title: ECMO in cardiac arrest and cardiogenic shock.
abstract: Cardiogenic shock is an acute emergency, which is classically managed by medical support with inotropes or vasopressors and frequently requires invasive ventilation. However, both catecholamines and ventilation are associated with a worse prognosis, and many patients deteriorate despite all efforts. Mechanical circulatory support is increasingly considered to allow for recovery or to bridge until making a decision or definite treatment. Of all devices, extracorporeal membrane oxygenation (ECMO) is the most widely used. Here we review features and strategical considerations for the use of ECMO in cardiogenic shock and cardiac arrest.
authors.affiliation: Cardiac Arrest Center, Acute and Advanced Heart Failure Unit, Department of Cardiology and Angiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. napp.christian@mh-hannover.de.
authors.forename: L C
authors.initials: LC
authors.lastname: Napp
authors.affiliation: Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Kühn
authors.affiliation: Cardiac Arrest Center, Acute and Advanced Heart Failure Unit, Department of Cardiology and Angiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Bauersachs
mesh_terms: D003422:Critical Care / Q000379:methods*; D004867:Equipment Design; D019317:Evidence-Based Medicine; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation* / Q000379:methods; D006323:Heart Arrest / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D012770:Shock, Cardiogenic / Q000175:diagnosis* / Q000628:therapy*; D016896:Treatment Outcome
keywords: Cardiac arrest; Cardiogenic shock; Cardiopulmonary resuscitation; ECMO; Extracorporeal resuscitation; Mechanical circulatory support; Microaxial pump; Sudden cardiac death