Postoperative Cardiac Arrest after Heart Surgery: Does Extracorporeal Perfusion Support a Paradigm Change in Management?

被引:1
|
作者
Gologorsky, Edward [1 ]
Macedo, Francisco Igor B. [2 ]
Carvalho, EnisaM. [2 ]
Gologorsky, Angela [3 ]
Ricci, Marco [2 ]
Salerno, Tomas A. [2 ]
机构
[1] Univ Miami, Jackson Mem Hosp, Miller Sch Med, Dept Anesthesiol,CVT Div, Miami, FL 33139 USA
[2] Univ Miami, Jackson Mem Hosp, Miller Sch Med, Div Cardiothorac Surg, Miami, FL 33139 USA
[3] Mem Reg Hosp, Dept Anesthesiol, Hollywood, FL 33021 USA
关键词
D O I
10.1155/2010/937215
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Early institution of extracorporeal perfusion support (ECPS) may improve survival after cardiac arrest. Two patients sustained unexpected cardiac arrest in the Intensive Care Unit (ICU) following cardiac interventions. ECPS was initiated due to failure to restore hemodynamics after prolonged (over 60minutes) advanced cardiac life support (ACLS) protocol-guided cardiopulmonary resuscitation. Despite relatively late institution of ECPS, both patients survived with preserved neurological function. This communication focuses on the utility of ECPS in the ICU as a part of resuscitative efforts.
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页数:4
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