Einstein (São Paulo) (Nov 2024)

Extracorporeal cardiopulmonary resuscitation for a patient awaiting heart transplantation: a case report

  • Sávio Sérgio Ferreira Custódio,
  • Isabela Argollo Ferreira,
  • Carolina Cáfaro,
  • Bruno de Arruda Bravim,
  • Bárbara Rubim Alves,
  • Gustavo Niankowski Saliba,
  • Daniel Joelsons

DOI
https://doi.org/10.31744/einstein_journal/2024rc0922
Journal volume & issue
Vol. 22, no. spe1

Abstract

Read online Read online

ABSTRACT Extracorporeal cardiopulmonary resuscitation is a method of cardiopulmonary resuscitation that uses extracorporeal membrane oxygenation with conventional cardiopulmonary resuscitation and has emerged as a promising intervention for patients with refractory cardiac arrest. This report describes the case of a 44-year-old man at significant risk for mortality according to his high RESCUE-IHCA Score who was awaiting heart transplantation and experienced in-hospital cardiac arrest during hemodialysis. Prompt recognition, immediate activation of the extracorporeal membrane oxygenation team, and initiation of support within 60 minutes contributed to a favorable outcome. This case emphasizes important considerations associated with extracorporeal cardiopulmonary resuscitation implementation, including optimal patient selection, intervention timing, and nuances of cannulation procedures. Continuous monitoring, involvement of a specialized extracorporeal membrane oxygenation team, recognition of extracorporeal membrane oxygenation as bridge therapy, and integration of extracorporeal membrane oxygenation with definitive treatment strategies are highlighted. Extracorporeal cardiopulmonary resuscitation is a vital intervention for patients with refractory cardiac arrest, and adequate patient selection and swift implementation are crucial to improving outcomes. A comprehensive review of extracorporeal cardiopulmonary resuscitation is also presented to highlight its efficacy and challenges associated with in-hospital cardiac arrest.

Keywords