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Practice characteristics of Emergency Department extracorporeal cardiopulmonary resuscitation (eCPR) programs in the United States: The current state of the art of Emergency Department extracorporeal membrane oxygenation (ED ECMO)
| Content Provider | Scilit |
|---|---|
| Author | Tonna, Joseph E. Johnson, Nicholas J. Greenwood, John Gaieski, David F. Shinar, Zachary Bellezo, Joseph M. Becker, Lance Shah, Atman P. Youngquist, Scott T. Mallin, Michael P. Fair, James Franklin Gunnerson, Kyle J. Weng, Cindy McKellar, Stephen |
| Copyright Year | 2016 |
| Description | Journal: Resuscitation Purpose To characterize the current scope and practices of centers performing extracorporeal cardiopulmonary resuscitation (eCPR) on the undifferentiated patient with cardiac arrest in the emergency department. Methods We contacted all US centers in January 2016 that had submitted adult eCPR cases to the Extracorporeal Life Support Organization (ELSO) registry and surveyed them, querying for programs that had performed eCPR in the Emergency Department (ED ECMO). Our objective was to characterize the following domains of ED ECMO practice: program characteristics, patient selection, devices and techniques, and personnel. Results Among 99 centers queried, 70 responded. Among these, 36 centers performed ED ECMO. Nearly 93% of programs are based at academic/teaching hospitals. 65% of programs are less than 5 years old, and 60% of programs perform ≤3 cases per year. Most programs (90%) had inpatient eCPR or salvage ECMO programs prior to starting ED ECMO programs. The majority of programs do not have formal inclusion and exclusion criteria. Most programs preferentially obtain vascular access via the percutaneous route (70%) and many (40%) use mechanical CPR during cannulation. The most commonly used console is the Maquet $Rotaflow^{®}$. Cannulation is most often performed by cardiothoracic (CT) surgery, and nearly all programs (>85%) involve CT surgeons, perfusionists, and pharmacists. Conclusions Over a third of centers that submitted adult eCPR cases to ELSO have performed ED ECMO. These programs are largely based at academic hospitals, new, and have low volumes. They do not have many formal inclusion or exclusion criteria, and devices and techniques are variable. |
| Related Links | http://europepmc.org/articles/pmc5475402?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5475402/pdf http://www.resuscitationjournal.com/article/S0300957216303938/pdf |
| Ending Page | 46 |
| Page Count | 9 |
| Starting Page | 38 |
| ISSN | 03009572 |
| e-ISSN | 18731570 |
| DOI | 10.1016/j.resuscitation.2016.07.237 |
| Journal | Resuscitation |
| Volume Number | 107 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2016-08-11 |
| Access Restriction | Open |
| Subject Keyword | Journal: Resuscitation Extracorporeal Cardiopulmonary Resuscitation—ecpr Emergency Department Extracorporeal Membrane Oxygenation—ed Ecmo Out-of-hospital Cardiac Arrest—ohca In-hospital Cardiac Arrest—ihca Program Characteristics Extracorporeal Life Support—ecls |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine Emergency Nursing Cardiology and Cardiovascular Medicine |
