Out‐of‐hospital extracorporeal membrane oxygenation cannulation for refractory ventricular fibrillation: A case report
| العنوان: | Out‐of‐hospital extracorporeal membrane oxygenation cannulation for refractory ventricular fibrillation: A case report |
|---|---|
| المؤلفون: | Kimberly Pruett, Darren Braude, Doug Dixon, Sundeep Guliani, Todd S. Dettmer, Jon Marinaro |
| المصدر: | Journal of the American College of Emergency Physicians Open, Vol 1, Iss 3, Pp 153-157 (2020) Journal of the American College of Emergency Physicians Open |
| بيانات النشر: | Wiley, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Out of hospital, Emergency Medical Services, medicine.medical_specialty, business.industry, medicine.medical_treatment, education, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Case Report, Emergency department, cardiac arrest, lcsh:RC86-88.9, extracorporeal membrane oxygenation, medicine.disease, surgical procedures, operative, Refractory, Emergency medicine, Ventricular fibrillation, Extracorporeal membrane oxygenation, Emergency medical services, Medicine, out‐of‐hospital, Extracorporeal cardiopulmonary resuscitation, Cardiopulmonary resuscitation, cardiovascular diseases, business |
| الوصف: | Out‐of‐hospital cardiac arrest survival continues to be dismal with the only recent improvement being that of extracorporeal cardiopulmonary resuscitation (E‐CPR) or cardiopulmonary resuscitation (CPR), augmented by extracorporeal membrane oxygenation (ECMO). Minimizing time until initiation of E‐CPR is critical to improve neurologically intact survival. Bringing E‐CPR to the patient rather than requiring transport to the emergency department may increase the number of patients eligible for E‐CPR and the chances for a good outcome. We developed a out‐of‐hospital E‐CPR (P‐ECMO) program that includes the novel use of a hand‐crank and emergency medical services (EMS) providers as first assistants. Here, we report the first P‐ECMO procedure in North America for refractory ventricular fibrillation involving a 65‐year‐old male patient who was cannulated in the field within the recommended 60‐minute low‐flow window and transported to our institution where he underwent coronary stenting. Details of program design and the procedure used may allow other systems to consider implementation of a P‐ECMO program. |
| اللغة: | English |
| تدمد: | 2688-1152 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2f5f1a7b93ecb220e25b8498c1123e3b https://doaj.org/article/503f8e00053349aeb6fc1b9982cbf664 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....2f5f1a7b93ecb220e25b8498c1123e3b |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 26881152 |
|---|