transitioned to VA-ECMO immediately following cardiac catheterization for an IHCA.

PDF Share

Merchant RM, Yang L, Becker LB, Berg RA, Nadkarni V, Nichol G, et al. Incidence of treated cardiac arrest in hospitalized patients in the United States. Crit Care Med 2011;39:2401-6.
Ofoma UR, Basnet S, Berger A, Kirchner HL, Girotra S; American Heart Association Get With the Guidelines – Resuscitation Investigators. Trends in survival after in-hospital cardiac arrest during nights and weekends. J Am Coll Cardiol 2018;71:402-11.
Chen YS, Chao A, Yu HY, Ko WJ, Wu IH, Chen RJ, et al. Analysis and results of prolonged resuscitation in cardiac arrest patients rescued by extracorporeal membrane oxygenation. J Am Coll Cardiol 2003;41:197-203.
Stub D, Bernard S, Pellegrino V, Smith K, Walker T, Sheldrake J, et al. Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial). Resuscitation 2015;86:88-94.
Morimura N, Sakamoto T, Nagao K, Asai Y, Yokota H, Tahara Y, et al. Extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest: A review of the Japanese literature. Resuscitation 2011;82:10-4.
Chen YS, Lin JW, Yu HY, Ko WJ, Jerng JS, Chang WT, et al. Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: An observational study and propensity analysis. Lancet 2008;372:554-61.

PDF Share