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in-hospital resuscitation ECLS

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https://www.readbyqxmd.com/read/27774445/ecls-in-pediatric-cardiac-patients
#1
Matteo Di Nardo, Graeme MacLaren, Marco Marano, Corrado Cecchetti, Paola Bernaschi, Antonio Amodeo
Extracorporeal life support (ECLS) is an important device in the management of children with severe refractory cardiac and or pulmonary failure. Actually, two forms of ECLS are available for neonates and children: extracorporeal membrane oxygenation (ECMO) and use of a ventricular assist device (VAD). Both these techniques have their own advantages and disadvantages. The intra-aortic balloon pump is another ECLS device that has been successfully used in larger children, adolescents, and adults, but has found limited applicability in smaller children...
2016: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/27633781/accidental-hypothermia-an-update-the-content-of-this-review-is-endorsed-by-the-international-commission-for-mountain-emergency-medicine-icar-medcom
#2
REVIEW
Peter Paal, Les Gordon, Giacomo Strapazzon, Monika Brodmann Maeder, Gabriel Putzer, Beat Walpoth, Michael Wanscher, Doug Brown, Michael Holzer, Gregor Broessner, Hermann Brugger
BACKGROUND: This paper provides an up-to-date review of the management and outcome of accidental hypothermia patients with and without cardiac arrest. METHODS: The authors reviewed the relevant literature in their specialist field. Summaries were merged, discussed and approved to produce this narrative review. RESULTS: The hospital use of minimally-invasive rewarming for non-arrested, otherwise healthy, patients with primary hypothermia and stable vital signs has the potential to substantially decrease morbidity and mortality for these patients...
September 15, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/27525236/extracorporeal-cardiopulmonary-resuscitation-predictors-of-survival
#3
Dong Hee Kim, Joon Bum Kim, Sung-Ho Jung, Suk Jung Choo, Cheol Hyun Chung, Jae Won Lee
BACKGROUND: The use of extracorporeal life support (ECLS) in the setting of cardiopulmonary resuscitation (CPR) has shown improved outcomes compared with conventional CPR. The aim of this study was to determine factors predictive of survival in extracorporeal CPR (E-CPR). METHODS: Consecutive 85 adult patients (median age, 59 years; range, 18 to 85 years; 56 males) who underwent E-CPR from May 2005 to December 2012 were evaluated. RESULTS: Causes of arrest were cardiogenic in 62 patients (72...
August 2016: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27348175/-theoretical-background-of-finding-organs-for-transplantation-among-non-heart-beating-donors-under-unsuccessful-extracorporeal-resuscitation-literature-review
#4
N Khodeli, Z Chkhaidze, D Partsakhashvili, O Pilishvili, D Kordzaia
The number of patients who are in the "Transplant Waiting List" is increasing each year. At the same time, as a result of the significant shortage of donor organs, part of the patients dies without waiting till surgery. According to the Maastricht classification for non-heart beating donors, the patients, who had cardiac arrest outside the hospital (in the uncontrolled by medical staff conditions) should be considered as a potential donors of category II. For these patients, the most effective resuscitation is recommended...
May 2016: Georgian Medical News
https://www.readbyqxmd.com/read/27315227/-shock-and-go-extracorporeal-cardio-pulmonary-resuscitation-in-the-golden-hour-of-rosc
#5
Tobias Spangenberg, Felix Meincke, Stephanie Brooks, Christian Frerker, Felix Kreidel, Thomas Thielsen, Tobias Schmidt, Karl-Heinz Kuck, Alexander Ghanem
OBJECTIVES: The feasibility and outcomes of 35 consecutive patients subjected to eCPR in the tertiary cardiology center were investigated. BACKGROUND: While conventional cardiopulmonary-resuscitation (cCPR) often times achieves only mediocre outcomes extracorporeal cardiopulmonary-resuscitation (eCPR) increasingly shifts into the focus of interest. However, the scientific evidence for eCPR is sparse, particularly in the cardiological setting. METHODS: Retrospective chart analysis of 35 patients treated with eCPR between 01/2014 and 10/2015...
June 17, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27018547/hands-off-time-during-automated-chest-compression-device-application-in-out-of-hospital-cardiac-arrest-a-case-series-report
#6
Olga Maurin, Benoit Frattini, Daniel Jost, Noémie Galinou, Laure Alhanati, Pascal Dang Minh, Nicolas Genotelle, Guillaume Burlaton, Stanislas de Regloix, Michel Bignand, Jean Pierre Tourtier
INTRODUCTION: During out-of-hospital cardiac arrest (OHCA), chest compression interruptions or hands-off time (HOT) affect the prognosis. Our aim was to measure HOT due to the application of an automated chest compression device (ACD) by an advanced life support team. MATERIALS AND METHODS: This was a prospective observational case series report since the introduction of a new method of installing the ACD. Inclusion criteria were patients over 18 years old with OHCA who were treated with an ACD (Lucas 2(TM), Physio-Control)...
September 2016: Prehospital Emergency Care
https://www.readbyqxmd.com/read/26999680/long-term-prognosis-after-extracorporeal-life-support-in-refractory-cardiogenic-shock-results-from-a-real-world-cohort
#7
Suzanne de Waha, Georg Fuernau, Steffen Desch, Ingo Eitel, Ariane Wiedau, Philipp Lurz, Gerhard Schuler, Holger Thiele
AIMS: The current study presents data from a real-world cohort of patients with refractory cardiogenic shock (CS) undergoing extracorporeal life support (ECLS) with the aims of reporting clinical experience, objectifying complications as well as survival, and identifying predictors of mortality. METHODS AND RESULTS: Eighty-three patients with refractory CS underwent percutaneous ECLS implantation performed by interventional cardiologists. Follow-up was performed at hospital discharge as well as at 18 months (IQR 15-36)...
March 2016: EuroIntervention
https://www.readbyqxmd.com/read/26503919/extracorporeal-life-support-in-cardiovascular-patients-with-observed-refractory-in-hospital-cardiac-arrest-is-associated-with-favourable-short-and-long-term-outcomes-a-propensity-matched-analysis
#8
Johannes Blumenstein, Jürgen Leick, Christoph Liebetrau, Joerg Kempfert, Luise Gaede, Sebastian Groß, Marcel Krug, Alexander Berkowitsch, Holger Nef, Andreas Rolf, Matthias Arlt, Thomas Walther, Christian W Hamm, Helge Möllmann
AIMS: Extracorporeal life support (ECLS) has shown encouraging survival rates in patients with in-hospital cardiac arrest; however, its routine use is still controversial. We compared the survival of patients with in-hospital cardiac arrest receiving conventional cardiopulmonary resuscitation (CCPR) to that of patients with ECLS as an adjunct to cardiopulmonary resuscitation (ECPR). METHODS: A total of 353 patients with in-hospital cardiac arrest (272 CCPR and 52 ECPR) were included in this retrospective, propensity score-adjusted (1:1 matched), single-centre study...
October 26, 2015: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/26303570/survival-and-neurocognitive-outcomes-in-pediatric-extracorporeal-cardiopulmonary-resuscitation
#9
Gonzalo Garcia Guerra, Liliane Zorzela, Charlene M T Robertson, Gwen Y Alton, Ari R Joffe, Elham Khodayari Moez, Irina A Dinu, David B Ross, Ivan M Rebeyka, Laurance Lequier
OBJECTIVE: Extracorporeal Cardiopulmonary Resuscitation (E-CPR) is the initiation of extracorporeal life support during active chest compressions. There are no studies describing detailed neurocognitive outcomes of this population. We aim to describe the survival and neurocognitive outcomes of children who received E-CPR. METHODS: Prospective cohort study. Children who received E-CPR at the Stollery Children's Hospital between 2000 and 2010 were included. Neurocognitive follow-up, including Wechsler Preschool and Primary Scales of Intelligence, was completed at the age of 4...
November 2015: Resuscitation
https://www.readbyqxmd.com/read/26189164/survival-and-quality-of-life-after-extracorporeal-life-support-for-refractory-cardiac-arrest-a-case-series
#10
Amedeo Anselmi, Erwan Flécher, Hervé Corbineau, Thierry Langanay, Vincent Le Bouquin, Marc Bedossa, Alain Leguerrier, Jean-Philippe Verhoye, Vito Giovanni Ruggieri
OBJECTIVES: Extracorporeal life support (ECLS) is an emerging option to treat selected patients with cardiac arrest refractory to cardiopulmonary resuscitation (CPR). Our primary objective was to determine the mortality at 30 days and at hospital discharge among adult patients receiving veno-arterial ECLS for refractory cardiac arrest. Our secondary objectives were to determine the 1-year survival and the health-related quality of life, and to examine factors associated with 30-day mortality...
October 2015: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26104533/when-all-else-fails-extracorporeal-life-support-in-therapy-refractory-cardiogenic-shock
#11
Sabina P W Guenther, Stefan Brunner, Frank Born, Matthias Fischer, René Schramm, Maximilian Pichlmaier, Steffen Massberg, Christian Hagl, Nawid Khaladj
OBJECTIVES: No guidelines for mechanical circulatory support in patients with therapy-refractory cardiogenic shock and multiorgan failure including ongoing cardiopulmonary resuscitation (CPR) exist. To achieve immediate cardiopulmonary stabilization, we established an interdisciplinary concept with on-site percutaneous extracorporeal life support (ECLS) implantation. METHODS: From February 2012 to November 2014, 96 patients were deemed eligible for ECLS implantation...
March 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/26081929/conditions-and-procedures-for-in-hospital-extracorporeal-life-support-ecls-in-cardiopulmonary-resuscitation-cpr-of-adult-patients
#12
REVIEW
Justyna Swol, Jan Belohlávek, Jonathan W Haft, Shingo Ichiba, Roberto Lorusso, Giles J Peek
The use of extracorporeal life support (ECLS) in cardiopulmonary resuscitation (CPR; ECPR) has been repeatedly published as non-randomized studies, mainly case series and case reports. The aim of this article is to support physicians, perfusionists, nurses and extracorporeal membrane oxygenation (ECMO) specialists who regularly perform ECPR or are willing to start an ECPR program by establishing standards for safe and efficient ECPR procedures. This article represents the experience and recommendations of physicians who provide ECPR routinely...
April 2016: Perfusion
https://www.readbyqxmd.com/read/26051810/clinical-course-and-long-term-outcome-following-venoarterial-extracorporeal-life-support-facilitated-interhospital-transfer-of-patients-with-circulatory-failure
#13
Simon Schopka, Alois Philipp, Michael Hilker, Thomas Müller, Markus Zimmermann, Matthias Arlt, Leopold Rupprecht, Christof Schmid, Dirk Lunz
BACKGROUND: Interhospital transfer of patients experiencing circulatory failure and shock has a significant risk of cardiovascular deterioration and death. Extracorporeal life support (ECLS) is a rescue tool for hemodynamic stabilization that makes patient transportation much safer. METHODS: Demographic data, clinical course, and outcome data were reviewed for patients who underwent placement of a venoarterial ECLS in a remote hospital and were transported to our tertiary care facility...
August 2015: Resuscitation
https://www.readbyqxmd.com/read/25969550/editor-s-choice-extracorporeal-life-support-for-out-of-hospital-cardiac-arrest-part-of-a-treatment-bundle
#14
REVIEW
Chiara Lazzeri, Serafina Valente, Adriano Peris, Gian Franco Gensini
In recent years, an increasing number of papers have been published on the use of extracorporeal cardiopulmonary resuscitation (ECPR) in adult patients, but, although promising results have been reported in patients with in-hospital refractory cardiac arrest supported by extracorporeal life support (ECLS), data on patients with out-of-hospital (OHCA) cardiac arrest are scarce and conflicting. The present study aims at summarizing the available evidence on the use of ECPR in adult patients with OHCA, clinically focusing on the factors most often associated with outcome in these patients...
December 2016: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/25906777/extracorporeal-life-support-ecls-for-cardiopulmonary-resuscitation-cpr-with-pulmonary-embolism-in-surgical-patients-a-case-series
#15
J Swol, D Buchwald, J Strauch, T A Schildhauer
BACKGROUND: Extracorporeal life support (ECLS) devices maintain the circulation and oxygenation of organs during acute right ventricular failure and cardiogenic shock, bypassing the lungs. A pulmonary embolism can cause this life-threatening condition. ECLS is a considerably less invasive treatment than surgical embolectomy. Whether to bridge embolectomy or for a therapeutic purpose, ECLS is used almost exclusively following failure of all other therapeutic options. METHODS: From January 1, 2008 to June 30, 2014, five patients in cardiac arrest and with diagnosed pulmonary embolism (PE) were cannulated with the ECLS system...
January 2016: Perfusion
https://www.readbyqxmd.com/read/25779007/the-incidence-of-load-go-out-of-hospital-cardiac-arrest-candidates-for-emergency-department-utilization-of-emergency-extracorporeal-life-support-a-one-year-review
#16
Michael Poppe, Christoph Weiser, Michael Holzer, Patrick Sulzgruber, Philip Datler, Markus Keferböck, Sebastian Zeiner, Elisabeth Lobmeyr, Raphael van Tulder, Andreas Ziegler, Harald Glück, Manfred Meixner, Georg Schrattenbacher, Henrik Maszar, Andreas Zajicek, Fritz Sterz, Andreas Schober
BACKGROUND: The outcome of patients after out-of-hospital cardiac arrest (OHCA) is poor and gets worse after prolonged resuscitation. Recently introduced attempts like an early installed emergency extracorporeal life support (E-ECLS) in patients with persisting cardiac arrest at the emergency department (ED) are tried. The "Vienna Cardiac Arrest Registry" (VICAR) was introduced August 2013 to collect Utstein-style data. The aim of this observational study was to identify the incidence of patients which fulfil "load&go"-criteria for E-ECLS at the ED...
June 2015: Resuscitation
https://www.readbyqxmd.com/read/25575579/survival-and-neurocognitive-outcomes-after-cardiac-extracorporeal-life-support-in-children-less-than-5-years-of-age-a-ten-year-cohort
#17
Lindsay M Ryerson, Gonzalo Garcia Guerra, Ari R Joffe, Charlene M T Robertson, Gwen Y Alton, Irina A Dinu, Don Granoski, Ivan M Rebeyka, David B Ross, Laurance Lequier
BACKGROUND: Survival after pediatric cardiac extracorporeal life support (ECLS) is guarded, and neurological morbidity varies widely. Our objective is to report our 10-year experience with cardiac ECLS, including survival and kindergarten entry neurocognitive outcomes; to identify predictors of mortality or adverse neurocognitive outcomes; and to compare 2 eras, before and after 2005. METHODS AND RESULTS: From 2000 to 2009, 98 children had venoarterial cardiac ECLS...
March 2015: Circulation. Heart Failure
https://www.readbyqxmd.com/read/25484021/extracorporeal-life-support-ecls-for-refractory-cardiac-arrest-after-drowning-an-11-year-experience
#18
B Champigneulle, F Bellenfant-Zegdi, A Follin, C Lebard, A Guinvarch, F Thomas, R Pirracchio, D Journois
AIM: Neuroprotective effects of hypothermia may explain surprisingly high survival rates reported after drowning in cold water despite prolonged submersion. We described a cohort of refractory hypothermic cardiac arrests (CA) due to drowning treated by extracorporeal life support (ECLS) and aimed to identify criteria associated with 24-h survival. METHODS: Eleven-year period (2002-2012) retrospective study in the surgical intensive care unit (ICU) of a tertiary hospital (European Hospital Georges Pompidou, Paris, France)...
March 2015: Resuscitation
https://www.readbyqxmd.com/read/25201611/extracorporeal-life-support-as-rescue-strategy-for-out-of-hospital-and-emergency-department-cardiac-arrest
#19
COMPARATIVE STUDY
Nicholas J Johnson, Michael Acker, Cindy H Hsu, Nimesh Desai, Prashanth Vallabhajosyula, Sofiane Lazar, Jiri Horak, Joyce Wald, Fenton McCarthy, Eduardo Rame, Kathryn Gray, Sarah M Perman, Lance Becker, Doreen Cowie, Anne Grossestreuer, Tom Smith, David F Gaieski
BACKGROUND: Extracorporeal life support (ECLS) has been utilized as a rescue strategy for patients with cardiac arrest unresponsive to conventional cardiopulmonary resuscitation. OBJECTIVE: We sought to describe our institution's experience with implementation of ECLS for out-of-hospital and emergency department (ED) cardiac arrests. Our primary outcome was survival to hospital discharge. METHODS: Consecutive patients placed on ECLS in the ED or within one hour of admission after out-of-hospital or ED cardiac arrest were enrolled at two urban academic medical centers in the United States from July 2007-April 2014...
November 2014: Resuscitation
https://www.readbyqxmd.com/read/25049285/risk-factors-associated-with-adverse-outcome-following-extracorporeal-life-support-analysis-from-360-consecutive-patients
#20
N Papadopoulos, S Marinos, A El-Sayed Ahmad, H Keller, P Meybohm, K Zacharowski, A Moritz, A Zierer
OBJECTIVE: Risk factors for adverse outcome after extracorporeal life support (ECLS) are yet to be defined. For this purpose, we reviewed our institutional data from more than a decade, focusing on patients with ECLS. METHODS: Between December 2001 and June 2013, 360 consecutive cardiac surgical patients received ECLS for post-cardiotomy cardiogenic shock, with high mortality risk despite optimal conventional therapy. Patient demographics, clinical characteristics, ECLS-related morbidity, as well as in-hospital and long-term mortality were analysed...
May 2015: Perfusion
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