초록접수 현황
| 16F-013 | 구연 발표 |
Outcome of Extracorporeal Cardiopulmonary Resuscitation Followed by Therapeutic Hypothermia for Prolonged Refractory In-hospital Cardiac Arrest
Yun Seok Kim, Jong Pil Jung
Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea
Background : We identified the effects of extracorporeal cardiopulmonary resuscitation followed by therapeutic hypothermia on survival and neurologic outcome in patients with prolonged refractory in-hospital cardiac arrest.
Methods : We enrolled 19 adult patients who underwent extracorporeal cardiopulmonary resuscitation followed by therapeutic hypothermia between July 2011 and December 2015 for in-hospital cardiac arrest without any return of spontaneous circulation more than 30 minutes. Survival to discharge and cerebral performance category scale were evaluated.
Results : All patients were received bystander cardiopulmonary resuscitation (CPR) and mean CPR time was 63.1 ± 28.8 minutes. 8 patients (42.1%) were discharged alive with favorable neurologic outcome (Cerebral Performance Category 1-2). The mean follow-up duration was 13.5 ± 19.6 months and most of mortality was occurred between 0 and 21st day after ECMO implantation and thereafter no mortality was occurred during 1 year.
Conclusion : ECPR followed by therapeutic hypothermia could be considered in prolonged refractory in-hospital cardiac arrest if a by-stander conventional CPR was performed effectively.
Methods : We enrolled 19 adult patients who underwent extracorporeal cardiopulmonary resuscitation followed by therapeutic hypothermia between July 2011 and December 2015 for in-hospital cardiac arrest without any return of spontaneous circulation more than 30 minutes. Survival to discharge and cerebral performance category scale were evaluated.
Results : All patients were received bystander cardiopulmonary resuscitation (CPR) and mean CPR time was 63.1 ± 28.8 minutes. 8 patients (42.1%) were discharged alive with favorable neurologic outcome (Cerebral Performance Category 1-2). The mean follow-up duration was 13.5 ± 19.6 months and most of mortality was occurred between 0 and 21st day after ECMO implantation and thereafter no mortality was occurred during 1 year.
Conclusion : ECPR followed by therapeutic hypothermia could be considered in prolonged refractory in-hospital cardiac arrest if a by-stander conventional CPR was performed effectively.
책임저자: Yun Seok Kim
Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea
발표자: Yun Seok Kim, E-mail : yunseok99@hanmail.net