4.5 Article

What is the potential benefit of pre-hospital extracorporeal cardiopulmonary resuscitation for patients with an out-of-hospital cardiac arrest? A predictive modelling study

相关参考文献

注意:仅列出部分参考文献,下载原文获取全部文献信息。
Article Emergency Medicine

The Use of Predictive Modeling to Compare Prehospital eCPR Strategies

Michael Spigner et al.

Summary: The duration of low flow prior to eCPR initiation is found to affect survival rates. Strategies aiming to reduce low-flow interval for out-of-hospital cardiac arrest include expedited patient transport and prehospital extracorporeal support. By comparing the low-flow interval at different locations in Albuquerque, a model predicts that prehospital cannulation consistently outperforms expedited transport, with a difference of 34.3 to 37.2 minutes. This suggests the potential of prehospital cannulation strategy in achieving shorter low-flow interval and broader eCPR coverage.

PREHOSPITAL EMERGENCY CARE (2023)

Article Medicine, General & Internal

Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest

M. M. Suverein et al.

Summary: Extracorporeal cardiopulmonary resuscitation (CPR) and conventional CPR have similar effects on survival with a favorable neurologic outcome in patients with refractory out-of-hospital cardiac arrest.

NEW ENGLAND JOURNAL OF MEDICINE (2023)

Article Medicine, General & Internal

Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest A Randomized Clinical Trial

Jan Belohlavek et al.

Summary: The study aimed to determine whether an early invasive approach improves neurologically favorable survival in patients with refractory out-of-hospital cardiac arrest. The results showed no significant difference in survival with neurologically favorable outcome at 180 days between the invasive strategy group and the standard strategy group. However, the invasive strategy group had higher rates of neurologic and cardiac recovery at 30 days.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2022)

Review Critical Care Medicine

Extracorporeal cardiopulmonary resuscitation in adults: evidence and implications

Darryl Abrams et al.

Summary: Extracorporeal cardiopulmonary resuscitation (ECPR) is emerging as a promising modality to improve survival rates for both in-hospital and out-of-hospital cardiac arrest, but its implementation requires significant resources and may burden healthcare systems, clinicians, patients, and families. Studies show that ECPR is beneficial for in-hospital cardiac arrest, and recent randomized controlled trials also suggest its feasibility for out-of-hospital cardiac arrest.

INTENSIVE CARE MEDICINE (2022)

Article Critical Care Medicine

Eligibility of out-of-hospital cardiac arrest patients for extracorporeal cardiopulmonary resuscitation in the United States: A geographic information system model

Adam L. Gottula et al.

Summary: This study used a Geographic Information System (GIS) model to estimate the number of extracorporeal cardiopulmonary resuscitation (ECPR) candidates in the U.S., and found that less than 2% of out-of-hospital cardiac arrest (OHCA) patients are eligible for ECPR. The results indicate that clinical criteria, transportation time, and hospital capabilities have an impact on ECPR eligibility, and can inform future implementation strategies.

RESUSCITATION (2022)

Article Critical Care Medicine

In-hospital extracorporeal cardiopulmonary resuscitation for patients with an out-of-hospital cardiac arrest in a semi-rural setting: An observational study on the implementation of a helicopter emergency medical services pathway

E. ter Avest et al.

Summary: The efficacy of in-hospital ECPR for OHCA patients in a semi-rural setting was investigated in this study. The results showed that, despite the implementation of a dedicated ECPR pathway, potential eligible patients in semi-rural areas often cannot be transported within an appropriate timeframe or deteriorate before arrival at the hospital.

RESUSCITATION PLUS (2022)

Article Emergency Medicine

Extracorporeal Cardiopulmonary Resuscitation for Refractory Out-of-Hospital Cardiac Arrest (EROCA): Results of a Randomized Feasibility Trial of Expedited Out-of-Hospital Transport

Cindy H. Hsu et al.

Summary: The study aimed to select refractory out-of-hospital cardiac arrest patients for expedited transport and rapid initiation of ECPR in the ED, based on real-time estimates. However, the trial did not meet feasibility outcomes, highlighting the need for additional research to improve prediction accuracy and optimize patient selection for better outcomes.

ANNALS OF EMERGENCY MEDICINE (2021)

Article Critical Care Medicine

Prognostic value of signs of life throughout cardiopulmonary resuscitation for refractory out-of-hospital cardiac arrest

Guillaume Debaty et al.

Summary: Analyzing the data from three cohort studies, this research examined the prevalence and prognostic value of signs of life before or throughout conventional CPR in individuals undergoing ECPR for refractory OHCA. The study found that individuals with any sign of life, pupillary light reaction, or increased level of consciousness had higher odds of 30-day survival with favorable neurological outcome. The lack of any sign of life might indicate patients without shockable cardiac rhythm could be excluded from receiving ECPR.

RESUSCITATION (2021)

Article Critical Care Medicine

Mechanical circulatory support for refractory out-of-hospital cardiac arrest: a Danish nationwide multicenter study

Sivagowry Rasalingam Mork et al.

Summary: The use of MCS for OHCA patients in Denmark has shown promising survival rates and good neurological outcomes. However, strict patient selection criteria may exclude a significant proportion of potential survivors from life-saving treatment.

CRITICAL CARE (2021)

Article Cardiac & Cardiovascular Systems

Extracorporeal cardiopulmonary resuscitation in out-of-hosiital cardiac arrest: a registry study

Wulfran Bougouin et al.

EUROPEAN HEART JOURNAL (2020)

Article Cardiac & Cardiovascular Systems

Extracorporeal cardiopulmonary resuscitation in out-of-hospital cardiac arrest: a registry study

Wulfran Bougouin et al.

EUROPEAN HEART JOURNAL (2020)

Review Emergency Medicine

Pre-hospital extra-corporeal cardiopulmonary resuscitation

Ben Singer et al.

SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE (2018)

Review Emergency Medicine

The effect of bystander cardiopulmonary resuscitation on the survival of out-of-hospital cardiac arrests: a systematic review and meta-analysis

Jianting Song et al.

SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE (2018)

Article Critical Care Medicine

Potential impact of a prehospital redirection system for refractory cardiac arrest

Alexis Cournoyer et al.

RESUSCITATION (2017)

Article Emergency Medicine

Potential Candidates for a Structured Canadian ECPR Program for Out-of-Hospital Cardiac Arrest

Brian Grunau et al.

CANADIAN JOURNAL OF EMERGENCY MEDICINE (2016)

Article Emergency Medicine

Potential Candidates for a Structured Canadian ECPR Program for Out-of-Hospital Cardiac Arrest

Brian Grunau et al.

CANADIAN JOURNAL OF EMERGENCY MEDICINE (2016)

Article Ergonomics

Time saved with high speed driving of ambulances

Kerstin Petzall et al.

ACCIDENT ANALYSIS AND PREVENTION (2011)

Article Critical Care Medicine

Extracorporeal membrane oxygenation support can extend the duration of cardiopulmonary resuscitation

Yih-Sharng Chen et al.

CRITICAL CARE MEDICINE (2008)