Enhancing survival in cardiac arrest: the urgent need for optimized extracorporeal cardiopulmonary resuscitation implementation and protocols - editorial

Aiman Waheed; Muhammad H Gul; Risha Naeem; Hafsa Arshad Azam Raja; Abdul B Wardak; Umer Khan

doi:10.1097/MS9.0000000000002740

Enhancing survival in cardiac arrest: the urgent need for optimized extracorporeal cardiopulmonary resuscitation implementation and protocols - editorial

Ann Med Surg (Lond). 2024 Nov 13;86(12):6926-6929. doi: 10.1097/MS9.0000000000002740. eCollection 2024 Dec.

Authors

Aiman Waheed¹, Muhammad H Gul², Risha Naeem³, Hafsa Arshad Azam Raja⁴, Abdul B Wardak⁵, Umer Khan⁶

Affiliations

¹ Department of Anesthesia, Rawalpindi Medical University and Allied Hospitals, Rawalpindi, Pakistan.
² Department of General Medicine, Hayatabad Medical Complex, Peshawar, Pakistan.
³ Department of Internal Medicine, Ameer-ud-din Medical College, Lahore, Pakistan.
⁴ Department of Surgery, Rawalpindi Medical University and Allied Hospitals, Rawalpindi, Pakistan.
⁵ Department of Surgery, Razia Bahlol Hospital, Afghanistan, Madina-Township Kabul, Afghanistan.
⁶ Peshawar Medical College, Peshawar, Pakistan.

Abstract

Extracorporeal CPR (ECPR) involves venoarterial extracorporeal membrane oxygenation (VA-ECMO) in patients with sudden and unexpected pulse loss due to heart-stopping mechanical activity. ECPR in patients with cardiac arrest has been shown to significantly improve the prognosis. In emergency rooms, interdisciplinary coordination exists among emergency medicine, cardiology, critical care, and perfusion technology. However, some problems must be solved, such as excessive costs, resource allocation, and the need for specialized equipment. Resuscitation success and patient outcomes can be enhanced by combining ECPR and emergency care.

Keywords: CPR; ECPR; acute medicine; critical care; emergency medicine.

Publication types

Editorial