A systematic review of current ECPR protocols. A step towards standardisation

作者: ’T Joncke Koen , Thelinge Nathanaël , Dewolf Philippe

DOI: 10.1016/J.RESPLU.2020.100018

关键词:

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.

参考文章(52)
Taku Nakagawa, Miki Hashimoto, Yasunori Hashimoto, Kazuhiro Shirozu, Sumio Hoka, The effects of tramadol on postoperative shivering after sevoflurane and remifentanil anesthesia BMC Anesthesiology. ,vol. 17, pp. 1- 7 ,(2017) , 10.1186/S12871-016-0295-X
Norihiro Kuroki, Daisuke Abe, Toru Iwama, Kou Suzuki, Kazuhiro Sugiyama, Akiko Akashi, Yuichi Hamabe, Kazutaka Aonuma, Akira Sato, Association between delay to coronary reperfusion and outcome in patients with acute coronary syndrome undergoing extracorporeal cardiopulmonary resuscitation. Resuscitation. ,vol. 114, pp. 1- 6 ,(2017) , 10.1016/J.RESUSCITATION.2017.02.007
Lionel Lamhaut, Alice Hutin, Etienne Puymirat, Jérome Jouan, Jean-Herlé Raphalen, Romain Jouffroy, Murielle Jaffry, Christelle Dagron, Kim An, Florence Dumas, Eloi Marijon, Wulfran Bougouin, Jean-Pierre Tourtier, Frédéric Baud, Xavier Jouven, Nicolas Danchin, Christian Spaulding, Pierre Carli, None, A Pre-Hospital Extracorporeal Cardio Pulmonary Resuscitation (ECPR) strategy for treatment of refractory out hospital cardiac arrest: An observational study and propensity analysis Resuscitation. ,vol. 117, pp. 109- 117 ,(2017) , 10.1016/J.RESUSCITATION.2017.04.014
Matteo Pozzi, Catherine Koffel, Camelia Djaref, Daniel Grinberg, Jean Luc Fellahi, Elisabeth Hugon-Vallet, Cyril Prieur, Jacques Robin, Jean François Obadia, High rate of arterial complications in patients supported with extracorporeal life support for drug intoxication-induced refractory cardiogenic shock or cardiac arrest. Journal of Thoracic Disease. ,vol. 9, pp. 1988- 1996 ,(2017) , 10.21037/JTD.2017.06.81
Anson Cheung, Brian Grunau, Sarah Carrier, Jamil Bashir, William Dick, Luke Harris, Robert Boone, Dan Kalla, Frank Scheuermeyer, Brian Twaites, Ron Straight, James Abel, Ken McDonald, Ruth MacRedmond, David Agulnik, Joe Finkler, Jeanne MacLeod, Jim Christenson, A comprehensive regional clinical and educational ECPR protocol decreases time to ECMO in patients with refractory out-of-hospital cardiac arrest. Canadian Journal of Emergency Medicine. ,vol. 19, pp. 424- 433 ,(2017) , 10.1017/CEM.2017.376
Dylan Stanger, Vesna Mihajlovic, Joel Singer, Sameer Desai, Rami El-Sayegh, Graham C Wong, Editor’s Choice-Effects of targeted temperature management on mortality and neurological outcome: A systematic review and meta-analysis: European heart journal. Acute cardiovascular care. ,vol. 7, pp. 467- 477 ,(2018) , 10.1177/2048872617744353
Sebastian Voicu, Patrick Henry, Isabelle Malissin, Jean-Guillaume Dillinger, Anastasios Koumoulidis, Nikos Magkoutis, Demetris Yannopoulos, Damien Logeart, Stéphane Manzo-Silberman, Nicolas Péron, Nicolas Deye, Bruno Megarbane, Georgios Sideris, Improving cannulation time for extracorporeal life support in refractory cardiac arrest of presumed cardiac cause - Comparison of two percutaneous cannulation techniques in the catheterization laboratory in a center without on-site cardiovascular surgery. Resuscitation. ,vol. 122, pp. 69- 75 ,(2018) , 10.1016/J.RESUSCITATION.2017.11.057
Darryl Abrams, A Reshad Garan, Akram Abdelbary, Matthew Bacchetta, Robert H Bartlett, James Beck, Jan Belohlavek, Yih-Sharng Chen, Eddy Fan, Niall D Ferguson, Jo-anne Fowles, John Fraser, Michelle Gong, Ibrahim F Hassan, Carol Hodgson, Xiaotong Hou, Katarzyna Hryniewicz, Shingo Ichiba, William A Jakobleff, Roberto Lorusso, Graeme MacLaren, Shay McGuinness, Thomas Mueller, Pauline K Park, Giles Peek, Vin Pellegrino, Susanna Price, Erika B Rosenzweig, Tetsuya Sakamoto, Leonardo Salazar, Matthieu Schmidt, Arthur S Slutsky, Christian Spaulding, Hiroo Takayama, Koji Takeda, Alain Vuylsteke, Alain Combes, Daniel Brodie, International ECMO Network (ECMONet) and The Extracorporeal Life Support Organization (ELSO), None, Position paper for the organization of ECMO programs for cardiac failure in adults. Intensive Care Medicine. ,vol. 44, pp. 717- 729 ,(2018) , 10.1007/S00134-018-5064-5
Ben Singer, Joshua C Reynolds, David J Lockey, Ben O’Brien, None, Pre-hospital extra-corporeal cardiopulmonary resuscitation. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. ,vol. 26, pp. 21- ,(2018) , 10.1186/S13049-018-0489-Y