2011
DOI: 10.1097/ccm.0b013e3181feb339
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Abstract: Extracorporeal cardiopulmonary resuscitation showed a survival benefit over conventional cardiopulmonary resuscitation in patients who received cardiopulmonary resuscitation for >10 mins after witnessed inhospital arrest, especially in cases with cardiac origins.

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Cited by 331 publications
(248 citation statements)
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References 29 publications
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“…This leads to limitations as to when E-CPR can be performed due to variable availability of attending physicians, perfusionists and ECMO circuits. This is a setting that differs from that described in a number of previous reports on E-CPR [8][9][10]. Ideally, our E-CPR sample could have been compared to an internal control group, but our hospital CPR records are incompletely documented, and the CPR patient population differed from ours.…”
Section: Discussionmentioning
confidence: 89%
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“…This leads to limitations as to when E-CPR can be performed due to variable availability of attending physicians, perfusionists and ECMO circuits. This is a setting that differs from that described in a number of previous reports on E-CPR [8][9][10]. Ideally, our E-CPR sample could have been compared to an internal control group, but our hospital CPR records are incompletely documented, and the CPR patient population differed from ours.…”
Section: Discussionmentioning
confidence: 89%
“…Further studies on E-CPR have shown an increased rate of survival at 1-year [8], and 2-years [9] after discharge when compared to conventional CPR. Many of these studies on adult E-CPR have taken place under optimal conditions in institutions that have designated teams of E-CPR specialists, ready to cannulate patients as a part of the Code Team [8][9][10].…”
Section: Introductionmentioning
confidence: 99%
“…[3] Extracorporeal CPR (ECPR) is a technique to circulate blood outside the body with extracorporeal oxygenation and to support the body's circulation in the absence of an adequately functioning cardiac pump. [6] Observation studies [7][8][9][10][11][12] have shown an improved survival rate and better neurological preservation after CA in patients receiving ECPR compared to CCPR. ECPR is a valuable option for CA and that it should be initiated as soon as possible when CA is considered to be refractory to CCPR.…”
Section: Introductionmentioning
confidence: 99%
“…39 ECMO in select patients who have suffered cardiac arrest may improve survival, but there are no clearly defined guidelines and data are controversial. 33 The upper time limit of manual CPR after which ECPR will no longer result in good neurological outcomes is not known. Chen et al noted a significant survival advantage of ECPR in patients with refractory arrest longer than 10 minutes; they noted an approximately 20% increase in survival and improved neurological outcome in the ECPR group compared with the conventional CPR group.…”
mentioning
confidence: 99%
“…33 Neurological injury after ECMO is a significant concern that was first raised in neonates who developed complications, including ischemic and hemorrhagic strokes secondary to heparinization and steal phenomenon. ECMO carries a high risk of brain injury, with studies showing severe neurological complications in roughly 40%-50% of adults.…”
mentioning
confidence: 99%