Extracorporeal Cardiopulmonary Resuscitation—Where Do We Currently Stand?

Extracorporeal cardiopulmonary resuscitation (eCPR) is a method of acute resuscitation for patients who have suffered a cardiac arrest through the utilization of an extracorporeal membrane oxygenation (ECMO) pump. The use and efficacy of eCPR is an active area of investigation with ongoing clinical...

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Main Authors: Brandon E. Ferrell, Jason Thomas, John P. Skendelas, Mayuko Uehara, Tadahisa Sugiura
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/13/1/204
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author Brandon E. Ferrell
Jason Thomas
John P. Skendelas
Mayuko Uehara
Tadahisa Sugiura
author_facet Brandon E. Ferrell
Jason Thomas
John P. Skendelas
Mayuko Uehara
Tadahisa Sugiura
author_sort Brandon E. Ferrell
collection DOAJ
description Extracorporeal cardiopulmonary resuscitation (eCPR) is a method of acute resuscitation for patients who have suffered a cardiac arrest through the utilization of an extracorporeal membrane oxygenation (ECMO) pump. The use and efficacy of eCPR is an active area of investigation with ongoing clinical investigation across the world. Since its inception, ECMO has been utilized for several conditions, but more recently, its efficacy in maintaining cerebrovascular perfusion in eCPR has generated interest in more widespread utilization, particularly in cases of out-of-hospital cardiac arrest. However, successful implementation of eCPR can be technically challenging and resource intensive and has been countered with ethical challenges beyond the scope of conventional in-hospital ECMO care. The aim of this review is to summarize the status of eCPR in the current era.
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series Biomedicines
spelling doaj-art-b420e5b5ae9e455ea46d331964d15ad92025-01-24T13:24:23ZengMDPI AGBiomedicines2227-90592025-01-0113120410.3390/biomedicines13010204Extracorporeal Cardiopulmonary Resuscitation—Where Do We Currently Stand?Brandon E. Ferrell0Jason Thomas1John P. Skendelas2Mayuko Uehara3Tadahisa Sugiura4Montefiore Medical Center, Department of Cardiothoracic and Vascular Surgery, Bronx, NY 10467, USAAlbert Einstein College of Medicine, Bronx, NY 10461, USAMontefiore Medical Center, Department of Cardiothoracic and Vascular Surgery, Bronx, NY 10467, USAMontefiore Medical Center, Department of Cardiothoracic and Vascular Surgery, Bronx, NY 10467, USAMontefiore Medical Center, Department of Cardiothoracic and Vascular Surgery, Bronx, NY 10467, USAExtracorporeal cardiopulmonary resuscitation (eCPR) is a method of acute resuscitation for patients who have suffered a cardiac arrest through the utilization of an extracorporeal membrane oxygenation (ECMO) pump. The use and efficacy of eCPR is an active area of investigation with ongoing clinical investigation across the world. Since its inception, ECMO has been utilized for several conditions, but more recently, its efficacy in maintaining cerebrovascular perfusion in eCPR has generated interest in more widespread utilization, particularly in cases of out-of-hospital cardiac arrest. However, successful implementation of eCPR can be technically challenging and resource intensive and has been countered with ethical challenges beyond the scope of conventional in-hospital ECMO care. The aim of this review is to summarize the status of eCPR in the current era.https://www.mdpi.com/2227-9059/13/1/204extracorporeal cardiopulmonary resuscitationcardiac arrestextracorporeal membrane oxygenationcardiopulmonary resuscitationout-of-hospital cardiac arrest
spellingShingle Brandon E. Ferrell
Jason Thomas
John P. Skendelas
Mayuko Uehara
Tadahisa Sugiura
Extracorporeal Cardiopulmonary Resuscitation—Where Do We Currently Stand?
Biomedicines
extracorporeal cardiopulmonary resuscitation
cardiac arrest
extracorporeal membrane oxygenation
cardiopulmonary resuscitation
out-of-hospital cardiac arrest
title Extracorporeal Cardiopulmonary Resuscitation—Where Do We Currently Stand?
title_full Extracorporeal Cardiopulmonary Resuscitation—Where Do We Currently Stand?
title_fullStr Extracorporeal Cardiopulmonary Resuscitation—Where Do We Currently Stand?
title_full_unstemmed Extracorporeal Cardiopulmonary Resuscitation—Where Do We Currently Stand?
title_short Extracorporeal Cardiopulmonary Resuscitation—Where Do We Currently Stand?
title_sort extracorporeal cardiopulmonary resuscitation where do we currently stand
topic extracorporeal cardiopulmonary resuscitation
cardiac arrest
extracorporeal membrane oxygenation
cardiopulmonary resuscitation
out-of-hospital cardiac arrest
url https://www.mdpi.com/2227-9059/13/1/204
work_keys_str_mv AT brandoneferrell extracorporealcardiopulmonaryresuscitationwheredowecurrentlystand
AT jasonthomas extracorporealcardiopulmonaryresuscitationwheredowecurrentlystand
AT johnpskendelas extracorporealcardiopulmonaryresuscitationwheredowecurrentlystand
AT mayukouehara extracorporealcardiopulmonaryresuscitationwheredowecurrentlystand
AT tadahisasugiura extracorporealcardiopulmonaryresuscitationwheredowecurrentlystand