Venoarterial Extracorporeal Membrane Oxygenation in Adults With Cardiac Arrest. (July 2016)

• Record Type: Journal Article
• Authors: Patel, Jignesh K.; Schoenfeld, Elinor; Parnia, Sam; Singer, Adam J.; Edelman, Norman
• Is Part Of: Journal of intensive care medicine. Volume 31:Number 6(2016)
• Page Start: 359
• Page End: 368
• Publication Date: 2016-07
• Subjects: Cardiac Arrest (CA) -- Extracorporeal Membrane Oxygenation (ECMO) -- Cardiopulmonary Resuscitation (CPR); Critical care medicine -- Periodicals; Critical Care -- Periodicals; Soins intensifs -- Périodiques; Soins intensifs; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.02805
• DOI: 10.1177/0885066615583651
• Languages: English
• ISSNs: 0885-0666

Abstract

Cardiac arrest (CA) is a major cause of morbidity and mortality worldwide. Despite the use of conventional cardiopulmonary resuscitation (CPR), rates of return of spontaneous circulation and survival with minimal neurologic impairment remain low. Utilization of venoarterial extracorporeal membrane oxygenation (ECMO) for CA in adults is steadily increasing. Propensity-matched cohort studies have reported outcomes associated with ECMO use to be superior to that of conventional CPR alone in in-hospital patients with CA. In this review, we discuss the mechanism, indications, complications, and evidence for ECMO in CA in adults.