Survival with good neurological outcome after refractory out-of-hospital cardiac arrest is still low. During the last years, many national guidelines have tried to provide the best evidence-based practice and education to manage this medical challenge. Positive effects of extracorporeal life support for refractory in-hospital cardiac arrest have been found. On the other hand, the role of ECMO for refractory out-of-hospital cardiac arrest in adults is not well clarified, and results are more conflicting. In this narrative review, we analyse recent updates of the scientific literature on ECMO and ECLS in adults, exploring the strategies and management of this promising and complex procedure.
Extracorporeal life support for refractory out-of-hospital cardiac arrest in adults
Derobertis Edoardo;
2016
Abstract
Survival with good neurological outcome after refractory out-of-hospital cardiac arrest is still low. During the last years, many national guidelines have tried to provide the best evidence-based practice and education to manage this medical challenge. Positive effects of extracorporeal life support for refractory in-hospital cardiac arrest have been found. On the other hand, the role of ECMO for refractory out-of-hospital cardiac arrest in adults is not well clarified, and results are more conflicting. In this narrative review, we analyse recent updates of the scientific literature on ECMO and ECLS in adults, exploring the strategies and management of this promising and complex procedure.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
