| Summary: | Objective To analyze and summarize the practical experience and prognosis of extracorporeal cardiopulmonary resuscitation (ECPR) in the resuscitation of cardiac arrest patients. Methods The clinical data of ECPR patients rescued by our extracorporeal membrane oxygenation (ECMO) team (including departments of cardiothoracic surgery, emergency, cardiology, anesthesiology and intensive care medicine) from January 2012 to December 2017 were collected and retrospectively analyzed. The components of our ECPR team, team cooperation, survival rate and complications were analyzed. Results The 13 ECPR patients were 8 males and 5 females, at an age of 16~69 (median age 44) years. Their primary diseases include acute myocardial infarction, fulminant myocarditis, postoperative surgery, and so on. All the 13 patients underwent V-A ECMO model of femoral arteriovenous intubation. The operation time from cardiac arrest to ECMO establishment was only 26 to 83 (median time 46) min, and the time of ECMO support was 27 to 189 (median time 111) h. The time from ECMO weaning to discharge was 0~21 (median time 7) d. Seven patients were successfully weaned, and 4 were discharged alive. Incision bleeding occurred in 3(23.08%) patients. Five (38.46%) patients had acute renal failure, 1 patient (7.69%) brain death, 2(15.38%) patients with pulmonary infection, 1(7.69%) patient with cardiac tamponade, 1(7.69%) patient with slight limp, and 3(23.08%) patients suffered from multiple organ failure. No complication of amputation or limb ischemia necrosis occurred. Conclusion Skilled and effective teamwork of ECMO and CPR teams, and prompt and rapid initiation of ECPR after cardiac arrest are important factors to ensure the success rate of ECPR treatment.
|
|---|
