6 天之前 · With the first physician supervising ACLS (AKA the “code doc”), the second doctor is responsible for percutaneous femoral venous and arterial access (AKA the “line doc”). On average, it takes 20 to 30 minutes to complete all 3 stages, which provides enough time to allow the patient to achieve ROSC via traditional means.

Extracorporeal cardiopulmonary resuscitation (commonly known as ECPR) is a method of cardiopulmonary resuscitation (CPR) that passes the patient's blood through a machine in a process to oxygenate the blood supply. A portable extracorporeal membrane oxygenation (ECMO) device is used as an adjunct to standard CPR.

2023年4月2日 · 我国急诊医学专家团队在 2018 年发表的《成人体外心肺复苏专家共识》 [1] 中，系统阐述实施成人体外心肺复苏 (extracorporeal cardiopulmonary resuscitation, ECPR)过程中的关键问题， 大大推进了国内急诊 ECPR 技术的开展。 我国 ECPR 的发展远未满足临床需求，仍处于高速发展期，存在地域不均衡、部分医院缺乏经验、在基础条件不具备的情况下急于开展等情况，加之 ECPR 发展迅速，基于上述情况，本文结合新近文献及临床实践对 2018 年共识进行补 …

Extracorporeal cardiopulmonary resuscitation (ECPR) is emerging as a modality to improve prognosis by augmenting perfusion to vital end-organs by utilizing extracorporeal membrane oxygenation (ECMO) during conventional CPR and stabilizing the patient for interventions aimed at reversing the aetiology of the arrest.

2021年11月25日 · Topics as foundational as the physiology of cardiopulmonary resuscitation provide a basis for more complex and less familiar ones such as conducting an ECPR code, cannulation during ECPR including the hybrid approach, and patient management on ECMO immediately following cannulation.

Veno-arterial extracorporeal membrane oxygenation (ECMO) is increasingly being deployed for selected patients in cardiac arrest who do not attain a native circulation with conventional CPR (ECPR). This ELSO guideline is intended to be a practical guide to implementing ECPR and the early management following establishment of ECMO support.

At a Code Blue in the ICU, cardiac catheter laboratory or wards, the ICU SR will activate the ECPR team. For eligible patients, cannulation may be performed in situ if adequate space and patient exposure can be achieved, otherwise the patient will need to be transported with CPR ongoing (LUCAS) to the ICU for cannulation.

2025年3月5日 · The increased accessibility of extracorporeal membrane oxygenation following the COVID‐19 pandemic and the publication of the first randomized trial of extracorporeal cardiopulmonary resuscitation (ECPR) prompted the National Heart, Lung, and Blood Institute to sponsor a workshop on ECPR. Two more randomized trials have since been published in 2022 and 2023. Based on the combined findings ...

ECPR is indicated when conventional cardiopulmonary resuscitation (CPR) fails to achieve a stable return of spontaneous circulation (ROSC). Stable ROSC is when spontaneous circulation is maintained for 20 consecutive minutes, without the need for chest compressions.

2022年6月10日 · ECPR involves the application of percutaneous veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for management of cardiac arrest in the emergency department. ECPR functions as a bridge therapy, enabling temporary systemic organ perfusion until the cause of cardiac failure can be definitively treated.