作者: ’T Joncke Koen , Thelinge Nathanaël , Dewolf Philippe
DOI: 10.1016/J.RESPLU.2020.100018
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摘要: Abstract Aim Extracorporeal cardiopulmonary resuscitation (ECPR) can treat cardiac arrest refractory to conventional therapies. Our goal was identify the best protocol for survival with good neurological outcome through evaluation of current inclusion criteria, exclusion cannulation strategies and additional therapeutic measures. Methods A systematic literature search used eligible publications from PubMed, Embase, Web Science Cochrane articles published 29 June 2009 until 2019. Results The selection process led a total 24 articles, considering 1723 patients in total. at hospital discharge found 21.3% all patients. most consistent criterion (RCA), 21/25 (84%) protocols. preferred method percutaneous Seldinger technique (44%). Conclusion ECPR is feasible option should already be considered an early stage CPR. One key findings that time-to-ECPR seems correlated survival. An important contributing factor definition RCA. Protocols defining RCA as >10 min had mean 26.7%. higher cut-off, between 15 30 min, 14.5%. Another access technique. combined ultrasonography fluoroscopic guidance leads reduced time complication rate. Conclusive research around prehospital still needs conducted.