Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department
Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department
复制标题
DOI：
10.1186/s12872-020-01332-4
复制
发表时间：
2020-01-16
影响因子：
2.1
通讯作者：
Fujimi, Satoshi
中科院分区：
文献类型：
--
作者：
Hayashida, Kei;Kinoshita, Takahiro;Fujimi, Satoshi
体外循环心肺复苏术(ECPR)可提高院外心脏骤停患者的存活率和神经学益处。然而，仍然没有足够的证据建议常规使用ECPR来治疗ol A患者。一种新的集成创伤工作流程的概念最近在日本发展起来，该概念利用滑动计算机断层扫描(CT)扫描仪和介入放射学(IR)系统，称为混合急诊室系统(HERS)，允许紧急治疗干预和CT检查，而无需重新定位创伤患者。与传统的先进的心血管生命支持工作流程相比，HERS可以大大缩短ECPR实施时间，并更快地促进明确的干预。在这里，我们讨论了我们的新的工作流程的概念，使用她的心肺复苏，为患者的uchA。
Extracorporeal cardiopulmonary resuscitation (ECPR) can be associated with increased survival and neurologic benefits in selected patients with out-of-hospital cardiac arrest (OHCA). However, there remains insufficient evidence to recommend the routine use of ECPR for patients with OHCA. A novel integrated trauma workflow concept that utilizes a sliding computed tomography (CT) scanner and interventional radiology (IR) system, named a hybrid emergency room system (HERS), allowing emergency therapeutic interventions and CT examination without relocating trauma patients, has recently evolved in Japan. HERS can drastically shorten the ECPR implementation time and more quickly facilitate definitive interventions than the conventional advanced cardiovascular life support workflow. Herein, we discuss our novel workflow concept using HERS on ECPR for patients with OHCA.