keyword
https://read.qxmd.com/read/38093335/pre-hospital-ecpr-in-an-australian-metropolitan-setting-a-single-arm-feasibility-assessment-the-cpr-pre-hospital-ecpr-and-early-reperfusion-cheer3-study
#1
JOURNAL ARTICLE
S A C Richardson, D Anderson, A J C Burrell, T Byrne, J Coull, A Diehl, D Gantner, K Hoffman, A Hooper, S Hopkins, J Ihle, P Joyce, M Le Guen, E Mahony, S McGloughlin, Z Nehme, C P Nickson, P Nixon, J Orosz, B Riley, J Sheldrake, D Stub, M Thornton, A Udy, V Pellegrino, S Bernard
INTRODUCTION: Survival from refractory out of hospital cardiac arrest (OHCA) without timely return of spontaneous circulation (ROSC) utilising conventional advanced cardiac life support (ACLS) therapies is dismal. CHEER3 was a safety and feasibility study of pre-hospital deployed extracorporeal membrane oxygenation (ECMO) during cardiopulmonary resuscitation (ECPR) for refractory OHCA in metropolitan Australia. METHODS: This was a single jurisdiction, single-arm feasibility study...
December 13, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/37985267/role-of-extracorporeal-life-support-for-traumatic-hemopericardium-a-single-level-i-trauma-center-review
#2
JOURNAL ARTICLE
Eunji Kim, Seunghwan Song, Seon Hee Kim, Na Hyeon Lee, SooJin Lee
BACKGROUND: Traumatic hemopericardium may lead to cardiac tamponade, arrhythmia, arrest, or death and requires emergency surgery. We reviewed cases of traumatic hemopericardium in our center and the role of extracorporeal life support in these cases. METHODS: From November 2011 to January 2022, 28 patients with significant hemopericardium and suspected cardiac injury were enrolled. In our center, surgery is the primary treatment of choice; however, if the patient is in an unstable condition, extracorporeal life support is administered in the emergency room prior to surgery...
November 9, 2023: Injury
https://read.qxmd.com/read/37583385/emergency-resuscitation-extracorporeal-membrane-oxygenation-er-ecmo-in-60-saves-life
#3
Gowtham Vijayakumar, Ajai Rangasamy, Dhilipan Kumar, Ramesh Varadharajan, Gunaseelan Ramalingam
Aluminum phosphide (ALP) is one of the most commonly used pesticides worldwide with high mortality rates primarily due to the production of phosphene gas which causes severe mitochondrial damage leading to refractory myocardial depression, refractory hypotension, severe metabolic acidosis, and acute respiratory distress syndrome.[1] There is no antidote for ALP poisoning and treatment remains mainly supportive. The available literature shows a favorable outcome with extracorporeal membrane oxygenation (ECMO) in severely intoxicated patients presenting early with cardiovascular collapse...
2023: Journal of Emergencies, Trauma, and Shock
https://read.qxmd.com/read/37559625/extracorporeal-life-support-in-thoracic-emergencies-a-narrative-review-of-current-evidence
#4
REVIEW
Anne Willers, Silvia Mariani, Jos M Maessen, Roberto Lorusso, Justyna Swol
BACKGROUND AND OBJECTIVE: Resuscitative therapies for respiratory and cardiac failure are lifesaving and extended by using extracorporeal life support (ECLS) as mechanical circulatory support (MSC). This review informs the debate to identify the life-threatening thoracic emergencies in which patients may be cannulated for ECLS support. METHODS: An advanced search was performed in PubMed, Embase, Google Scholar, and references query, assessed in June 2022, identified 761 records...
July 31, 2023: Journal of Thoracic Disease
https://read.qxmd.com/read/37322530/critically-buried-avalanche-victims-can-develop-severe-hypothermia-in-less-than-60%C3%A2-min
#5
JOURNAL ARTICLE
Simon Rauch, Julia Kompatscher, Andreas Clara, Iris Öttl, Giacomo Strapazzon, Marc Kaufmann
BACKGROUND: A major challenge in the management of avalanche victims in cardiac arrest is differentiating hypothermic from non-hypothermic cardiac arrest, as management and prognosis differ. Duration of burial with a cutoff of 60 min is currently recommended by the resuscitation guidelines as a parameter to aid in this differentiation However, the fastest cooling rate under the snow reported so far is 9.4 °C per hour, suggesting that it would take 45 min to cool below 30 °C, which is the temperature threshold below which a hypothermic cardiac arrest can occur...
June 15, 2023: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/35526029/helicopter-inter-hospital-transfer-for-patients-undergoing-extracorporeal-membrane-oxygenation-a-retrospective-12-year-analysis-of-a-service-system
#6
JOURNAL ARTICLE
Alexander Fuchs, Renate Schmucki, Lorenz Meuli, Pedro David Wendel-Garcia, Roland Albrecht, Robert Greif, Urs Pietsch
BACKGROUND: Patients undergoing extracorporeal membrane oxygenation (ECMO) are critically ill and show high mortality. Inter-hospital transfer of these patients has to be safe, with high survival rates during transport without potentially serious and life-threatening adverse events. The Swiss Air-Rescue provides 24-h/7-days per week inter-hospital helicopter transfers that include on-site ECMO cannulation if needed. This retrospective observational study describes adverse events of patients on ECMO transported by helicopter, and their associated survival...
May 7, 2022: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/34565435/the-impact-of-selection-criteria-and-study-design-on-reported-survival-outcomes-in-extracorporeal-oxygenation-cardiopulmonary-resuscitation-ecpr-a-systematic-review-and-meta-analysis
#7
JOURNAL ARTICLE
Sameer Karve, Dominique Lahood, Arne Diehl, Aidan Burrell, David H Tian, Tim Southwood, Paul Forrest, Mark Dennis
BACKGROUND: The use of extracorporeal membrane oxygenation (ECMO) during cardiac arrest (ECPR) has increased exponentially. However, reported outcomes vary considerably due to differing study designs and selection criteria. This review assessed the impact of pre-defined selection criteria on ECPR survival. METHODS: Systematic review applying PRISMA guidelines. We searched Medline, Embase, and Evidence-Based Medicine Reviews for RCTs and observational studies published from January 2000 to June 2021...
September 26, 2021: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/34250052/case-report-left-ventricular-unloading-using-a-mechanical-cpr-device-in-a-prolonged-accidental-hypothermic-cardiac-arrest-treated-by-va-ecmo-a-novel-approach
#8
Simon A Amacher, Jonas Quitt, Eva Hammel, Urs Zenklusen, Ayham Darwisch, Martin Siegemund
We recently treated a 36-year-old previously healthy male with a prolonged hypothermic (lowest temperature 22.3°C) cardiac arrest after an alcohol intoxication with a return of spontaneous circulation after 230min of mechanical cardiopulmonary resuscitation and rewarming by veno-arterial ECMO with femoral cannulation and retrograde perfusion of the aortic arch. Despite functional veno-arterial ECMO, we continued mechanical cardiopulmonary resuscitation (Auto Pulse™ device, ZOLL Medical Corporation, Chelmsford, USA) until return of spontaneous circulation to prevent left ventricular distention from persistent ventricular fibrillation...
2021: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/34107337/survival-probability-in-avalanche-victims-with-long-burial-%C3%A2-60%C3%A2-min-a-retrospective-study
#9
JOURNAL ARTICLE
David Eidenbenz, Frank Techel, Alexandre Kottmann, Valentin Rousson, Pierre-Nicolas Carron, Roland Albrecht, Mathieu Pasquier
BACKGROUND: The survival of completely buried victims in an avalanche mainly depends on burial duration. Knowledge is limited about survival probability after 60 min of complete burial. AIM: We aimed to study the survival probability and prehospital characteristics of avalanche victims with long burial durations. METHODS: We retrospectively included all completely buried avalanche victims with a burial duration of ≥60 min between 1997 and 2018 in Switzerland...
September 2021: Resuscitation
https://read.qxmd.com/read/34083150/cardiac-tamponade-complicating-extracorporeal-membrane-oxygenation-a-single-centre-experience
#10
JOURNAL ARTICLE
Carla Basílio, Alexandre Fontoura, Joana Fernandes, Roberto Roncon-Albuquerque, José Artur Paiva
BACKGROUND: Cardiac tamponade is a potential complication during extracorporeal membrane oxygenation (ECMO). METHOD: This study assessed the incidence, clinical presentation, therapeutic approach, and outcome of cardiac tamponade at a single ECMO centre during a 10-year period. RESULTS: Cardiac tamponade occurred in 11 adults (seven men; age 53 years [range, 48-60]) of 566 patients (1.9%), after 10 days (range, 3-16) of ECMO support: eight veno-venous (VV) and three veno-arterial (VA)...
May 31, 2021: Heart, Lung & Circulation
https://read.qxmd.com/read/29533448/prehospital-medicine-and-the-future-will-ecmo-ever-play-a-role
#11
JOURNAL ARTICLE
David Macku, Pavel Hedvicak, John Quinn, Vladimir Bencko
Due to the hybrid warfare currently experienced by multiple NATO coalition and NATO partner nations, the tactical combat casualty care (TCCC) paradigm is greatly challenged. One of the major challenges to TCCC is the ad hoc extension phase in resource-poor environments, referred to as prolonged field care (PFC) and forward resuscitative care (FRC). The nuanced clinical skills with limited resources required by warfighters and auxiliary health care professionals to mitigate death on the battlefield and prevent morbidity and mortality in the PFC phase represent a balance that is still under review...
December 0: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://read.qxmd.com/read/20487571/extracorporeal-life-support-for-management-of-refractory-cardiac-or-respiratory-failure-initial-experience-in-a-tertiary-centre
#12
JOURNAL ARTICLE
Adriano Peris, Giovanni Cianchi, Simona Biondi, Manuela Bonizzoli, Andrea Pasquini, Massimo Bonacchi, Marco Ciapetti, Giovanni Zagli, Simona Bacci, Chiara Lazzeri, Pasquale Bernardo, Erminia Mascitelli, Guido Sani, Gian Franco Gensini
INTRODUCTION: Extracorporeal Life Support (ECLS) and extracorporeal membrane oxygenation (ECMO) have been indicated as treatment for acute respiratory and/or cardiac failure. Here we describe our first year experience of in-hospital ECLS activity, the operative algorithm and the protocol for centralization of adult patients from district hospitals. METHODS: At a tertiary referral trauma center (Careggi Teaching Hospital, Florence, Italy), an ECLS program was developed from 2008 by the Emergency Department and Heart and Vessel Department ICUs...
May 21, 2010: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/10217227/extracorporeal-life-support-in-pulmonary-failure-after-trauma
#13
JOURNAL ARTICLE
A J Michaels, R J Schriener, S Kolla, S S Awad, P B Rich, C Reickert, J Younger, R B Hirschl, R H Bartlett
OBJECTIVE: To present a series of 30 adult trauma patients who received extracorporeal life support (ECLS) for pulmonary failure and to retrospectively review variables related to their outcome. METHODS: In a Level I trauma center between 1989 and 1997, ECLS with continuous heparin anticoagulation was instituted in 30 injured patients older than 15 years. Indication was for an estimated mortality risk greater than 80%, defined by a PaO2: FIO2 ratio less than 100 on 100% FIO2, despite pressure-mode inverse ratio ventilation, optimal positive end-expiratory pressure, reasonable diuresis, transfusion, and prone positioning...
April 1999: Journal of Trauma
https://read.qxmd.com/read/7747825/extracorporeal-cardiopulmonary-life-support-with-heparin-bonded-circuitry-in-the-resuscitation-of-massively-injured-trauma-patients
#14
JOURNAL ARTICLE
M J Perchinsky, W B Long, J G Hill, J A Parsons, J B Bennett
BACKGROUND: Patients who have massive but potentially survivable injuries frequently die from complications of hypovolemia, hypoxemia, hypothermia, metabolic acidosis, and coagulopathy. Emergency cardiopulmonary bypass has been unsuccessful in preventing such deaths because it involves systemic anticoagulation that exacerbates coagulopathy. PATIENTS AND METHODS: A simplified extracorporeal cardiopulmonary life support (ECLS) system was assembled consisting of a centrifugal pump head, heat exchanger, membranous oxygenator, percutaneous cannulas, and heparin-bonded circuitry...
May 1995: American Journal of Surgery
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