Table 3:
ECMO-facilitated resuscitation (n=15) |
Standard ACLS treatment (n=15) |
|||
---|---|---|---|---|
Number of patients with data | Patients | Number of patients with data | Patients | |
Number of adverse events | ||||
Total number of adverse events | 15 | 166 | 15 | 47 |
Patients with more than one event | 15 | 15 (100%) | 15 | 2 (13%) |
Unsuccessful resuscitation from refractory cardiac arrest | ||||
Death before admission | 15 | 2 (13%) | 15 | 13 (87%) |
Circulatory events | ||||
Cardiogenic shock | 13 | 12 (92%) | 2 | 2 (100%) |
Inotropes or vasopressors in ICU | 13 | 11 (85%) | 2 | 2 (100%) |
CNS events | ||||
Cerebral oedema | 13 | 3 (23%) | 2 | 1 (50%) |
CNS diffuse ischaemia | 13 | 6 (46%) | 2 | 1 (50%) |
Seizure activity | 13 | 0 | 2 | 0 |
Cardiopulmonary resuscitation trauma | ||||
Retrosternal or intrathoracic bleeding | 13 | 4 (31%) | 2 | 1 (50%) |
Rib fractures | 13 | 11 (85%) | 2 | 2 (100%) |
Gastrointestinal events | ||||
Acute liver failure or injury | 13 | 9 (69%) | 2 | 2 (100%) |
Renal events | ||||
Acute kidney injury requiring continuous renal replacement therapy or dialysis | 13 | 10 (77%) | 2 | 1 (50%) |
Respiratory events | ||||
Aspiration pneumonitis or pneumonia | 13 | 12 (92%) | 2 | 2 (100%) |
Pulmonary oedema | 13 | 5 (38%) | 2 | 2 (100%) |
Unanticipated device-related adverse events | ||||
None | 13 | NA | 2 | NA |
Procedure-related events | ||||
Cracked tubing connector replaced | 13 | 1 (8%) | 2 | NA |
Access-site bleeding requiring transfusion of >3 units of PRBC | 13 | 2 (15%) | 2 | NA |
IVC trauma, retroperitoneal bleeding | 13 | 1 (8%) | 2 | NA |
Data are n (%), unless otherwise specified. ACLS=advanced cardiac life support. ECMO=extracorporeal membrane oxygenation. ICU=intensive care unit. NA=not applicable. PRBC=packed red blood cells. IVC=inferior vena cava.