International Perfusion Association

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IPA

Day: February 21, 2024

ECMO 3

Extracorporeal Cardiopulmonary Resuscitation for Refractory Cardiac Arrest: An Overview of Current Practice and Evidence

This narrative review explores the use of extracorporeal cardiopulmonary resuscitation (ECPR) for refractory cardiac arrest (CA), highlighting its role in providing haemodynamic and respiratory stabilization when conventional CPR fails. With the potential to reduce low-flow time and improve neurological outcomes, ECPR has shown promise in certain patient categories facing out-of-hospital cardiac arrest (OHCA). The possibility of pre-hospital implementation to minimize brain damage is being explored, with the ON-SCENE trial expected to offer new insights. This overview presents recent developments in ECPR, aiming to shed light on its effectiveness and integration into advanced cardiac life support protocols.

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February 21, 2024
EMCO 2

Adding Extracorporeal Membrane Oxygenation to Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest Due to Pulmonary Embolism: A Case Report

This case report presents a life-saving intervention for a 21-year-old woman experiencing out-of-hospital cardiac arrest (OHCA) due to pulmonary embolism, following a lower limb fracture. The rapid application of extracorporeal membrane oxygenation (ECMO) alongside cardiopulmonary resuscitation (CPR) and systemic thrombolysis significantly contributed to her survival. Despite facing severe complications, the collaborative effort of a multidisciplinary medical team, including vascular surgery and interventional radiology, played a crucial role in her recovery without deficits. This highlights the importance of ECMO in enhancing survival rates in critical care, especially in cases complicated by massive pulmonary embolism.

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February 21, 2024

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