Favourable survival of in-hospital compared to out-of-hospital refractory cardiac arrest patients treated with extracorporeal membrane oxygenation: An Italian tertiary care centre experience

Leonello Avalli, Elena Maggioni, Francesco Formica, Gianluigi Redaelli, Maurizio Migliari, Monica Scanziani, Simona Celotti, Anna Coppo, Rosa Caruso, Giuseppe Ristagno, Roberto Fumagalli

Research output: Contribution to journalArticle

Abstract

Objective: Extracorporeal membrane oxygenation (ECMO) support has been suggested to improve the survival rate in patients with refractory in- and out-of-hospital cardiac arrest (IHCA and OHCA). The aim of our study is to report our experience with ECMO in these patients. Design: Retrospective, single-centre, observational study. Patients: From January 2006 to February 2011 we studied 42 patients (31 males) with refractory cardiac arrest. Measurement and main results: ECMO implantation was successful in 38 (90%) of the 42 patients. ECMO support was positioned: three times (8%) in the operating room, six (16%) in the cardiac surgery intensive care unit, 21 (55%) in the emergency room, five (13%) in the catheterisation laboratory and three (8%) in the general ward. A total of 14 IHCA (58%) and three OHCA (16%) patients were weaned from ECMO (. p

Original languageEnglish
Pages (from-to)579-583
Number of pages5
JournalResuscitation
Volume83
Issue number5
DOIs
Publication statusPublished - May 2012

Fingerprint

Out-of-Hospital Cardiac Arrest
Extracorporeal Membrane Oxygenation
Tertiary Care Centers
Survival
Patients' Rooms
Operating Rooms
Heart Arrest
Catheterization
Thoracic Surgery
Observational Studies
Intensive Care Units
Hospital Emergency Service
Survival Rate

Keywords

  • Advanced cardiac life support
  • Cardiac arrest
  • Cardiopulmonary resuscitation
  • Extracorporeal assistance
  • Extracorporeal membrane oxygenation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

Cite this

Favourable survival of in-hospital compared to out-of-hospital refractory cardiac arrest patients treated with extracorporeal membrane oxygenation : An Italian tertiary care centre experience. / Avalli, Leonello; Maggioni, Elena; Formica, Francesco; Redaelli, Gianluigi; Migliari, Maurizio; Scanziani, Monica; Celotti, Simona; Coppo, Anna; Caruso, Rosa; Ristagno, Giuseppe; Fumagalli, Roberto.

In: Resuscitation, Vol. 83, No. 5, 05.2012, p. 579-583.

Research output: Contribution to journalArticle

Avalli, Leonello ; Maggioni, Elena ; Formica, Francesco ; Redaelli, Gianluigi ; Migliari, Maurizio ; Scanziani, Monica ; Celotti, Simona ; Coppo, Anna ; Caruso, Rosa ; Ristagno, Giuseppe ; Fumagalli, Roberto. / Favourable survival of in-hospital compared to out-of-hospital refractory cardiac arrest patients treated with extracorporeal membrane oxygenation : An Italian tertiary care centre experience. In: Resuscitation. 2012 ; Vol. 83, No. 5. pp. 579-583.
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AU - Formica, Francesco

AU - Redaelli, Gianluigi

AU - Migliari, Maurizio

AU - Scanziani, Monica

AU - Celotti, Simona

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AU - Caruso, Rosa

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AU - Fumagalli, Roberto

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N2 - Objective: Extracorporeal membrane oxygenation (ECMO) support has been suggested to improve the survival rate in patients with refractory in- and out-of-hospital cardiac arrest (IHCA and OHCA). The aim of our study is to report our experience with ECMO in these patients. Design: Retrospective, single-centre, observational study. Patients: From January 2006 to February 2011 we studied 42 patients (31 males) with refractory cardiac arrest. Measurement and main results: ECMO implantation was successful in 38 (90%) of the 42 patients. ECMO support was positioned: three times (8%) in the operating room, six (16%) in the cardiac surgery intensive care unit, 21 (55%) in the emergency room, five (13%) in the catheterisation laboratory and three (8%) in the general ward. A total of 14 IHCA (58%) and three OHCA (16%) patients were weaned from ECMO (. p

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KW - Advanced cardiac life support

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