Kovács Enikő, Németh Endre, Prigya Jutas, Szvath Petra, Édes István, Hartyánszky István, Soltész Ádám, Csikós Gergely Richárd, Fazekas Levente, Gál János, Becker Dávid, Merkely Béla, Zima Endre
1 Semmelweis Egyetem, Általános Orvostudományi Kar, Aneszteziológiai és Intenzív Terápiás Klinika Budapest, Semmelweis Egyetem, Pf. 2 1428 Magyarország.
2 Semmelweis Egyetem, Általános Orvostudományi Kar, Városmajori Szív- és Érgyógyászati Klinika Budapest Magyarország.
Orv Hetil. 2023 Apr 2;164(13):510-514. doi: 10.1556/650.2023.32727.
The frequency of the administration of extracorporeal cardiopulmonary resuscitation is increasing both in the treatment of in-hospital and out-of-hospital cardiac arrest. The latest resuscitation guidelines support the use of mechanical circulatory support devices in the cases of prolonged cardiopulmonary resuscitation in certain selected patient groups. However, only little evidence is available regarding the effectiveness of extracorporeal cardiopulmonary resuscitation, and many open questions remained unanswered regarding the adequate conditions of this modality. The timing and location of extracorporeal cardiopulmonary resuscitation are important factors, as well as the appropriate training of the personnel using extracorporeal techniques. Our review briefly summarizes, according to the current literature and recommendations, in which cases extracorporeal resuscitation may be beneficial, which type of mechanical circulatory support is the first choice of extracorporeal cardiopulmonary resuscitation, which factors influence the efficacy of this supportive treatment, and which complications may be expected during mechanical circulatory support during resuscitation. Orv Hetil. 2023; 164(13): 510-514.
无论是在院内心脏骤停还是院外心脏骤停的治疗中，体外心肺复苏的应用频率都在增加。最新的复苏指南支持在某些特定患者群体中，对长时间心肺复苏的病例使用机械循环支持设备。然而，关于体外心肺复苏有效性的证据很少，而且关于这种方式的适当条件仍有许多未解决的问题。体外心肺复苏的时机和地点是重要因素，使用体外技术的人员的适当培训也是如此。根据当前的文献和建议，我们的综述简要总结了在哪些情况下体外复苏可能有益，哪种类型的机械循环支持是体外心肺复苏的首选，哪些因素影响这种支持性治疗的疗效，以及在复苏期间机械循环支持过程中可能会出现哪些并发症。《匈牙利医学周报》。2023年；164(13):510 - 514。
