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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 52 - 59 (8page)
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초록· 키워드
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Background: This study aimed to present our 5-year experience of extracorporeal cardiopulmonary resuscitation (ECPR) performed by emergency physicians.
Methods: We retrospectively analyzed 58 patients who underwent ECPR between January 2010 and December 2014. The primary parameter analyzed was survival to hospital discharge. The secondary parameters analyzed were neurologic outcome at hospital discharge, cannulation time, and ECPR-related complications.
Results: Thirty-one patients (53.4%) were successfully weaned from extracorporeal membrane oxygenation, and 18 (31.0%) survived to hospital discharge. Twelve patients (20.7%) were discharged with good neurologic outcomes. The median cannulation time was 25.0 min (interquartile range 20.0-31.0 min). Nineteen patients (32.8%) had ECPR-related complications, the most frequent being distal limb ischemia. Regarding the initial presentation, 52 patients (83.9%) collapsed due to a cardiac etiology, and acute myocardial infarction (33/62, 53.2%) was the most common cause of cardiac arrest.
Conclusions: The survival to hospital discharge rate for cardiac arrest patients who underwent ECPR conducted by an emergency physician was within the acceptable limits. The cannulation time and complications following ECPR were comparable to those found in previous studies.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Aziz F / 2014 / Arterial complications in patients undergoing extracorporeal membrane oxygenation via femoral cann
Booth CM / 2004 / Is this patient dead, vegetative, or severely neurologically impaired? Assessing outcome for comatose survivors of cardiac arrest / JAMA 291 : 870 ~ 879
Cave DM / 2010 / Part 7: CPR techniques and devices: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care / Circulat
Chen YS / 2000 / Insertion of percutaneous ECMO cannula / Am J Emerg Med 18 : 184 ~ 185
Chen YS / 2003 / Analysis and results of prolonged resuscitation in cardiac arrest patients rescued by extracorporeal membrane oxygenation / J Am Coll Cardiol 41 : 197 ~ 203
Booth CM / 2004 / Is this patient dead, vegetative, or severely neurologically impaired? Assessing outcome for comatose survivors of cardiac arrest / JAMA 291 : 870 ~ 879
Cave DM / 2010 / Part 7: CPR techniques and devices: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care / Circulat
Chen YS / 2000 / Insertion of percutaneous ECMO cannula / Am J Emerg Med 18 : 184 ~ 185
Chen YS / 2003 / Analysis and results of prolonged resuscitation in cardiac arrest patients rescued by extracorporeal membrane oxygenation / J Am Coll Cardiol 41 : 197 ~ 203
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