Postoperative cardiac arrest after heart surgery: does extracorporeal perfusion support a paradigm change in management?
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.
Gologorsky
Edward
E
CVT Division, Department of Anesthesiology, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FL 33139, USA.
Macedo
Francisco Igor B
FI
Carvalho
Enisa M
EM
Gologorsky
Angela
A
Ricci
Marco
M
Salerno
Tomas A
TA
Resuscitation. 2005 Nov-Dec;67(2-3):213-47
16324990
J Cardiothorac Vasc Anesth. 1998 Aug;12(4):390-2
9713724
Crit Care Med. 2008 Sep;36(9):2685-6
18728481
Perfusion. 1993 Jan;8(1):93-5
10148123
Eur J Cardiothorac Surg. 2000 Jun;17(6):743-6
10856870
J Am Coll Cardiol. 2000 Sep;36(3):932-8
10987622
Eur J Cardiothorac Surg. 2009 Jul;36(1):3-28
19297185
J Thorac Cardiovasc Surg. 2010 Feb;139(2):302-11, 311.e1
20106393
Eur J Cardiothorac Surg. 2007 Mar;31(3):462-7; discussion 467
17188884
Pediatr Crit Care Med. 2004 Sep;5(5):440-6
15329159
Crit Care Med. 2008 Sep;36(9):2529-35
18679121
N Engl J Med. 2008 Jan 3;358(1):9-17
18172170
Eur J Cardiothorac Surg. 2002 Sep;22(3):421-5
12204734
Crit Care Med. 2005 Jul;33(7):1659-60
16003087
Ann Thorac Surg. 2001 May;71(5):1421-7
11383776
Ann Thorac Surg. 1976 Nov;22(5):436-42
999368
Chest. 1998 Jan;113(1):15-9
9440561
Interact Cardiovasc Thorac Surg. 2007 Dec;6(6):799-805
17693437
Circulation. 2005 Dec 13;112(24 Suppl):IV1-203
16314375
Crit Care. 2000;4(3):156-68
11094500
Resuscitation. 2005 Dec;67 Suppl 1:S39-86
16321716
Resuscitation. 2005 Nov-Dec;67(2-3):167-70
16324984
JAMA. 2000 Feb 16;283(7):904-8
10685715
ASAIO J. 2005 Jan-Feb;51(1):4-10
15745126
Crit Care Med. 2005 Jul;33(7):1572-6
16003064
Med Clin North Am. 2007 Jul;91(4):553-72; ix
17640536