Extracorporeal membrane oxygenation for cardiac arrest: what, when, why, and how.
Matthew BrandorffClark G OwyangJoseph E TonnaPublished in: Expert review of respiratory medicine (2023)
ECPR is the most disruptive technology in cardiac arrest resuscitation since high-quality CPR itself. ECPR has demonstrated that it can provide up to 30% increased odds of survival for refractory cardiac arrest, in tightly restricted systems and for select patients. It is also clear, though, from recent trials that ECPR will not confer this high survival when implemented in less tightly protocoled settings and within lower volume environments. Over the next 10 years, ECPR research will explore the optimal initiation thresholds, best practices for implementation, and postresuscitation care.
Keyphrases
- cardiopulmonary resuscitation
- cardiac arrest
- extracorporeal membrane oxygenation
- healthcare
- end stage renal disease
- acute respiratory distress syndrome
- primary care
- newly diagnosed
- chronic kidney disease
- ejection fraction
- quality improvement
- palliative care
- peritoneal dialysis
- respiratory failure
- intensive care unit
- pain management
- chronic pain
- mechanical ventilation
- health insurance