Minimally invasive extracorporeal circulation resuscitation in hypothermic cardiac arrest.

Winkler, Bernhard; Jenni, Hans Jörg; Gygax, Erich; Schnüriger, Beat; Seidl, Christian Andreas; Erdös, Gabor; Kadner, Alexander; Carrel, Thierry; Eberle, Balthasar (2016). Minimally invasive extracorporeal circulation resuscitation in hypothermic cardiac arrest. Perfusion, 31(6), pp. 489-494. Sage 10.1177/0267659116636212

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Current guidelines for the treatment of hypothermic cardiocirculatory arrest recommend extracorporeal life support and rewarming, using cardiopulmonary bypass or extracorporeal membrane oxygenation circuits. Both have design-related shortcomings which may result in prolonged reperfusion time or insufficient oxygen delivery to vital organs. This article describes clear advantages of minimally invasive extracorporeal circulation systems during emergency extracorporeal life support in hypothermic arrest. The technique of minimally invasive extracorporeal circulation for reperfusion and rewarming is represented by the case of a 59-year-old patient in hypothermic cardiocirculatory arrest at 25.3°C core temperature, with multiple trauma. With femoro-femoral cannulation performed under sonographic and echocardiographic guidance, extracorporeal life support was initiated using a minimally invasive extracorporeal circulation system. Perfusing rhythm was restored at 28°C. During rewarming on the mobile circuit, trauma surveys were completed and the treatment initiated. Normothermic weaning was successful on the first attempt, trauma surgery was completed and the patient survived neurologically intact. For extracorporeal resuscitation from hypothermic arrest, minimally invasive extracorporeal circulation offers all the advantages of conventional cardiopulmonary bypass and extracorporeal membrane oxygenation systems without their shortcomings.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic and Policlinic for Anaesthesiology and Pain Therapy

UniBE Contributor:

Schnüriger, Beat; Seidl, Christian Andreas; Erdös, Gabor and Eberle, Balthasar

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0267-6591

Publisher:

Sage

Language:

English

Submitter:

Jeannie Wurz

Date Deposited:

21 Mar 2016 10:37

Last Modified:

23 Jan 2018 12:14

Publisher DOI:

10.1177/0267659116636212

PubMed ID:

26929238

Uncontrolled Keywords:

cardiopulmonary bypass; extracorporeal perfusion; hypothermia; resuscitation

BORIS DOI:

10.7892/boris.79094

URI:

https://boris.unibe.ch/id/eprint/79094

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