• Abhishek Bhardwaj, Todd Miano, Bram Geller, Rita C Milewski, Matthew Williams, Christian Bermudez, Prashant Vallabhajosyula, Prakash Patel, Emily Mackay, William Vernick, Meghan Lane-Fall, Jesse Raiten, Michael McDonald, John Haddle, and Jacob Gutsche.
• Department of Medicine, University of Pennsylvania Health System, Philadelphia, PA.
• J. Cardiothorac. Vasc. Anesth. 2019 Aug 1; 33 (8): 2216-2220.

ObjectiveThe primary objective of this study was to determine the survival to hospital discharge of patients who were treated with venovenous (VV) extracorporeal membrane oxygenation (ECMO) for respiratory failure after cardiac arrest.DesignRetrospective chart review.SettingUniversity-affiliated tertiary care hospitals.ParticipantsThe study comprised 21 patients.InterventionsImplementation of VV ECMO in patients with return of spontaneous circulation after cardiac arrest owing to respiratory insufficiency.Measurements And Main ResultsThe most common etiology of arrest was pneumonia-associated acute respiratory distress syndrome (8/21 [38%]). Overall, 12/21(57%) patients survived to hospital discharge. Two of 12 (17%) patients required hemodialysis upon discharge.ConclusionVV ECMO may be an appropriate alternative to venoarterial ECMO in select patients with return of spontaneous circulation after cardiac arrest owing to profound respiratory failure.Copyright © 2019 Elsevier Inc. All rights reserved.

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