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Five-year Experience of Extracorporeal Life Support in Emergency Physicians / 대한중환자의학회지
Korean Journal of Critical Care Medicine ; : 52-59, 2017.
Artigo em Inglês | WPRIM | ID: wpr-194700
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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Cateterismo / Oxigenação por Membrana Extracorpórea / Estudos Retrospectivos / Resultado do Tratamento / Reanimação Cardiopulmonar / Emergências / Extremidades / Parada Cardíaca / Isquemia / Infarto do Miocárdio Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Korean Journal of Critical Care Medicine Ano de publicação: 2017 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Cateterismo / Oxigenação por Membrana Extracorpórea / Estudos Retrospectivos / Resultado do Tratamento / Reanimação Cardiopulmonar / Emergências / Extremidades / Parada Cardíaca / Isquemia / Infarto do Miocárdio Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Korean Journal of Critical Care Medicine Ano de publicação: 2017 Tipo de documento: Artigo