Targeted temperature management in patients undergoing extracorporeal life support after out-of-hospital cardiac arrest: an EURO-ELSO 2018 annual conference survey

Perfusion. 2019 Nov;34(8):714-716. doi: 10.1177/0267659119847033. Epub 2019 May 31.

Abstract

Targeted temperature management and extracorporeal life support, particularly extracorporeal membrane oxygenation in patients undergoing cardiopulmonary resuscitation, represent outcome-enhancing strategies for patients following in- and out-of-hospital cardiac arrest. Although targeted temperature management with hypothermia between 32°C and 34°C and extracorporeal cardiopulmonary resuscitation bear separate potentials to improve outcome after out-of-hospital cardiac arrest, each is associated with bleeding risk and risk of infection. Whether the combination imposes excessive risk on patients is, however, unknown.

Keywords: ECMO; ECPR; haemorrhage; hypothermia; targeted temperature.

MeSH terms

  • Europe
  • Extracorporeal Membrane Oxygenation / adverse effects
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Hemorrhage / etiology
  • Humans
  • Hypothermia, Induced / adverse effects
  • Hypothermia, Induced / methods*
  • Infections / etiology
  • Male
  • Out-of-Hospital Cardiac Arrest / therapy*
  • Surveys and Questionnaires