Year-end Sale % OFF 
Abstract
Veno-arterial extracorporeal membrane oxygenation (ECMO) has been used successfully for several years in refractory cardiogenic shock. Of note, the survival rate is markedly affected by the underlying patient condition, and especially their capacity to recover. Combes et al. 1 demonstrated a short- and a long-term survival rate (11 months of median follow-up time) of, respectively, 42 and 36% in a large series of patients with cardiogenic shock of various origins, including fulminant myocarditis (30%), post-cardiotomy (24%), post-myocardial infarction (15%), and shock after heart transplantation (15%). In that study, 1 implantation during cardiopulmonary resuscitation (CPR) was associated with a marked increase in the risk of death (OR 20.68 (1.09–392.03)). As the probability of achieving return to spontaneous circulation (ROSC) decreases rapidly when the duration of cardiopulmonary resuscitation CPR exceeds 10 min and dramatically after 30 min, 2 some clinicians questioned whether ECMO could also be used...
Highlights
As the probability of achieving return to spontaneous circulation (ROSC) decreases rapidly when the duration of cardiopulmonary resuscitation CPR exceeds 10 min and dramatically after 30 min,[2] some clinicians questioned whether extracorporeal membrane oxygenation (ECMO) could be used to restore flow in patients not responding to classical resuscitation procedures
Combes et al.[1] demonstrated a short- and a longterm survival rate (11 months of median follow-up time) of, respectively, 42 and 36% in a large series of patients with cardiogenic shock of various origins, including fulminant myocarditis (30%), post-cardiotomy (24%), post-myocardial infarction (15%), and shock after heart transplantation (15%)
One of the explanations for the variability of the results is the duration from cardiac arrest to ECMO initiation
Summary
Veno-arterial extracorporeal membrane oxygenation (ECMO) has been used successfully for several years in refractory cardiogenic shock. The survival rate is markedly affected by the underlying patient condition, and especially their capacity to recover.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
