Cardiac arrest & resuscitation
Time-saving effect of real-time ultrasound-guided cannulation for extracorporeal cardiopulmonary resuscitation: A multicenter retrospective cohort study
Main finding · Cannulation timeResult — go to the resultDifference −2.5 minutes 95% CI −3.7 to −1.3Authors' conclusion
Real-time ultrasound-guided cannulation was associated with shorter cannulation time of ECPR.
Study context
- Population
- Adults (>18 years) undergoing extracorporeal cardiopulmonary resuscitation (ECPR), 2013–2018; open surgical vascular access excluded443 matched pairs
- Participants
- 510 vs 941
- Exposure
- Ultrasound-guided vs Control
- Ultrasound-guidedn = 510
- Controln = 941reference
- Outcome
- Cannulation time
Methodological detailsmulticentre, propensity-score matched, 36 Japanese institutions
- Multicentre
- Propensity-score matched
- 36 Japanese institutions
Main finding
As reported in the abstract
Difference
−2.5 minutes
95% CI −3.7 to −1.3
P < 0.001
Ultrasound-guided vs Control
difference −2.5 minutes (95% CI −3.7 to −1.3); P < 0.001
Observational data: associations, not effects.
Further findings
Poor neurological outcome (Cerebral Performance Category ≥3)
- Did not differ between groups
- OR 1.08 (0.83-1.59) (95% CI)
- Propensity score-matched pairs
Safety
Catheter-related complications
- Did not differ between groups
- OR 1.51 (0.64-3.74) (95% CI)
- Propensity score-matched pairs
Original publication
Time-saving effect of real-time ultrasound-guided cannulation for extracorporeal cardiopulmonary resuscitation: A multicenter retrospective cohort study. Resuscitation. Published 6 August 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →