Extracorporeal Cardiopulmonary Resuscitation with Therapeutic Hypothermia for Prolonged Refractory In-hospital Cardiac Arrest
Korean Circulation Journal
;
: 939-948, 2017.
Article
in English
| WPRIM
| ID: wpr-90200
ABSTRACT
BACKGROUND AND OBJECTIVES:
We identified the impact of extracorporeal cardiopulmonary resuscitation (ECPR) followed by therapeutic hypothermia on survival and neurologic outcome in patients with prolonged refractory in-hospital cardiac arrest (IHCA).METHODS:
We enrolled 16 adult patients who underwent ECPR followed by therapeutic hypothermia between July 2011 and December 2015, for IHCA. Survival at discharge and cerebral performance category (CPC) scale were evaluated.RESULTS:
All patients received bystander cardiopulmonary resuscitation (CPR); the mean CPR time was 66.5±29.9 minutes, and the minimum value was 39 minutes. Eight patients (50%) were discharged alive with favorable neurologic outcomes (CPC 1–2). The mean follow-up duration was 20.1±24.3 months, and most deaths occurred within 21 days after ECPR; thereafter, no deaths occurred within one year after the procedure.CONCLUSION:
ECPR followed by therapeutic hypothermia could be considered in prolonged refractory IHCA if bystander-initiated conventional CPR is performed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Extracorporeal Membrane Oxygenation
/
Follow-Up Studies
/
Cardiopulmonary Resuscitation
/
Heart Arrest
/
Hypothermia, Induced
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Humans
Language:
English
Journal:
Korean Circulation Journal
Year:
2017
Type:
Article
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