Venoarterial Extracorporeal Membrane Oxygenation in Adults With Cardiac Arrest.
Cardiac arrest (CA) is a major cause of morbidity and mortality worldwide. Despite the use of conventional cardiopulmonary resuscitation (CPR), rates of return of spontaneous circulation and survival with minimal neurologic impairment remain low. Utilization of venoarterial extracorporeal membrane oxygenation (ECMO) for CA in adults is steadily increasing. Propensity-matched cohort studies have reported outcomes associated with ECMO use to be superior to that of conventional CPR alone in in-hospital patients with CA. In this review, we discuss the mechanism, indications, complications, and evidence for ECMO in CA in adults.
Division of Pulmonary and Critical Care, Department of Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA jignesh.patel@stonybrookmedicine.edu.
Jignesh K
JK
Patel
Department of Preventive Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA.
Elinor
E
Schoenfeld
Division of Pulmonary and Critical Care, Department of Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA.
Sam
S
Parnia
Department of Emergency Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA.
Adam J
AJ
Singer
Division of Pulmonary and Critical Care, Department of Medicine, Stony Brook University Medical Center, Stony Brook, NY, USA.
Norman
N
Edelman
D000328:Adult; D022561:Advanced Cardiac Life Support / Q000379:methods*; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D055416:Evidence-Based Emergency Medicine; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods; D006323:Heart Arrest / Q000401:mortality / Q000628:therapy*; D006801:Humans; D016015:Logistic Models; D012307:Risk Factors; D016896:Treatment Outcome
Cardiac Arrest (CA); Cardiopulmonary Resuscitation (CPR); Extracorporeal Membrane Oxygenation (ECMO)