PMID: 8446787Feb 1, 1993Paper

Extracorporeal life support for patients undergoing prolonged external cardiac massage

Resuscitation
M KuroseT Morioka

Abstract

From November 1987 to February 1992, extracorporeal life support (ECLS) was used for four patients undergoing prolonged external cardiac massage following cardiac arrest. Their underlying diseases consisted of acute pulmonary embolism, pulmonary arterial thrombosis due to protein C deficiency, acute inferior left ventricular infarction accompanied by right ventricular infarction and thoracic contusion. After the initiation of ECLS, hemodynamic variables and metabolic acidosis improved in all of the cases. The case of pulmonary embolism and the case of acute myocardial infarction were successfully weaned from ECLS without complications. They were later discharged ambulatory from the hospital. The patient with pulmonary arterial thrombosis, who was comatose, became alert after the initiation of ECLS. However the patient finally died due to diffuse and massive pulmonary arterial thrombosis, which was probably related to protein C deficiency. The patient with thoracic contusion was also comatose before ECLS. He did not recover from the coma and died soon after the disconnection of ECLS. The latter two cases were suspected to have had irreversible organ failures not responsive to mechanical support of both circulation and respiratio...Continue Reading

References

Jan 1, 1990·The American Journal of Emergency Medicine·P SafarS W Stezoski
Jul 1, 1989·ASAIO Transactions·K MottaghyC Geisen
Jun 1, 1987·Annals of Emergency Medicine·E PrettoS Kelsey
Jun 1, 1987·Annals of Emergency Medicine·R LevineS Kelsey
Jun 1, 1987·Annals of Emergency Medicine·G B MartinM C Tomlanovich

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Citations

Sep 1, 1994·Journal of Anesthesia·M YasumotoT Morioka
Nov 9, 2001·Critical Care Medicine·M R BailénE Aguayo De Hoyos
Feb 1, 2003·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Vjekoslav OrozovićRadoslav Romanović
Oct 19, 2005·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Saso RafajlovskiAndelka Ristić-Andelkov
May 9, 2014·Texas Heart Institute Journal·Derek M NusbaumBiswajit Kar
Oct 23, 1997·The American Journal of Emergency Medicine·I KukitaM Ando
Sep 23, 2009·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Marcelo G CardarelliBartley Griffith
Mar 22, 2006·Critical Care Medicine·Janah Aji, Steven Hollenberg

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