Discharge survival of patients undergoing ECMO therapy after ECPR in a third level hospital

J Castillo García; J C Sánchez Salado; M Gual Santandreu; C S Molina Mazón; A Blasco Lucas; F Sbraga; G López Sánchez

doi:10.1016/j.enfi.2020.03.006

Discharge survival of patients undergoing ECMO therapy after ECPR in a third level hospital

Enferm Intensiva (Engl Ed). 2021 Apr-Jun;32(2):73-78. doi: 10.1016/j.enfi.2020.03.006. Epub 2020 Oct 10.

[Article in English, Spanish]

Authors

J Castillo García¹, J C Sánchez Salado², M Gual Santandreu², C S Molina Mazón³, A Blasco Lucas⁴, F Sbraga⁴, G López Sánchez⁵

Affiliations

¹ Enfermería, Perfusionista, Quirófano, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España. Electronic address: jordicastillogarcia@gmail.com.
² Cardiología, Unidad Coronaria, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
³ Enfermería, Unidad Coronaria, Supervisión, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
⁴ Cirugía Cardiaca, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
⁵ Enfermería, Perfusionista, Quirófano, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.

PMID: 33051151
DOI: 10.1016/j.enfi.2020.03.006

Abstract

Goal: The goal of this study was to assess the survival to hospital discharge in patients after the implementation of venoarterial-extracorporeal membrane oxygenation (VA-ECMO) during cardiopulmonary arrest (simultaneously or during the first six hours after the event) in a Spanish tertiary hospital.

Method: This is a descriptive and retrospective study conducted with patients subjected to VA-ECMO therapy during or after cardiopulmonary resuscitation (ECPR) in the last 10 years. The variables were extracted from the electronic medical record of each patient.

Results: 175 ECMO therapies were implemented, 84% (147) were VA-ECMO, and the indication for 17% (25) was ECPR. In 40% (10), ECMO therapy was initiated simultaneously during CPR, and the rest (15) during the first six hours after the event. Survival rates reached 44%.

Conclusions: The use of CPR in well-selected patients can improve their survival.

Keywords: Cardiac arrest; Cardiopulmonary resuscitation; Circulación extracorpórea; ECPR; ERCP; Extracorporeal circulation; Extracorporeal membrane oxygenation; Oxigenación por membrana extracorpórea; Parada cardiorrespiratoria; Reanimación cardiopulmonar.