Bridging the Gap: Extracorporeal Life Support for Out-of-Hospital Cardiac Arrest

2018 ◽  
Vol 42 (1) ◽  
pp. 5-7
Author(s):  
Adam Kessler ◽  
Michael Christopher Kurz
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Hospital Cardiac Arrest

scholarly journals Early initiation of extracorporeal life support in refractory out-of-hospital cardiac arrest: Design and rationale of the INCEPTION trial

2019 ◽  
Vol 210 ◽  
pp. 58-68 ◽  
Author(s):  
Martine E. Bol ◽  
Martje M. Suverein ◽  
Roberto Lorusso ◽  
Thijs S.R. Delnoij ◽  
George J. Brandon Bravo Bruinsma ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Early Initiation ◽  
Hospital Cardiac Arrest

Extracorporeal life support for refractory out-of-hospital cardiac arrest: Should we still fight for? A single-centre, 5-year experience

2016 ◽  
Vol 204 ◽  
pp. 70-76 ◽  
Author(s):  
Matteo Pozzi ◽  
Catherine Koffel ◽  
Xavier Armoiry ◽  
Isabelle Pavlakovic ◽  
Jean Neidecker ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Single Centre ◽  
Hospital Cardiac Arrest

Emergency Extracorporeal Life Support After Prolonged Out-of-Hospital Cardiac Arrest

2014 ◽  
Vol 28 (4) ◽  
pp. 1024-1026 ◽  
Author(s):  
Gabriel Putzer ◽  
Birgit Mair ◽  
Herbert Hangler ◽  
Mathias Ströhle ◽  
Peter Mair
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Hospital Cardiac Arrest

scholarly journals Comparison of Mechanical Support with Impella or Extracorporeal Life Support in Post-Cardiac Arrest Cardiogenic Shock: A Propensity Scoring Matching Analysis

2021 ◽  
Vol 10 (16) ◽  
pp. 3583
Author(s):  
Styliani Syntila ◽  
Georgios Chatzis ◽  
Birgit Markus ◽  
Holger Ahrens ◽  
Christian Waechter ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiogenic Shock ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Survival Rates ◽  
Limb Ischemia ◽  
Spontaneous Circulation ◽  
Access Site ◽  
Baseline Characteristics ◽  
Hospital Cardiac Arrest

Our aim was to compare the outcomes of Impella with extracorporeal life support (ECLS) in patients with post-cardiac arrest cardiogenic shock (CS) complicating acute myocardial infarction (AMI). This was a retrospective study of patients resuscitated from out of hospital cardiac arrest (OHCA) with post-cardiac arrest CS following AMI (May 2015 to May 2020). Patients were supported either with Impella 2.5/CP or ECLS. Outcomes were compared using propensity score-matched analysis to account for differences in baseline characteristics between groups. 159 patients were included (Impella, n = 105; ECLS, n = 54). Hospital and 12-month survival rates were comparable in the Impella and the ECLS groups (p = 0.16 and p = 0.3, respectively). After adjustment for baseline differences, both groups demonstrated comparable hospital and 12-month survival (p = 0.36 and p = 0.64, respectively). Impella patients had a significantly greater left ventricle ejection-fraction (LVEF) improvement at 96 h (p < 0.01 vs. p = 0.44 in ECLS) and significantly fewer device-associated complications than ECLS patients (15.2% versus 35.2%, p < 0.01 for relevant access site bleeding, 7.6% versus 20.4%, p = 0.04 for limb ischemia needing intervention). In subgroup analyses, Impella was associated with better survival in patients with lower-risk features (lactate < 8.6 mmol/L, time from collapse to return of spontaneous circulation < 28 min, vasoactive score < 46 and Horowitz index > 182). In conclusion, the use of Impella 2.5/CP or ECLS in post-cardiac arrest CS after AMI was associated with comparable adjusted hospital and 12-month survival. Impella patients had a greater LVEF improvement than ECLS patients. Device-related access-site complications occurred more frequently in patients with ECLS than Impella support.

Extracorporeal life support programme for out-of-hospital cardiac arrest during competitive sport events: the experience of the Volleyball Men’s World Championship Final Six in Turin (Italy)

2021 ◽  
pp. emermed-2019-209203
Author(s):  
Giancarlo Fornaro ◽  
Federico Giovanni Canavosio ◽  
Maria Luisa Contristano ◽  
Daniela Pasero ◽  
Gennaro Izzo ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Life Support ◽  
Extracorporeal Life Support ◽  
Rescue Therapy ◽  
Standard Of Care ◽  
Circulatory Support ◽  
Operational Experience ◽  
Sporting Events ◽  
World Championship ◽  
Hospital Cardiac Arrest

The high incidence of out-of-hospital cardiac arrest refractory to standard resuscitation protocols, despite precompetitive screening, demonstrated the need for a prehospital team to provide an effective system for life support and resuscitation at the Volleyball Men’s World Championship. The evolution of mechanical circulatory support suggests that current advanced cardiovascular life support protocols no longer represent the highest standard of care at competitive sporting events with large spectator numbers. Extracorporeal life support (ECLS) improves resuscitation strategies and offers a rescue therapy for refractory cardiac arrest that can no longer be ignored. We present our operational experience of an out-of-hospital ECLS cardiopulmonary resuscitation team at an international sporting event.

Sign in / Sign up

Export Citation Format

Share Document