Pilarczyk, K., Michels, G., Wolfrum, S., Trummer, G. and Haake, N. . Extracorporeal cardiopulmonary resuscitation (eCPR). Med Klin Intensivmed Notfmed. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 2193-6226

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Abstract

Extracorporeal cardiopulmonary resuscitation (eCPR) is the implementation of extracorporeal membrane oxygenation (ECMO) in selected patients with cardiac arrest and may be considered when conventional CPR efforts fail, as written in the latest international guidelines. eCPR is a complex intervention that requires a highly trained team, specialized equipment, and multidisciplinary support within a healthcare system and it has the risk of several life-threatening complications. However, there are no randomized, controlled studies on eCPR, and valid predictors of benefit and outcome are lacking. Therefore, optimal timing, patient selection, location and method of implementation vary across centers. As utilization of eCPR has increased in recent years and more centers begin to perform eCPR, considerable uncertainties exist in the prehospital setting as well as in the emergency room. However, structured communication and clearly defined processes are essential especially at the interface between prehospital rescue teams and the eCPR team to achieve the highest possible benefit for cardiac arrest patients using eCPR. This article presents an algorithm for structured, evidence-based logistic considerations, patient selection, and implementation of eCPR as well as early care after establishment of extracorporeal life support (ECLS) which are mainly based on the German national recommendations for eCPR of DGIIN, DGK, DGTHG, DGfK, DGNI, DGAI, DIVI and GRC published in 2019 as well as the S3 guideline Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure and local standard operating procedures of the authors.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Pilarczyk, K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Michels, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wolfrum, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Trummer, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haake, N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-585806
DOI: 10.1007/s00063-021-00796-2
Journal or Publication Title: Med Klin Intensivmed Notfmed
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 2193-6226
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
HOSPITAL CARDIAC-ARREST; LIFE-SUPPORT; TIME; EPIDEMIOLOGY; SURVIVALMultiple languages
Medicine, General & InternalMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/58580

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