Cardiac arrest & resuscitation
Perioperative Extracorporeal Cardiopulmonary Resuscitation in Adults: A Single-center Retrospective Review and Analysis
Authors' conclusion
The use of extracorporeal CPR for adults with perioperative cardiac arrest can be associated with excellent survival with neurologically favorable outcomes in carefully selected patients. Longer CPR time, higher lactate levels, and lower pH were associated with increased mortality.
Study context
- Population
- Adults receiving ECPR for perioperative cardiac arrest, single centre, January 2015 to August 2022
- Participants
- 33 adults
- Exposure
- Survivors vs nonsurvivors after ECPR
- Outcome
- Survival with favorable neurologic outcome
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Survival with favorable neurologic outcome (cerebral performance category 1 or 2) · discharge
Survival to discharge
57.6%
Neurologically favorable outcome among survivors
17
89.5%
Observational data: associations, not effects.
Further findings
Total CPR time
P < 0.05
Lactate level
P = 0.005
| Outcome | Survivor | Nonsurvivor | P value |
|---|---|---|---|
| pH | 7.17 | 7.03 | P = 0.005 |
Location of cardiac arrest
- Cardiac catheterization laboratory
- 24 (73%)
- Operating room or interventional radiology suite
- 9 (27%)
Original publication
Perioperative Extracorporeal Cardiopulmonary Resuscitation in Adults: A Single-center Retrospective Review and Analysis. Anesthesiology. Published 25 November 2024. doi:10.
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