Universität zu Köln

Gaisendrees, Christopher ORCID: 0000-0002-7232-3330, Vollmer, Matias, Walter, Sebastian G., Djordjevic, Ilija ORCID: 0000-0002-5810-8626, Eghbalzadeh, Kaveh, Kaya, Suereyya, Elderia, Ahmed ORCID: 0000-0002-6859-5384, Ivanov, Borko, Gerfer, Stephen, Kuhn, Elmar, Sabashnikov, Anton, Kahlert, Heike A., Deppe, Antje C., Kroener, Axel, Mader, Navid and Wahlers, Thorsten (2021). Management of out-of hospital cardiac arrest patients with extracorporeal cardiopulmonary resuscitation in 2021. Expert Rev. Med. Devices, 18 (2). S. 179 - 189. ABINGDON: TAYLOR & FRANCIS LTD. ISSN 1745-2422

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Abstract

Introduction Over the last decade, eCPR programs have become more and more popular, at least amongst high-volume centers. Despite its rise in popularity and promising outcome, strategies concerning pre- and post-implantation of VA-ECMO remain at least debatable. Besides, integrating the appropriate set-up, managing anticoagulation, implementing LV-venting, and predicting neurological outcome play important roles in caring for thise highly selective patient-collective. We sought to present our institutional ' s techniques for establishing an eCPR program and managing patients peri- and post implantation in eCPR-runs. Areas covered This manuscript covers the majority of clinical concerns and parameters for establishing an eCPR program and its recent advantages. We will describe a safe way of cannulation, setting anticoagulation goals, strategies for LV-venting and ICU-treatment. Also included, an elaboration on neurological and cardiac prognostication Expert Opinion 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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gaisendrees, Christopher UNSPECIFIED orcid.org/0000-0002-7232-3330 UNSPECIFIED Vollmer, Matias UNSPECIFIED UNSPECIFIED UNSPECIFIED Walter, Sebastian G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Djordjevic, Ilija UNSPECIFIED orcid.org/0000-0002-5810-8626 UNSPECIFIED Eghbalzadeh, Kaveh UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaya, Suereyya UNSPECIFIED UNSPECIFIED UNSPECIFIED Elderia, Ahmed UNSPECIFIED orcid.org/0000-0002-6859-5384 UNSPECIFIED Ivanov, Borko UNSPECIFIED UNSPECIFIED UNSPECIFIED Gerfer, Stephen UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuhn, Elmar UNSPECIFIED UNSPECIFIED UNSPECIFIED Sabashnikov, Anton UNSPECIFIED UNSPECIFIED UNSPECIFIED Kahlert, Heike A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Deppe, Antje C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kroener, Axel UNSPECIFIED UNSPECIFIED UNSPECIFIED Mader, Navid UNSPECIFIED UNSPECIFIED UNSPECIFIED Wahlers, Thorsten UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-564296
DOI:	10.1080/17434440.2021.1886076
Journal or Publication Title:	Expert Rev. Med. Devices
Volume:	18
Number:	2
Page Range:	S. 179 - 189
Date:	2021
Publisher:	TAYLOR & FRANCIS LTD
Place of Publication:	ABINGDON
ISSN:	1745-2422
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Engineering, Biomedical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56429