Cardiogenic Shock, Extracorporeal Membrane Oxygenation Complication
Conditions
Keywords
levosimendan, ECPR, neurological outcome
Brief summary
Treatment of refractory cardiac arrest requiring cardiopulmonary resuscitation (CPR) may be augmented with Extracorporeal membrane oxygenation (ECMO) to re-establish perfusion in the absence of return of spontaneous circulation. Literature has demonstrated that ECMO initiated during advanced cardiopulmonary life support may confer superior survival rates with acceptable survival and a relatively low incidence of significant neurologic impairment. Levosimendan has not been investigated in patients with cardiac arrest who underwent Extracorporeal CPR (E-CPR). The current study aims to examine whether levosimendan use in the aforementioned patient population could improve survival and ECMO parameters.
Interventions
examine whether levosimendan could improve in-hospital survival with good neurological outcomes in patients with cardiac arrest supported by E-CPR
Sponsors
Study design
Eligibility
Inclusion criteria
IInclusion criteria: * Hospitalized patients ≥ 18 years of age at the time of E-CPR use * Patients suffered cardiac arrest (IHCA or OHCA) * Patients received VA-ECMO for E-CPR * Criteria as per HMC's Extracorporeal Membrane Oxygenation (ECMO) for Cardiac Arrest (E-CPR) clinical practice guidelines (attached with the study protocol)
Exclusion criteria
* Patients with incomplete key data * Criteria as per HMC's Extracorporeal Membrane Oxygenation (ECMO) for Cardiac Arrest (E-CPR) clinical practice guidelines (attached with the study protocol)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survival to hospital discharge | 6 months | Survival to hospital discharge with good neurological outcomes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Survival to decannulation | 6 months | Survival to decannulation with good neurological outcomes |
| long term survival | 6 months | long term survival |
Countries
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