Out of hospital extracorporeal life support (ECLS) implantation in cardiogenic shock after cardiac arrest

Benjamin Schempf; David Schibilsky; Gernot Gaier; Benjamin Schadt; Karl Konstantin Haase; Christian Schlensak; David Häske

doi:10.1016/j.ajem.2018.01.007

Out of hospital extracorporeal life support (ECLS) implantation in cardiogenic shock after cardiac arrest

Am J Emerg Med. 2018 Jun;36(6):1121.e1-1121.e3. doi: 10.1016/j.ajem.2018.01.007. Epub 2018 Jan 3.

Authors

Benjamin Schempf¹, David Schibilsky², Gernot Gaier³, Benjamin Schadt³, Karl Konstantin Haase⁴, Christian Schlensak², David Häske⁵

Affiliations

¹ Departments of Internal Medicine, Cardiology, Angiology and Intensive Care Medicine, Klinikum am Steinenberg, Steinenbergstrasse 31, 72764 Reutlingen, Germany; DRK Rettungsdienst Reutlingen, Obere Wässere 1, 72764 Reutlingen, Germany. Electronic address: Schempf_B@kreiskliniken-reutlingen.de.
² Department of Thoracic and Cardiovascular Surgery, University Medical Center Tuebingen, 72076 Tübingen, Germany.
³ Department of Anaesthesiology, Intensive Care Medicine, Emergency and Pain Medicine, Klinikum am Steinenberg, Steinenbergstrasse 31, 72764 Reutlingen, Germany.
⁴ Departments of Internal Medicine, Cardiology, Angiology and Intensive Care Medicine, Klinikum am Steinenberg, Steinenbergstrasse 31, 72764 Reutlingen, Germany.
⁵ DRK Rettungsdienst Reutlingen, Obere Wässere 1, 72764 Reutlingen, Germany; Faculty of Medicine, Eberhard Karls Universität Tübingen, Geißweg 5, 72076 Tübingen, Germany.

PMID: 29602666
DOI: 10.1016/j.ajem.2018.01.007

Abstract

We report the use of out-of-hospital extracorporeal life support (ECLS) in a 62-year-old patient with severe cardiogenic shock after cardiac arrest. The patient was successfully stabilized using the ECLS system in the pre-hospital setting. Hospital discharge with a good neurological outcome was possible after 23days.

Publication types

Case Reports

MeSH terms

Emergency Medical Services* / methods
Extracorporeal Membrane Oxygenation* / instrumentation
Extracorporeal Membrane Oxygenation* / methods
Female
Humans
Middle Aged
Out-of-Hospital Cardiac Arrest / complications
Out-of-Hospital Cardiac Arrest / physiopathology
Out-of-Hospital Cardiac Arrest / therapy*
Patient Care Team
Patient Selection
Risk Assessment
Shock, Cardiogenic / etiology
Shock, Cardiogenic / physiopathology
Shock, Cardiogenic / therapy*
Time Factors
Treatment Outcome