Cardiac arrest & resuscitation
Post-Cardiac Arrest Care in Adult Patients After Extracorporeal Cardiopulmonary Resuscitation
Authors' conclusion
Effective post-cardiac arrest care during the acute phase of ECPR is paramount in optimizing patient outcomes.
Study context
- Population
- Adult patients after extracorporeal cardiopulmonary resuscitation (ECPR) for refractory cardiac arrest
Methodological detailsPubMed search from inception to 2023; original research, review articles and guidelines
- PubMed search from inception to 2023; original research, review articles and guidelines
Main finding
As reported in the abstract
- Limited data and no established clinical guidelines for post-cardiac arrest care after ECPR
- Unlike non-ECPR patients, where systematic post-cardiac arrest care improves outcomes, no high-quality data after ECPR
- Systematic approach outlined: airway/breathing, circulation, analgesia/sedation, mechanical ventilation, early oxygen/CO2 and temperature goals, nutrition, fluid, imaging, neuromonitoring
- Common on-ECMO complications and complex prognostication and withdrawal of life-sustaining therapy summarised
Original publication
Post-Cardiac Arrest Care in Adult Patients After Extracorporeal Cardiopulmonary Resuscitation. Crit Care Med. Published 3 November 2023. doi:10.
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