Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in Australia : a narrative review
© 2023 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd..
Extracorporeal cardiopulmonary resuscitation (ECPR) in patients with prolonged or refractory out-of-hospital cardiac arrest (OHCA) is likely to be beneficial when used as part of a well developed emergency service system. ECPR is technically challenging to initiate and resource-intensive, but it has been found to be cost-effective in hospital-based ECPR programs. ECPR expansion within Australia has thus far been reactive and does not provide broad coverage or equity of access for patients. Newer delivery strategies that improve access to ECPR for patients with OHCA are being trialled, including networked hospital-based ECPR and pre-hospital ECPR programs. The efficacy, scalability, sustainability and cost-effectiveness of these programs need to be assessed. There is a need for national collaboration to determine the most cost-effective delivery strategies for ECPR provision along with its place in the OHCA survival chain.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:220 |
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| Enthalten in: |
The Medical journal of Australia - 220(2024), 1 vom: 15. Jan., Seite 46-53 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Dennis, Mark [VerfasserIn] |
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| Links: |
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| Themen: |
Extracorporeal circulation |
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| Anmerkungen: |
Date Completed 16.01.2024 Date Revised 27.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.5694/mja2.52130 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM363651144 |
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| 245 | 1 | 0 | |a Extracorporeal cardiopulmonary resuscitation for refractory cardiac arrest in Australia |b a narrative review |
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| 520 | |a © 2023 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd. | ||
| 520 | |a Extracorporeal cardiopulmonary resuscitation (ECPR) in patients with prolonged or refractory out-of-hospital cardiac arrest (OHCA) is likely to be beneficial when used as part of a well developed emergency service system. ECPR is technically challenging to initiate and resource-intensive, but it has been found to be cost-effective in hospital-based ECPR programs. ECPR expansion within Australia has thus far been reactive and does not provide broad coverage or equity of access for patients. Newer delivery strategies that improve access to ECPR for patients with OHCA are being trialled, including networked hospital-based ECPR and pre-hospital ECPR programs. The efficacy, scalability, sustainability and cost-effectiveness of these programs need to be assessed. There is a need for national collaboration to determine the most cost-effective delivery strategies for ECPR provision along with its place in the OHCA survival chain | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Extracorporeal circulation | |
| 650 | 4 | |a Resuscitation | |
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| 700 | 1 | |a Burrell, Aidan Jc |e verfasserin |4 aut | |
| 700 | 0 | |a National ECPR Working Group |e verfasserin |4 aut | |
| 700 | 1 | |a Austin, Danielle |e investigator |4 oth | |
| 700 | 1 | |a Anderson, David |e investigator |4 oth | |
| 700 | 1 | |a Bernard, Stephen |e investigator |4 oth | |
| 700 | 1 | |a Burns, Brian |e investigator |4 oth | |
| 700 | 1 | |a Buscher, Hergen |e investigator |4 oth | |
| 700 | 1 | |a Christie, Gayle |e investigator |4 oth | |
| 700 | 1 | |a Collett, Luke |e investigator |4 oth | |
| 700 | 1 | |a Coggins, Andrew |e investigator |4 oth | |
| 700 | 1 | |a Doan, Tan |e investigator |4 oth | |
| 700 | 1 | |a Dhanani, Jayesh |e investigator |4 oth | |
| 700 | 1 | |a Finn, Judith |e investigator |4 oth | |
| 700 | 1 | |a Fisher, Caleb |e investigator |4 oth | |
| 700 | 1 | |a Ferguson, Ian |e investigator |4 oth | |
| 700 | 1 | |a Forrest, Paul |e investigator |4 oth | |
| 700 | 1 | |a Gill, Denzil |e investigator |4 oth | |
| 700 | 1 | |a Granger, Emily |e investigator |4 oth | |
| 700 | 1 | |a Higgins, Lisa |e investigator |4 oth | |
| 700 | 1 | |a Hodgson, Carol |e investigator |4 oth | |
| 700 | 1 | |a Jones, Daryl |e investigator |4 oth | |
| 700 | 1 | |a Kruit, Natalie |e investigator |4 oth | |
| 700 | 1 | |a La Gerche, Andre |e investigator |4 oth | |
| 700 | 1 | |a Marasco, Silvana |e investigator |4 oth | |
| 700 | 1 | |a Maruno, Kevin |e investigator |4 oth | |
| 700 | 1 | |a McCanny, Peter |e investigator |4 oth | |
| 700 | 1 | |a Moylan, Emily |e investigator |4 oth | |
| 700 | 1 | |a Nanjayya, Vinod |e investigator |4 oth | |
| 700 | 1 | |a Nair, Priya |e investigator |4 oth | |
| 700 | 1 | |a Nichol, Alistair |e investigator |4 oth | |
| 700 | 1 | |a Oliver, Matthew |e investigator |4 oth | |
| 700 | 1 | |a Pellegrino, Vin |e investigator |4 oth | |
| 700 | 1 | |a Plunkett, Brian |e investigator |4 oth | |
| 700 | 1 | |a Ramanan, Mahesh |e investigator |4 oth | |
| 700 | 1 | |a Richardson, Sacha |e investigator |4 oth | |
| 700 | 1 | |a Southwood, Timothy J |e investigator |4 oth | |
| 700 | 1 | |a Shekar, Kiran |e investigator |4 oth | |
| 700 | 1 | |a Sackley, Mark |e investigator |4 oth | |
| 700 | 1 | |a Semsarian, Christopher |e investigator |4 oth | |
| 700 | 1 | |a Totaro, Richard |e investigator |4 oth | |
| 700 | 1 | |a Winearls, James |e investigator |4 oth | |
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