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Establishing an Extracorporeal Cardiopulmonary Resuscitation Program.
Medicina (Kaunas)
December 2024
Department of Health Science, Anesthesia and ICU, School of Medicine, University of Basilicata San Carlo Hospital, 85100 Potenza, Italy.
Extracorporeal cardiopulmonary resuscitation (ECPR) is a complex, life-saving procedure that uses mechanical support for patients with refractory cardiac arrest, representing the pinnacle of extracorporeal membrane oxygenation (ECMO) applications. Effective ECPR requires precise patient selection, rapid mobilization of a multidisciplinary team, and skilled cannulation techniques. Establishing a program necessitates a cohesive ECMO system that promotes interdisciplinary collaboration, which is essential for managing acute cardiogenic shock and severe pulmonary failure.
View Article and Find Full Text PDFSuccessful Management of Intraoperative Cardiac Arrest in a Patient With Undiagnosed Hypertrophic Cardiomyopathy.
Cureus
November 2024
Anesthesia and Critical Care, Avicenne Military Hospital/Cadi Ayyad University, Marrakech, MAR.
Intraoperative cardiac arrest presents a significant challenge in surgical settings, particularly in patients with undiagnosed cardiac conditions. This report details the case of a 62-year-old male patient who experienced cardiac arrest during elective laparoscopic cholecystectomy, attributed to previously undiagnosed hypertrophic cardiomyopathy (HCM). The patient exhibited no prior cardiac symptoms and was assessed as low risk preoperatively.
View Article and Find Full Text PDFImpact of video-assisted neonatal resuscitation on newborns and resuscitators: A feasibility study.
Resusc Plus
December 2024
Department of Neonatology, Perinatal Medical Center, Kagoshima City Hospital, Kagoshima, Japan.
Aim: High-risk deliveries are still common due to the increased use of assisted reproductive technologies. In Japan, despite centralization of labor, about half of all deliveries are still carried out in obstetric clinics. Telemedicine support is important for neonatal resuscitation involving urgent, life-altering professional judgment in local deliveries.
View Article and Find Full Text PDFRationale and development of a prehospital goal-directed bundle of care to prevent rearrest after return of spontaneous circulation.
J Am Coll Emerg Physicians Open
December 2024
In patients with out-of-hospital cardiac arrest (OHCA) who attain return of spontaneous circulation (ROSC), rearrest while in the prehospital setting represents a significant barrier to survival. To date, there are limited data to guide prehospital emergency medical services (EMS) management immediately following successful resuscitation resulting in ROSC and prior to handoff in the emergency department. Post-ROSC care encompasses a multifaceted approach including hemodynamic optimization, airway management, oxygenation, and ventilation.
View Article and Find Full Text PDFThe Discover In-Hospital Cardiac Arrest (Discover IHCA) Study: An Investigation of Hospital Practices After In-Hospital Cardiac Arrest.
Crit Care Explor
September 2024
Bronx Center for Critical Care Outcomes and Resuscitation Research, Division of Critical Care Medicine, Montefiore Medical Center, Bronx, NY.
Importance: In-hospital cardiac arrest (IHCA) is a significant public health burden. Rates of return of spontaneous circulation (ROSC) have been improving, but the best way to care for patients after the initial resuscitation remains poorly understood, and improvements in survival to discharge are stagnant. Existing North American cardiac arrest databases lack comprehensive data on the post-resuscitation period, and we do not know current post-IHCA practice patterns.
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