Olson Taylor, Anders Marc, Burgman Cole, Stephens Adam, Bastero Patricia
Pediatric Critical Care Medicine, Children's National Hospital, Washington, DC, United States.
Department of Pediatrics, Baylor College of Medicine, Houston, TX, United States.
Front Med (Lausanne). 2022 Nov 21;9:935424. doi: 10.3389/fmed.2022.935424. eCollection 2022.
Extracorporeal cardiopulmonary resuscitation (ECPR) is an adjunct supportive therapy to conventional cardiopulmonary resuscitation (CCPR) employing veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in the setting of refractory cardiac arrest. Its use has seen a significant increase in the past decade, providing hope for good functional recovery to patients with cardiac arrest refractory to conventional resuscitation maneuvers. This review paper aims to summarize key findings from the ECPR literature available to date as well as the recommendations for ECPR set forth by leading national and international resuscitation societies. Additionally, we describe the successful pediatric ECPR program at Texas Children's Hospital, highlighting the logistical, technical and educational features of the program.
体外心肺复苏（ECPR）是在难治性心脏骤停情况下，采用静脉 - 动脉体外膜肺氧合（VA - ECMO）辅助传统心肺复苏（CCPR）的一种支持性治疗方法。在过去十年中，其使用量显著增加，为难治性心脏骤停患者带来了良好功能恢复的希望。这篇综述文章旨在总结迄今为止ECPR文献中的关键发现以及国内外主要复苏协会提出的ECPR建议。此外，我们还描述了德克萨斯儿童医院成功的儿科ECPR项目，突出了该项目的后勤、技术和教育特点。
