Early ECPR for out-of-hospital cardiac arrest: Best practice in 2018

Alice Hutin; Mamoun Abu-Habsa; Brian Burns; Steve Bernard; Joe Bellezzo; Zack Shinar; Ervigio Corral Torres; Pierre-Yves Gueugniaud; Pierre Carli; Lionel Lamhaut

doi:10.1016/j.resuscitation.2018.05.004

Early ECPR for out-of-hospital cardiac arrest: Best practice in 2018

Resuscitation. 2018 Sep:130:44-48. doi: 10.1016/j.resuscitation.2018.05.004. Epub 2018 May 5.

Authors

Affiliations

¹ SAMU de Paris-DAR Necker University Hospital-Assistance Public Hopitaux de Paris, Paris. France; INSERM U955, Equipe 3, Créteil, France.
² Critical Care, Barts Health NHS Trust, London, UK.
³ Greater Sydney Area HEMS, NSW Ambulance, Sydney, NSW, Australia; Sydney Medical School, Sydney University, Australia.
⁴ Alfred Hospital and DEPM, Monash University, Melbourne, Victoria, Australia.
⁵ Emergency Department, Sharp Memorial Hospital, San Diego, California, USA.
⁶ SAMUR - Proteción Civil, Madrid, Spain.
⁷ SAMU de Lyon, University hospital HCL, Lyon, France.
⁸ SAMU de Paris-DAR Necker University Hospital-Assistance Public Hopitaux de Paris, Paris. France; Paris Descartes University, Paris, France.
⁹ SAMU de Paris-DAR Necker University Hospital-Assistance Public Hopitaux de Paris, Paris. France; Paris Descartes University, Paris, France; INSERM U970 Team 4 "Sudden Death Expertise Center", Paris, France. Electronic address: lionel@lamhaut.fr.

PMID: 29738799
DOI: 10.1016/j.resuscitation.2018.05.004

Abstract

Extracorporeal CPR is a second line treatment for refractory cardiac arrest, as written in the latest International Guidelines. Optimal timing, patient selection, location and method of implementation vary across the world. The objective here is to present an international consensus on the pillars of an ECPR program. The major aspect the group agrees on in that ECPR should be implemented within 60 minutes of collapse. With this in mind, the program should be built according to local resources knowing that the optimal team will require pre-established specific roles with personnel dedicated to resuscitation and others to ECPR.

Keywords: Cardiac arrest; ECMO; ECPR; Refractory cardiac arrest.

Publication types

Multicenter Study

MeSH terms

Cardiopulmonary Resuscitation* / methods
Cardiopulmonary Resuscitation* / standards
Consensus
Extracorporeal Membrane Oxygenation* / methods
Extracorporeal Membrane Oxygenation* / standards
Humans
International Cooperation*
Out-of-Hospital Cardiac Arrest* / mortality
Out-of-Hospital Cardiac Arrest* / therapy
Patient Care Team* / organization & administration
Patient Care Team* / standards
Patient Selection
Survival Rate
Time-to-Treatment / standards