Pub Date : 2024-11-05DOI: 10.1016/j.resuscitation.2024.110424
Konrad Mendrala, Tomasz Darocha, Michał Pluta, Anna Witt-Majchrzak, Hubert Hymczak, Ewelina Nowak, Tomasz Czarnik, Barbara Barteczko-Grajek, Wojciech Dąbrowski, Sylweriusz Kosiński, Paweł Podsiadło
Aim of the study: Predictive factors for poor outcomes in hypothermic cardiac arrest (HCA) differ from those in normothermic out-of-hospital cardiac arrest (OHCA). This study aimed to evaluate the outcomes of extracorporeal life support (ECLS) in HCA patients who may not be considered eligible based on the guidelines set by the Extracorporeal Life Support Organization (ELSO).
Methods: A retrospective multicentre study included 127 HCA patients, divided into two groups: those meeting the ELSO eligibility criteria for ECLS, and those with at least one of the following ELSO exclusion criteria: age over 70 years, unwitnessed cardiac arrest, or asystole.
Results: Among the 62 patients who met the ELSO criteria, 38 (61 %) survived to hospital discharge, with 34 (89 %) achieving a favourable neurological outcomes. Of the 65 patients who received ECLS despite not meeting ELSO criteria, 24 (37 %) survived to discharge, with 20 (83 %) demonstrating a favourable neurological outcomes. In patients not meeting one or two ELSO criteria, survival rates were 18 of 47 (38 %) and 6 of 16 (38 %) respectively, with 83 % of survivors in both groups achieving favourable neurological outcomes. The two patients who failed to meet all three ELSO criteria did not survive.
Conclusion: Qualification of patients with hypothermic cardiac arrest for ECLS rewarming should not be strictly based on guidelines for normothermic cardiac arrest, as this may result in not initiating potentially life-saving treatment for patients who could have favourable prognoses for survival with good neurological outcomes.
{"title":"Outcomes of extracorporeal life support in hypothermic cardiac arrest: Revisiting ELSO guidelines.","authors":"Konrad Mendrala, Tomasz Darocha, Michał Pluta, Anna Witt-Majchrzak, Hubert Hymczak, Ewelina Nowak, Tomasz Czarnik, Barbara Barteczko-Grajek, Wojciech Dąbrowski, Sylweriusz Kosiński, Paweł Podsiadło","doi":"10.1016/j.resuscitation.2024.110424","DOIUrl":"10.1016/j.resuscitation.2024.110424","url":null,"abstract":"<p><strong>Aim of the study: </strong>Predictive factors for poor outcomes in hypothermic cardiac arrest (HCA) differ from those in normothermic out-of-hospital cardiac arrest (OHCA). This study aimed to evaluate the outcomes of extracorporeal life support (ECLS) in HCA patients who may not be considered eligible based on the guidelines set by the Extracorporeal Life Support Organization (ELSO).</p><p><strong>Methods: </strong>A retrospective multicentre study included 127 HCA patients, divided into two groups: those meeting the ELSO eligibility criteria for ECLS, and those with at least one of the following ELSO exclusion criteria: age over 70 years, unwitnessed cardiac arrest, or asystole.</p><p><strong>Results: </strong>Among the 62 patients who met the ELSO criteria, 38 (61 %) survived to hospital discharge, with 34 (89 %) achieving a favourable neurological outcomes. Of the 65 patients who received ECLS despite not meeting ELSO criteria, 24 (37 %) survived to discharge, with 20 (83 %) demonstrating a favourable neurological outcomes. In patients not meeting one or two ELSO criteria, survival rates were 18 of 47 (38 %) and 6 of 16 (38 %) respectively, with 83 % of survivors in both groups achieving favourable neurological outcomes. The two patients who failed to meet all three ELSO criteria did not survive.</p><p><strong>Conclusion: </strong>Qualification of patients with hypothermic cardiac arrest for ECLS rewarming should not be strictly based on guidelines for normothermic cardiac arrest, as this may result in not initiating potentially life-saving treatment for patients who could have favourable prognoses for survival with good neurological outcomes.</p>","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":null,"pages":null},"PeriodicalIF":6.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-30DOI: 10.1016/S0300-9572(24)00362-9
{"title":"44 Association between scene time interval and clinical outcomes according to key Utstein factors in out-of-hospital cardiac arrest","authors":"","doi":"10.1016/S0300-9572(24)00362-9","DOIUrl":"10.1016/S0300-9572(24)00362-9","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":null,"pages":null},"PeriodicalIF":6.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-30DOI: 10.1016/S0300-9572(24)00350-2
{"title":"31 The “ceiling effect” of bystander CPR among three Asian countries: descriptive study of national OHCA databases","authors":"","doi":"10.1016/S0300-9572(24)00350-2","DOIUrl":"10.1016/S0300-9572(24)00350-2","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":null,"pages":null},"PeriodicalIF":6.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-30DOI: 10.1016/S0300-9572(24)00329-0
{"title":"6 Simulation based Womens Education Development Day training for Nurses & Midwives in Obstetric emergencies: Experiences from Sidra Medicine","authors":"","doi":"10.1016/S0300-9572(24)00329-0","DOIUrl":"10.1016/S0300-9572(24)00329-0","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":null,"pages":null},"PeriodicalIF":6.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-30DOI: 10.1016/S0300-9572(24)00377-0
{"title":"60 Pre-hospital post-arrest anaesthesia for reintubation of an extraglottic airway to an endotracheal tube with midazolam vs. propofol - results of a multicentre observational study","authors":"","doi":"10.1016/S0300-9572(24)00377-0","DOIUrl":"10.1016/S0300-9572(24)00377-0","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":null,"pages":null},"PeriodicalIF":6.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142540034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-30DOI: 10.1016/S0300-9572(24)00383-6
{"title":"66 The Impact of CPR Technique on Post-Arrest Neurologic Outcomes In Television Medical Dramas","authors":"","doi":"10.1016/S0300-9572(24)00383-6","DOIUrl":"10.1016/S0300-9572(24)00383-6","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":null,"pages":null},"PeriodicalIF":6.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142536960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-30DOI: 10.1016/S0300-9572(24)00405-2
{"title":"91 Association Between Hemoglobin and Neurological Outcome in the Elderly after Cardiac Arrest: A Retrospective Study","authors":"","doi":"10.1016/S0300-9572(24)00405-2","DOIUrl":"10.1016/S0300-9572(24)00405-2","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":null,"pages":null},"PeriodicalIF":6.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142536962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-30DOI: 10.1016/S0300-9572(24)00373-3
{"title":"56 Improving Cardiopulmonary Resuscitation Effectiveness Through the Use of a Smartphone Application Among Trained and Non-Trained Adults in Greece.","authors":"","doi":"10.1016/S0300-9572(24)00373-3","DOIUrl":"10.1016/S0300-9572(24)00373-3","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":null,"pages":null},"PeriodicalIF":6.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-30DOI: 10.1016/S0300-9572(24)00414-3
{"title":"100 Near-Infrared Spectroscopy as a surrogate for Vital Organ Perfusion during Cardiopulmonary Resuscitation in a Porcine Model of Cardiac Arrest","authors":"","doi":"10.1016/S0300-9572(24)00414-3","DOIUrl":"10.1016/S0300-9572(24)00414-3","url":null,"abstract":"","PeriodicalId":21052,"journal":{"name":"Resuscitation","volume":null,"pages":null},"PeriodicalIF":6.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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