Use of ECMO during CPR improves outcomes
A new study shows that survival and neurological outcomes for patients in cardiac arrest can be improved by adding extracorporeal membrane oxygenation (ECMO) when performing cardiopulmonary resuscitation (CPR). The study abstract was released today in an online supplement of the journal CHEST and will be presented at CHEST 2014, the annual meeting of the American College of Chest Physicians in Austin, Texas held October 25-30.
Despite advances in medical care, less than 20% of people who experience a cardiac arrest make a full recovery. An alternate approach to traditional CPR is the use of ECMO during CPR (E-CPR), which provides immediate cardiovascular support when traditional methods fail. E-CPR has been used increasingly in an attempt to improve outcomes after cardiac arrest.
Researchers at Thomas Jefferson University studied results of 100 ECMO procedures performed between 2010 and 2013. Of those 100 procedures, 24 cases unresponsive to conventional CPR received E-CPR. Of the 24 patients, 15 were male and nine female, with an average age of 47 years. Patients received E-CPR for a number of reasons, such as acute myocardial infarction, malignant arrhythmia, myocarditis, acute pulmonary embolism, and hypothermia.
ECMO support was provided for a mean of 5 days, resulting in 13 patients surviving, with seven discharged from the hospital with full neurological recovery. Six patients died post-ECMO from anoxic brain injury, sepsis, and stroke. Researchers found that the 53% of ECMO survivors were discharged with full neurological recovery.
"Based on the survival rates, E-CPR should be considered when determining the optimal treatment path for patients who need cardiopulmonary resuscitation," said researcher Graham Peigh, BA.
CHEST 2014 is the 80th annual meeting of the American College of Chest Physicians (CHEST), held October 25-30, 2014, in Austin, Texas. The American College of Chest Physicians, publisher of the journal CHEST, is the global leader in advancing best patient outcomes through innovative chest medicine education, clinical research, and team-based care. Its mission is to champion the prevention, diagnosis, and treatment of chest diseases through education, communication, and research. It serves as an essential connection to clinical knowledge and resources for its 18,700 members from around the world who provide patient care in pulmonary, critical care, and sleep medicine. For information about the American College of Chest Physicians, visit chestnet.org, or follow the CHEST meeting hashtag, #CHEST2014, on social media.
Kristi Bruno | Eurek Alert!
Researchers release the brakes on the immune system
18.10.2017 | Rheinische Friedrich-Wilhelms-Universität Bonn
Norovirus evades immune system by hiding out in rare gut cells
12.10.2017 | University of Pennsylvania School of Medicine
University of Maryland researchers contribute to historic detection of gravitational waves and light created by event
On August 17, 2017, at 12:41:04 UTC, scientists made the first direct observation of a merger between two neutron stars--the dense, collapsed cores that remain...
Seven new papers describe the first-ever detection of light from a gravitational wave source. The event, caused by two neutron stars colliding and merging together, was dubbed GW170817 because it sent ripples through space-time that reached Earth on 2017 August 17. Around the world, hundreds of excited astronomers mobilized quickly and were able to observe the event using numerous telescopes, providing a wealth of new data.
Previous detections of gravitational waves have all involved the merger of two black holes, a feat that won the 2017 Nobel Prize in Physics earlier this month....
Material defects in end products can quickly result in failures in many areas of industry, and have a massive impact on the safe use of their products. This is why, in the field of quality assurance, intelligent, nondestructive sensor systems play a key role. They allow testing components and parts in a rapid and cost-efficient manner without destroying the actual product or changing its surface. Experts from the Fraunhofer IZFP in Saarbrücken will be presenting two exhibits at the Blechexpo in Stuttgart from 7–10 November 2017 that allow fast, reliable, and automated characterization of materials and detection of defects (Hall 5, Booth 5306).
When quality testing uses time-consuming destructive test methods, it can result in enormous costs due to damaging or destroying the products. And given that...
Using a new cooling technique MPQ scientists succeed at observing collisions in a dense beam of cold and slow dipolar molecules.
How do chemical reactions proceed at extremely low temperatures? The answer requires the investigation of molecular samples that are cold, dense, and slow at...
Scientists from the Max Planck Institute of Quantum Optics, using high precision laser spectroscopy of atomic hydrogen, confirm the surprisingly small value of the proton radius determined from muonic hydrogen.
It was one of the breakthroughs of the year 2010: Laser spectroscopy of muonic hydrogen resulted in a value for the proton charge radius that was significantly...
17.10.2017 | Event News
10.10.2017 | Event News
10.10.2017 | Event News
17.10.2017 | Life Sciences
17.10.2017 | Life Sciences
17.10.2017 | Earth Sciences