title: [Extracorporeal cardiopulmonary resuscitation in adult patients with cardiac arrest].
abstract: OBJECTIVE
  To review the experience of extracorporeal cardiopulmonary resuscitation (E-CPR) for cardiac arrest in adults.
  
  
  METHODS
  From July 2005 to July 2009, extracorporeal life-support (ECLS) was performed for 10-15 minutes failed in CPR in 11 patients (male 7, female 4, age 24-71 years) with cardiac arrest. In 7 patients after cardiac operation, regular cardiopulmonary bypass was urgently established through re-opening of sternotomy incision, followed by extracorporeal membrane oxygenation (ECMO) for continuous support. In other 4 patients, ECMO implantation was directly performed through the femoral vessels during the CPR.
  
  
  RESULTS
  With E-CPR support, although the average CPR duration prolonged to (51+/-14) minutes (30-90 minutes), successful resuscitation was achieved in 10 patients with restoration of spontaneous heart beat. Median support duration of ECMO was 126 hours, ranged from 2 to 223 hours. Six patients could be successfully weaned from ECMO. However, the final discharge rate was 36.4% (4/11). Additional intra-aortic balloon pump was used in 2 patients, with 1 patient survived. Continuous renal replacement therapy (CRRT) was necessary in 3 patients because of acute renal failure.
  
  
  CONCLUSIONS
  The use of E-CPR can rescue some adult patients who fail to survive with conventional in-hospital CPR. Further studies are warranted to evaluate in order to better define patients who may benefit from E-CPR.
authors.affiliation: Department of Cardiovascular Surgery, Fuwai Hospital, Beijing 100037, China. luo_xinjin@hotmail.com
authors.forename: Xin-jin
authors.initials: XJ
authors.lastname: Luo
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Han-song
authors.initials: HS
authors.lastname: Sun
authors.forename: Jian-ping
authors.initials: JP
authors.lastname: Xu
authors.forename: Sheng-shou
authors.initials: SS
authors.lastname: Hu
authors.forename: Cun
authors.initials: C
authors.lastname: Long
authors.forename: Yun-hu
authors.initials: YH
authors.lastname: Song
authors.forename: Fei-long
authors.initials: FL
authors.lastname: Hei
mesh_terms: D000328:Adult; D000368:Aged; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D005112:Extracorporeal Circulation; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome