Cardiac arrest & resuscitation

Post-resuscitation care after adult extracorporeal cardiopulmonary resuscitation: A scoping review

ResuscitationPublished Scoping review

Authors' conclusion

Post-resuscitation care after adult ECPR remains poorly characterized and insufficiently studied. Available evidence across all domains is constrained by heterogeneity, retrospective designs, and small sample sizes.

Study context

Population
Adults treated with extracorporeal cardiopulmonary resuscitation (ECPR) after out-of-hospital or in-hospital cardiac arrest133 studies
Outcome
Domains of post-resuscitation care investigated
Methodological detailsPubMed and Embase searched from inception to May 19, 2025; narrative synthesis
  • PubMed and Embase searched from inception to May 19, 2025; narrative synthesis

Main finding

As reported in the abstract

Hemodynamic monitoring and management
30/133, 23 %
Neurological monitoring and prognostication
22/133, 17 %
Oxygenation, carbon dioxide and ventilation
18/133, 14 %
Complications other than bleeding
15/133, 11 %
Coagulation/bleeding
13/133, 9.8 %
Long-term outcomes
8/133, 6.0 %
Temperature control
8/133, 6.0 %
Imaging
7/133, 5.3 %
Organ donation
5/133, 3.8 %
General intensive care management
5/133, 3.8 %

Further findings

Evidence quality

Studies including >500 patients
22/133 [17 %]
Retrospective studies
119/133 [90 %]

Original publication

Post-resuscitation care after adult extracorporeal cardiopulmonary resuscitation: A scoping review. Resuscitation. Published 4 November 2025. doi:10.1016/j.resuscitation.2025.110880

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