Cited by 58Cardiac Arrest and ResuscitationMechanical Circulatory Support DevicesPalliative Care and End-of-Life Issues

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Pre-hospital extra-corporeal cardiopulmonary resuscitation

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Singer, Ben, Reynolds, Joshua C., Lockey, David J., O’Brien, Ben·2018·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Abstract

Survival from out-of-hospital cardiac arrest (OHCA) has remained low despite advances in resuscitation science. Hospital-based extra-corporeal cardiopulmonary resuscitation (ECPR) is a novel use of an established technology that provides greater blood flow and oxygen delivery during cardiac arrest than closed chest compressions. Hospital-based ECPR is currently offered to selected OHCA patients in specialized centres. The interval between collapse and restoration of circulation is inversely associated with good clinical outcomes after ECPR. Pre-hospital delivery of ECPR concurrent with conventional resuscitation is one approach to shortening this interval and improving outcomes after OHCA. This article examines the background and rationale for pre-hospital ECPR; summarises the findings of a literature search for published evidence; and considers candidate selection, logistics, and complications for this complex intervention.

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Metadata

Authors
Singer, B., Reynolds, J. C., Lockey, D. J., & O’Brien, B.
Affiliations
  • St Bartholomew's Hospital (GB)
  • Michigan State University (US)
  • Queen Mary University of London (GB)
Corresponding author
Singer, Ben
Venue
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Published
2018-03-27
Volume
26
Issue
1
Pages
21-21
ISSN
1757-7241 (ISSN-L)
OpenAlex
W2804007779
Cited by
58
References
0
Citations by year
2026: 4 · 2025: 6 · 2024: 3 · 2023: 12 · 2022: 10 · 2021: 8 · 2020: 7 · 2019: 6 · 2018: 2
FWCI
1.44
Type
journal article
Language
en
Open access
Locations
  • Scandinavian Journal of Trauma Resuscitation and Emergency Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Mechanical Circulatory Support Devices
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
Keywords
out-of-hospital cardiac arrest, extracorporeal cardiopulmonary resuscitation, prehospital care, candidate selection, survival after cardiac arrest
MeSH terms
Emergency Medical Services, Humans, Extracorporeal Membrane Oxygenation, Cardiopulmonary Resuscitation, Out-of-Hospital Cardiac Arrest

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