Early ECPR for out-of-hospital cardiac arrest: Best practice in 2018

被引：80

作者：

Hutin, Alice ^{[1
,2
]}

Abu-Habsa, Mamoun ^{[3
]}

Burns, Brian ^{[4
,12
]}

Bernard, Steve ^{[5
,6
]}

Bellezzo, Joe ^{[7
]}

Shinar, Zack ^{[7
]}

Torres, Ervigio Corral ^{[8
]}

Gueugniaud, Pierre-Yves ^{[9
]}

Carli, Pierre ^{[1
,10
]}

Lamhaut, Lionel ^{[1
,10
,11
]}

机构：

[1] DAR Necker Univ Hosp, AP HP, SAMU Paris, Paris, France

[2] INSERM, U955, Equipe 3, Creteil, France

[3] Barts Hlth NHS Trust, Crit Care, London, England

[4] NSW Ambulance, Greater Sydney Area HEMS, Sydney, NSW, Australia

[5] Monash Univ, Alfred Hosp, Melbourne, Vic, Australia

[6] Monash Univ, DEPM, Melbourne, Vic, Australia

[7] Sharp Mem Hosp & Rehabil Ctr, Emergency Dept, San Diego, CA USA

[8] SAMUR Protec Civil, Madrid, Spain

[9] Univ Hosp HCL, SAMU Lyon, Lyon, France

[10] Paris Descartes Univ, Paris, France

[11] INSERM, U970, Team 4, Sudden Death Expertise Ctr, Paris, France

[12] Univ Sydney, Sydney Med Sch, Sydney, NSW, Australia

来源：

RESUSCITATION | 2018年 / 130卷

关键词：

ECPR; ECMO; Cardiac arrest; Refractory cardiac arrest; EXTRACORPOREAL CARDIOPULMONARY-RESUSCITATION; LIFE-SUPPORT; MEMBRANE-OXYGENATION; ADULTS; RESCUE;

D O I：

10.1016/j.resuscitation.2018.05.004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Extracorporeal CPR is a second line treatment for refractory cardiac arrest, as written in the latest International Guidelines. Optimal timing, patient selection, location and method of implementation vary across the world. The objective here is to present an international consensus on the pillars of an ECPR program. The major aspect the group agrees on in that ECPR should be implemented within 60 minutes of collapse. With this in mind, the program should be built according to local resources knowing that the optimal team will require pre-established specific roles with personnel dedicated to resuscitation and others to ECPR.

引用

页码：44 / 48

页数：5

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