Outcomes After Extracorporeal CPR in Pediatric Cardiac Arrest

In a large series of children, survival to discharge was 41% at hospitals that chose to report outcomes.

Extracorporeal cardiopulmonary resuscitation (ECPR) — the initiation of extracorporeal membrane oxygenation (ECMO) during ongoing CPR — is considered “reasonable” by the American Heart Association for children with heart disease who do not have prompt return of spontaneous circulation. However, robust outcome data are lacking in children.

Researchers reviewed registry data for 32 hospitals that chose to report cardiac arrest outcomes from 2000 through 2014. Included were patients aged <18 years who received ECPR. Newborns with arrest in the delivery room were excluded. Outcomes were survival to hospital discharge and favorable neurologic outcome.

Of 593 children, 70% were aged <1 year and 59% were cardiac surgery patients. Overall survival to…

Reviewing Author

Benton R. Hunter, MD

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Chair, Evidence Based Healthcare Interest Group)

Benton R. Hunter, MD

Disclosures

Leadership Positions in Professional SocietiesSociety for Academic Emergency Medicine (Chair, Evidence Based Healthcare Interest Group)

Outcomes After Extracorporeal CPR in Pediatric Cardiac Arrest

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Reviewing Author