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Autor
Abrams, Darryl 1 Aissaoui, Nadia 1 Brodie, Daniel 1 Bělohlávek, Jan 1 Chen, Yih-Sharng 1 Combes, Alain 1 Garan, A Reshad 1 Jung, Jae Seung 1 Lorusso, Roberto 1 MacLaren, Graeme 1 Price, Susanna 1 Shekar, Kiran 1 Slutsky, Arthur S 1 Taccone, Fabio S 1 Takeda, Koji 1 Tonna, Joseph E 1 Uriel, Nir 1 Vercaemst, Leen 1 Yannopoulos, Demetris 1
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Pracoviště
2nd Department of Medicine 1st Facult... 1 Adult Intensive Care Services Prince ... 1 Adult Intensive Care Unit Royal Bromp... 1 Bond University Gold Coast Australia 1 Cardiothoracic Intensive Care Unit De... 1 Cardiothoracic Surgery Department Hea... 1 Center for Acute Respiratory Failure ... 1 Center for Resuscitation Medicine Uni... 1 Department of Intensive Care Hôpital ... 1 Department of Medicine Division of Ca... 1 Department of Perfusion University Ho... 1 Department of Surgery National Taiwan... 1 Department of Thoracic and Cardiovasc... 1 Division of Cardiac Vascular and Thor... 1 Division of Cardiology Department of ... 1 Division of Cardiothoracic Surgery De... 1 Division of Emergency Medicine Depart... 1 Division of Pulmonary Allergy and Cri... 1 Institute of Cardiometabolism and Nut... 1 Intensive Care Unit APHP Hopital Euro... 1
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Autor
Abrams, Darryl 1 Aissaoui, Nadia 1 Brodie, Daniel 1 Bělohlávek, Jan 1 Chen, Yih-Sharng 1 Combes, Alain 1 Garan, A Reshad 1 Jung, Jae Seung 1 Lorusso, Roberto 1 MacLaren, Graeme 1 Price, Susanna 1 Shekar, Kiran 1 Slutsky, Arthur S 1 Taccone, Fabio S 1 Takeda, Koji 1 Tonna, Joseph E 1 Uriel, Nir 1 Vercaemst, Leen 1 Yannopoulos, Demetris 1
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Pracoviště
2nd Department of Medicine 1st Facult... 1 Adult Intensive Care Services Prince ... 1 Adult Intensive Care Unit Royal Bromp... 1 Bond University Gold Coast Australia 1 Cardiothoracic Intensive Care Unit De... 1 Cardiothoracic Surgery Department Hea... 1 Center for Acute Respiratory Failure ... 1 Center for Resuscitation Medicine Uni... 1 Department of Intensive Care Hôpital ... 1 Department of Medicine Division of Ca... 1 Department of Perfusion University Ho... 1 Department of Surgery National Taiwan... 1 Department of Thoracic and Cardiovasc... 1 Division of Cardiac Vascular and Thor... 1 Division of Cardiology Department of ... 1 Division of Cardiothoracic Surgery De... 1 Division of Emergency Medicine Depart... 1 Division of Pulmonary Allergy and Cri... 1 Institute of Cardiometabolism and Nut... 1 Intensive Care Unit APHP Hopital Euro... 1
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- Check Tag
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- Jazyk
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Abrams, Darryl
Autor Abrams, Darryl ORCID Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, 622 W168th St., PH 8E, Room 101, New York, NY, 10032, USA Center for Acute Respiratory Failure, Columbia University Irving Medical Center, New York, NY, USA
- MacLaren, Graeme
- Lorusso, Roberto
- Price, Susanna
- Yannopoulos, Demetris
- Vercaemst, Leen
- Bělohlávek, Jan
- Taccone, Fabio S
- Aissaoui, Nadia
- Shekar, Kiran
PubMed
34505911
PubMed Central
PMC8429884
DOI
10.1007/s00134-021-06514-y
PII: 10.1007/s00134-021-06514-y
Knihovny.cz E-zdroje
Rates of survival with functional recovery for both in-hospital and out-of-hospital cardiac arrest are notably low. Extracorporeal cardiopulmonary resuscitation (ECPR) is emerging as a modality to improve prognosis by augmenting perfusion to vital end-organs by utilizing extracorporeal membrane oxygenation (ECMO) during conventional CPR and stabilizing the patient for interventions aimed at reversing the aetiology of the arrest. Implementing this emergent procedure requires a substantial investment in resources, and even the most successful ECPR programs may nonetheless burden healthcare systems, clinicians, patients, and their families with unsalvageable patients supported by extracorporeal devices. Non-randomized and observational studies have repeatedly shown an association between ECPR and improved survival, versus conventional CPR, for in-hospital cardiac arrest in select patient populations. Recently, randomized controlled trials suggest benefit for ECPR over standard resuscitation, as well as the feasibility of performing such trials, in out-of-hospital cardiac arrest within highly coordinated healthcare delivery systems. Application of these data to clinical practice should be done cautiously, with outcomes likely to vary by the setting and system within which ECPR is initiated. ECPR introduces important ethical challenges, including whether it should be considered an extension of CPR, at what point it becomes sustained organ replacement therapy, and how to approach patients unable to recover or be bridged to heart replacement therapy. The economic impact of ECPR varies by health system, and has the potential to outstrip resources if used indiscriminately. Ideally, studies should include economic evaluations to inform health care systems about the cost-benefits of this therapy.
- Klíčová slova
- Cardiac arrest, Extracorporeal cardiopulmonary resuscitation, Extracorporeal membrane oxygenation, IHCA, OHCA,
- MeSH
- analýza nákladů a výnosů MeSH
- dospělí MeSH
- kardiopulmonální resuscitace * metody MeSH
- lidé MeSH
- mimotělní membránová oxygenace * metody MeSH
- zástava srdce mimo nemocnici * terapie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
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