title: Postoperative cardiac arrest after heart surgery: does extracorporeal perfusion support a paradigm change in management?
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.
authors.affiliation: CVT Division, Department of Anesthesiology, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FL 33139, USA.
authors.forename: Edward
authors.initials: E
authors.lastname: Gologorsky
authors.forename: Francisco Igor B
authors.initials: FI
authors.lastname: Macedo
authors.forename: Enisa M
authors.initials: EM
authors.lastname: Carvalho
authors.forename: Angela
authors.initials: A
authors.lastname: Gologorsky
authors.forename: Marco
authors.initials: M
authors.lastname: Ricci
authors.forename: Tomas A
authors.initials: TA
authors.lastname: Salerno
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