Variability of extracorporeal cardiopulmonary resuscitation practice in patients with out‐of‐hospital cardiac arrest from the emergency department to intensive care unit in Japan
| العنوان: | Variability of extracorporeal cardiopulmonary resuscitation practice in patients with out‐of‐hospital cardiac arrest from the emergency department to intensive care unit in Japan |
|---|---|
| المؤلفون: | Toru Hifumi, Akihiko Inoue, Toru Takiguchi, Kazuhiro Watanabe, Takayuki Ogura, Tomoya Okazaki, Shinichi Ijuin, Ryosuke Zushi, Hideki Arimoto, Hiroaki Takada, Shinichirou Shiraishi, Yuko Egawa, Jun Kanda, Michitaka Nasu, Makoto Kobayashi, Masaaki Sakuraya, Hiromichi Naito, Shunichiro Nakao, Norio Otani, Ichiro Takeuchi, Naofumi Bunya, Takafumi Shimizu, Hirotaka Sawano, Wataru Takayama, Shigeki Kushimoto, Tomohisa Shoko, Makoto Aoki, Takayuki Otani, Yoshinori Matsuoka, Koichiro Homma, Kunihiko Maekawa, Yoshio Tahara, Reo Fukuda, Migaku Kikuchi, Takuo Nakagami, Yoshihiro Hagiwara, Nobuya Kitamura, Kazuhiro Sugiyama, Tetsuya Sakamoto, Yasuhiro Kuroda, SAVE‐J II Study Group |
| المصدر: | Acute Medicine & Surgery, Vol 8, Iss 1, Pp n/a-n/a (2021) Acute Medicine & Surgery |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | extracorporeal cardiopulmonary resuscitation, Resuscitation, medicine.medical_specialty, medicine.medical_treatment, 030204 cardiovascular system & hematology, Balloon, law.invention, 03 medical and health sciences, 0302 clinical medicine, out‐of‐hospital cardiac arrest, law, Intensive care, medicine, Extracorporeal membrane oxygenation, Extracorporeal cardiopulmonary resuscitation, business.industry, Emergency department, RC86-88.9, General Engineering, 030208 emergency & critical care medicine, Medical emergencies. Critical care. Intensive care. First aid, Original Articles, Intensive care unit, Emergency medicine, Inclusion and exclusion criteria, Original Article, business |
| الوصف: | Aim A lack of known guidelines for the provision of extracorporeal cardiopulmonary resuscitation (ECPR) to patients with out‐of‐hospital cardiac arrest (OHCA) has led to variability in practice between hospitals even in the same country. Because variability in ECPR practice has not been completely examined, we aimed to describe the variability in ECPR practice in patients with OHCA from the emergency department (ED) to the intensive care units (ICU). Methods An anonymous online questionnaire to examine variability in ECPR practice was completed in January 2020 by 36 medical institutions who participated in the SAVE‐J II study. Institutional demographics, inclusion and exclusion criteria, initial resuscitation management, extracorporeal membrane oxygenation (ECMO) initiation, initial ECMO management, intra‐aortic balloon pumping/endotracheal intubation/management during coronary angiography, and computed tomography criteria were recorded. Results We received responses from all 36 institutions. Four institutions (11.1%) had a hybrid emergency room. Cardiovascular surgery was always involved throughout the entire ECMO process in only 14.7% of institutions; 60% of institutions had formal inclusion criteria and 50% had formal exclusion criteria. In two‐thirds of institutions, emergency physicians carried out cannulation. Catheterization room was the leading location of cannulation (48.6%) followed by ED (31.4%). The presence of formal exclusion criteria significantly increased with increasing ECPR volume (P for trend Four institutions (11.1%) had a hybrid emergency room. Cardiovascular surgery was always involved throughout the entire extracorporeal membrane oxygenation process in only 14.7% of institutions. The presence of formal exclusion criteria significantly increased with increasing extracorporeal cardiopulmonary resuscitation volume. |
| اللغة: | English |
| تدمد: | 2052-8817 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f4f6f4438a39fcfbc98a828f7537e8edTest https://doaj.org/article/eca92ed0864a4249a9de37c150cbb593Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f4f6f4438a39fcfbc98a828f7537e8ed |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20528817 |
|---|