Management of out-of hospital cardiac arrest patients with extracorporeal cardiopulmonary resuscitation in 2021.

Christopher GaisendreesMatias VollmerSebastian G WalterIlija DjordjevicKaveh EghbalzadehSüreyya KayaAhmed ElderiaBorko IvanovStephen GerferElmar KuhnAnton SabashnikovHeike A KahlertAntje C DeppeAxel KrönerNavid MaderThorsten Wahlers

Published in: Expert review of medical devices (2021)

We advocate ultrasound-guided cannula placement in eCPR patients. Also, we emphasize the importance of using stiffer wires and smaller arterial cannula sizes due to the different physiological parameters of OHCA patients. After cannulation, we aim for lower flow goals, the concept of 'partial VA-ECMO,' and lower anticoagulatory targets. LV-venting with Impella should remain an individual case to case decision.

Keyphrases

cardiopulmonary resuscitation
extracorporeal membrane oxygenation
ultrasound guided
end stage renal disease
ejection fraction
cardiac arrest
newly diagnosed
chronic kidney disease
prognostic factors
respiratory failure
acute respiratory distress syndrome
intensive care unit
fine needle aspiration