Bibliographic Details
| Title: |
A novel extracorporeal cardiopulmonary resuscitation strategy using a hybrid emergency room for patients with pulseless electrical activity |
| Authors: |
Shinichi Ijuin, Akihiko Inoue, Satoshi Ishihara, Masafumi Suga, Takeshi Nishimura, Shota Kikuta, Haruki Nakayama, Nobuaki Igarashi, Shigenari Matsuyama, Tomofumi Doi, Shinichi Nakayama |
| Source: |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, Vol 30, Iss 1, Pp 1-6 (2022) |
| Publisher Information: |
BMC, 2022. |
| Publication Year: |
2022 |
| Collection: |
LCC:Medical emergencies. Critical care. Intensive care. First aid |
| Subject Terms: |
Extracorporeal cardiopulmonary resuscitation, Hybrid emergency room, Pulseless electrical activity, Pulmonary embolism, Aortic disease, Intracranial haemorrhage, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| More Details: |
Abstract Background Whether extracorporeal cardiopulmonary resuscitation (ECPR) is indicated for patients with pulseless electrical activity (PEA) remains unclear. Pulmonary embolism with PEA is a good candidate for ECPR; however, PEA can sometimes include an aortic disease and intracranial haemorrhage, with extremely poor neurological outcomes, and can thus not be used as a suitable candidate. We began employing an ECPR strategy that utilised a hybrid emergency room (ER) to perform computed tomography (CT) before extracorporeal membrane oxygenation (ECMO) induction from January 2020. Therefore, the present study aimed to evaluate the effectiveness of this ECPR strategy. Methods Medical records of patients who transferred to our hybrid ER and required ECPR for PEA between January 2020 and November 2021 were reviewed. Results Twelve consecutive patients (median age, 67 [range, 57–73] years) with PEA requiring ECPR were identified in our hybrid ER. Among these patients, nine were diagnosed using an initial CT scan (intracranial haemorrhage (3); cardiac tamponade due to aortic dissection (3); aortic rupture (2); and cardiac rupture (1)), and unnecessary ECMO was avoided. The remaining three patients underwent ECPR, and two of them survived with favourable neurological outcomes. Patients not indicated for ECPR were excluded before ECMO induction. Conclusion Our ECPR strategy that involved the utilisation of a hybrid ER may be useful for the exclusion of patients with PEA not indicated for ECPR and decision making. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
1757-7241 |
| Relation: |
https://doaj.org/toc/1757-7241 |
| DOI: |
10.1186/s13049-022-01024-2 |
| Access URL: |
https://doaj.org/article/1330b97baa44437ba8d1e0c171c0d5c3 |
| Accession Number: |
edsdoj.1330b97baa44437ba8d1e0c171c0d5c3 |
| Database: |
Directory of Open Access Journals |
