PCPS for brain extracorporeal cardiopulmonary resuscitation (ECPR)

Abstract

There is insufficient evidence to recommend the routine use of extracorporeal cardiopulmonary resuscitation (ECPR) for adult patients in cardiac arrest; in conjunction with normothermia, however, it has been shown to be superior to standard cardiopulmonary resuscitation (CPR) in terms of return of spontaneous circulation. Early implementation of ECPR with intra-arrest cooling and percutaneous coronary intervention is likely to protect cells from ischemic/hypoxemic/reperfusion injury and enhance neurological benefits for adult patients in cardiac arrest refractory to standard CPR.