Postoperative Cardiac Arrest after Heart Surgery: Does Extracorporeal Perfusion Support a Paradigm Change in Management?
نویسندگان
چکیده
Early institution of extracorporeal perfusion support (ECPS) may improve survival after cardiac arrest. Two patients sustained unexpected cardiac arrest in the Intensive Care Unit (ICU) following cardiac interventions. ECPS was initiated due to failure to restore hemodynamics after prolonged (over 60 minutes) advanced cardiac life support (ACLS) protocol-guided cardiopulmonary resuscitation. Despite relatively late institution of ECPS, both patients survived with preserved neurological function. This communication focuses on the utility of ECPS in the ICU as a part of resuscitative efforts.
منابع مشابه
Successful heart transplantation after prolonged cardiac arrest and extracorporeal life support in organ donor–a case report
BACKGROUND Although heart transplantation is a successful therapy for patients suffering from end-stage heart failure, the therapeutic is limited by the lack of organs. Donor cardiac arrest is a classic hindrance to heart retrieval as it raises issues on post-transplant outcomes. CASE PRESENTATION The present case reports a successful heart transplantation after prolonged donor cardiac arrest...
متن کاملExtracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in children after cardiac surgery
OBJECTIVE Extracorporeal membrane oxygenation (ECMO) is used to provide cardiorespiratory support during cardiopulmonary resuscitation (extracorporeal cardiopulmonary resuscitation; ECPR) unresponsive to conventional methods. In this study, the results of ECPR in a cardiac arrest setting after cardiac surgery in children were analyzed. METHODS In this retrospective cohort study, between Novem...
متن کاملPulmonary Ventilation-perfusion Relations after Heart Valve Replacement of Repair in Man.
Decreased oxygenation of arterial blood has been recognized as a postoperative complication of major surgery since the report in 1943 by Maier and Cournand (1). Subsequent studies confirmed their finding by demonstrating low arterial oxygen saturation or tension, particularly after thoracic and cardiac surgery (2-6). These findings suggest increased physiologic shunting (or intrapulmonary venou...
متن کاملPulmonary function after biventricular bypass for autologous lung oxygenation.
OBJECTIVE Biventricular bypass (BVB) with autologous lung perfusion is an attractive concept to ameliorate systemic inflammatory response by eliminating the oxygenator from the extracorporeal circulation. The effect of biventricular bypass as compared to heart-lung bypass (HLB) on pulmonary function parameters was therefore studied in an experimental model. METHODS Heart-lung bypass using a m...
متن کاملNew technique of local ischemic preconditioning induction without repetitive aortic cross-clamping in cardiac surgery
BACKGROUND Several studies have demonstrated that local ischemic preconditioning can reduce myocardial ischemia-reperfusion injury in cardiac surgery patients; however, preconditioning has not become a standard cardioprotective intervention, primarily because of the increased risk of atheroembolism during repetitive aortic cross-clamping. In the present study, we aimed to describe and validate ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
دوره 2010 شماره
صفحات -
تاریخ انتشار 2010