Compared to conventional CPR for in-hospital cardiac arrest, extracorporeal-CPR is associated with improved survival to hospital discharge and more favourable neurological outcome.

Abstract

Commentary on: Lasa JJ, Rogers RS, Localio R, et al. Extracorporeal Cardiopulmonary Resuscitation (E-CPR) During pediatric in-hospital cardiopulmonary arrest is associated with improved survival to discharge: a report from the American Heart Association's Get With The Guidelines-Resuscitation (GWTG-R) registry. Circulation 2016;133:165–76[OpenUrl][1][Abstract/FREE Full Text][2]. Data from national and international paediatric databases indicate that the use of extracorporeal cardiopulmonary resuscitation (E-CPR) is increasing.1 Considering the significant resources and cost involved in the use of E-CPR, its use needs to be critically examined to optimise outcomes. This large, multicentre study compared conventional cardiopulmonary resuscitation (C-CPR) and (E-CPR) in paediatric in-hospital cardiac arrest (IHCA). This is a retrospective multicentre cohort study that used data from the American Heart Association Get with the Guidelines Registry. The study included all children (<18 years of age) who had an IHCA and received CPR for ≥10 min between 1 January 2000 and 31 December, 2011. Patients from hospitals with no E-CPR cases, obstetric and trauma diagnosis, missing E-CPR or survival information and … [1]: {openurl}?query=rft.jtitle%253DCirculation%26rft_id%253Dinfo%253Adoi%252F10.1161%252FCIRCULATIONAHA.115.016082%26rft_id%253Dinfo%253Apmid%252F26635402%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=circulationaha&resid=133/2/165&atom=%2Febmed%2F21%2F6%2F227.atom