Universität zu Köln

Gaisendrees, Christopher ORCID: 0000-0002-7232-3330, Gerfer, Stephen, Ivanov, Borko, Sabashnikov, Anton, Merkle, Julia, Luehr, Maximilian, Schlachtenberger, Georg, Walter, Sebastian G., Eghbalzadeh, Kaveh, Kuhn, Elmar, Djordjevic, Ilija and Wahlers, Thorsten (2021). Outcomes after mechanical versus manual chest compressions in eCPR patients. Expert Rev. Med. Devices, 18 (10). S. 1023 - 1029. ABINGDON: TAYLOR & FRANCIS LTD. ISSN 1745-2422

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Abstract

Background Extracorporeal cardiopulmonary resuscitation (eCPR) is an established treatment option for cardiac arrest. Mechanical reanimation devices are increasingly used but have been associated with complications. This study evaluates typical injury patterns and differences after mechanical versus manual chest compressions among patients undergoing eCPR. Methods From 2016 to 2020, 108 eCPR patients were retrospectively analyzed. Primary endpoints were traumatic, hemorrhagic, or inner organ-related complications, defined as pneumothorax, pulmonary bleeding, major bleeding, gastrointestinal bleeding, gastrointestinal ischemia, cardiac tamponade, aortic dissection, sternal or rib fracture. Results 70 patients were treated with mechanical CPR (mCPR) and 38 with conventional CPR (cCPR). There were more CPR-related injuries in the mCPR group (55% vs. 83%, p = 0.01), CPR duration was longer (cCPR 40 +/- 28 min vs. mCPR 69 +/- 25 min, p = 0.01). There was no significant difference in mortality between the groups. Conclusion Mechanical CPR devices are associated with a higher incidence of traumatic and hemorrhagic injuries in patients undergoing eCPR.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Gaisendrees, Christopher UNSPECIFIED orcid.org/0000-0002-7232-3330 UNSPECIFIED Gerfer, Stephen UNSPECIFIED UNSPECIFIED UNSPECIFIED Ivanov, Borko UNSPECIFIED UNSPECIFIED UNSPECIFIED Sabashnikov, Anton UNSPECIFIED UNSPECIFIED UNSPECIFIED Merkle, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Luehr, Maximilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Schlachtenberger, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Walter, Sebastian G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eghbalzadeh, Kaveh UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuhn, Elmar UNSPECIFIED UNSPECIFIED UNSPECIFIED Djordjevic, Ilija UNSPECIFIED UNSPECIFIED UNSPECIFIED Wahlers, Thorsten UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-565279
DOI:	10.1080/17434440.2021.1970528
Journal or Publication Title:	Expert Rev. Med. Devices
Volume:	18
Number:	10
Page Range:	S. 1023 - 1029
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 HOSPITAL CARDIAC-ARREST; EXTRACORPOREAL CARDIOPULMONARY-RESUSCITATION; REPERFUSION; SUPPORT; DEVICE; ECMO; CPR Multiple languages Engineering, Biomedical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56527