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Curr Opin Crit Care · Jun 2020
ReviewExtracorporeal cardiopulmonary resuscitation for cardiac arrest.
- Rajat Kalra, Marinos Kosmopoulos, Tomaz Goslar, Ganesh Raveendran, Jason A Bartos, and Demetris Yannopoulos.
- Cardiovascular Division and Center for Resuscitation Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
- Curr Opin Crit Care. 2020 Jun 1; 26 (3): 228-235.
Purpose Of ReviewExtracorporeal cardiopulmonary resuscitation (ECPR) is a contemporary resuscitation approach that employs veno-arterial extracorporeal membrane oxygenation (VA-ECMO). This approach is increasingly used worldwide to mitigate the widespread hemodynamic and multiorgan dysfunction that accompanies cardiac arrest.Recent FindingsIn this review, the physiology of VA-ECMO and ECPR, the role of ECPR in contemporary resuscitation care, the complications associated with ECPR and VA-ECMO usage, and intensive care considerations for this population are discussed.SummaryECPR offers a promising mechanism to mitigate multiorgan injury and allow time for the institution of supportive interventions required to effectively treat cardiac arrest. More prospective data in the context of extensive prehospital and hospital collaboration is needed to promote its successful use.
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