Five-year Experience of Extracorporeal Life Support in Emergency Physicians / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 52-59, 2017.
Artículo
en Inglés
| WPRIM
| ID: wpr-770977
ABSTRACT
BACKGROUND:
This study aimed to present our 5-year experience of extracorporeal cardiopulmonary resuscitation (ECPR) performed by emergency physicians.METHODS:
We retrospectively analyzed 58 patients who underwent ECPR between January 2010 and December 2014. The primary parameter analyzed was survival to hospital discharge. The secondary parameters analyzed were neurologic outcome at hospital discharge, cannulation time, and ECPR-related complications.RESULTS:
Thirty-one patients (53.4%) were successfully weaned from extracorporeal membrane oxygenation, and 18 (31.0%) survived to hospital discharge. Twelve patients (20.7%) were discharged with good neurologic outcomes. The median cannulation time was 25.0 min (interquartile range 20.0-31.0 min). Nineteen patients (32.8%) had ECPR-related complications, the most frequent being distal limb ischemia. Regarding the initial presentation, 52 patients (83.9%) collapsed due to a cardiac etiology, and acute myocardial infarction (33/62, 53.2%) was the most common cause of cardiac arrest.CONCLUSIONS:
The survival to hospital discharge rate for cardiac arrest patients who underwent ECPR conducted by an emergency physician was within the acceptable limits. The cannulation time and complications following ECPR were comparable to those found in previous studies.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Cateterismo
/
Oxigenación por Membrana Extracorpórea
/
Estudios Retrospectivos
/
Resultado del Tratamiento
/
Reanimación Cardiopulmonar
/
Urgencias Médicas
/
Extremidades
/
Paro Cardíaco
/
Isquemia
/
Infarto del Miocardio
Tipo de estudio:
Estudio observacional
Límite:
Humanos
Idioma:
Inglés
Revista:
The Korean Journal of Critical Care Medicine
Año:
2017
Tipo del documento:
Artículo
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