Cardiac arrest & resuscitation

Heparin Loading Dose in Patients Undergoing Extracorporeal Cardiopulmonary Resuscitation

J Cardiothorac Vasc AnesthPublished Controlled before-after retrospective study

Authors' conclusion

In conclusion, in the authors' study of patients undergoing ECPR, administering a loading dose of heparin was associated with an increased risk of early fatal hemorrhage.

Study context

Population
Patients undergoing extracorporeal cardiopulmonary resuscitation (ECPR) after cardiac arrest in the ED of the Aerospace Center Hospital, January 2018 to May 2022
Participants
28 patients
Exposure
Heparin loading dose before catheterization vs no loading dose
  • Loading-dosen = 12
  • Nonloading-dosen = 16reference
Outcome
Hemorrhagic complications
Methodological detailsmonocentric
  • Monocentric

Main finding

As reported in the abstract

P > 0.05

Observational data: associations, not effects.

Further findings

Embolic complications · not statistically significant

P > 0.05

Survival · not statistically significant

P > 0.05

Safety

Life-threatening massive hemorrhage · statistically significant

P = 0.03

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Heparin Loading Dose in Patients Undergoing Extracorporeal Cardiopulmonary Resuscitation. J Cardiothorac Vasc Anesth. Published 22 February 2023. doi:10.1053/j.jvca.2023.02.003

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