Case study of extracorporeal cardiopulmonary resuscitation (ECPR) for out-ofhospital cardiac arrest

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  • Irie Jin
    Hirosaki general medical center, department of emergency medicine Department of disaster and critical care medicine,Hirosaki university graduate school of medicine
  • Aoyagi Arisa
    Department of disaster and critical care medicine,Hirosaki university graduate school of medicine
  • Goto Takeshi
    Department of clinical engineering, Hirosaki University School of Medicine and Hospital
  • Hanada Hiroyuki
    Department of disaster and critical care medicine,Hirosaki university graduate school of medicine

Bibliographic Information

Other Title
  • 院外心停止に対する体外循環式心肺蘇生法（ECPR）の症例集積研究
  • イン ガイシン テイシ ニ タイスル タイガイ ジュンカンシキ シンハイ ソセイホウ(ECPR)ノ ショウレイ シュウセキ ケンキュウ

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Description

Abstract<br>　 Introduction: There is no consensus regarding the criteria for starting extracorporeal cardiopulmonary resuscitation( ECPR ) in cases of out-of-hospital cardiac arrest. The aim of this study was to describe the current status of ECPR for out-of-hospital cardiac arrest at the Advanced Emergency and Disaster Medical Center, Hirosaki University Hospital.<br> Methods: Patients with out-of-hospital cardiac arrest who underwent ECPR at our center from January 2015 to September 2021 were retrospectively investigated. The patients' characteristics, time course, cause of cardiac arrest,and prognosis were extracted from their medical records.<br> Results: A total of 23 patients were included in this study, of whom 22 patients ( 96% ) had witnessed cardiac arrest,18 patients ( 78% ) received bystander CPR, and 17 patients ( 74% ) had an initial shockable rhythm at the scene.<br> Median low flow time was 71 ［62-87］ minutes. Cerebral performance category 1 or 2 at 28 days was observed in three patients ( 13% ). Nine of the patients survived to hospital discharge ( 39% ).<br> Conclusion: Our center performed ECPR for patients with witnessed cardiac arrest, bystander CPR, and presence of a shockable rhythm as the initial cardiac rhythm at the scene. However, we need to further reduce the low flow time to improve patient outcomes.

Journal

  • Hirosaki Medical Journal

    Hirosaki Medical Journal 73 (1-4), 48-53, 2023-03-22

    Hirosaki University Graduate School of Medicine,Hirosaki Medical Society

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