Gologorsky E, Macedo FIB, Carvalho EM, Gologorsky A, Ricci M, Salerno TA. Postoperative cardiac arrest after heart surgery: does extracorporeal perfusion support a paradigm change in management?
Anesthesiol Res Pract 2010;
2010:937215. [PMID:
20798770 PMCID:
PMC2925208 DOI:
10.1155/2010/937215]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2010] [Accepted: 04/01/2010] [Indexed: 11/17/2022] Open
Abstract
Early institution of extracorporeal perfusion support (ECPS) may improve survival after cardiac arrest. Two patients sustained unexpected cardiac arrest in the Intensive Care Unit (ICU) following cardiac interventions. ECPS was initiated due to failure to restore hemodynamics after prolonged (over 60 minutes) advanced cardiac life support (ACLS) protocol-guided cardiopulmonary resuscitation. Despite relatively late institution of ECPS, both patients survived with preserved neurological function. This communication focuses on the utility of ECPS in the ICU as a part of resuscitative efforts.
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