First case of extracorporeal membrane oxygenation in cardiorespiratory arrest in an emergency room in Brasil: a possible reality?

The extracorporeal membrane oxygenation (ECMO) is a procedure that has been used for a long time in reference centers worldwide. Its fundamental precept is to serve as a bridge to a definitive treatment in patients with severe, but potentially reversible, clinical conditions. Despite this, its use in cardiopulmonary arrest (ECPR) is still a matter of debate, especially when indicated in the emergency department. There is not yet a sufficient level of evidence to support its routine use. In Brasil, the procedure stopped being considered an experimental technique by the Federal Council of Medicine only in 2017. The objective of the present case is to share the pioneering spirit of a Brazilian reference center with ECPR in the emergency room and to discuss the future challenges of the ECMO technique.

Palavras-chave

Extracorporeal Membrane Oxygenation, Death, sudden, Emergencies

URI

https://observatorio.fm.usp.br/handle/OPI/41359

Referências

Chaves Renato Carneiro de Freitas, 2019, Rev. bras. ter. intensiva, V31, P410, DOI [10.5935/0103-507x.20190063, 10.5935/0103-507X.20190063]
Guglin M, 2019, J AM COLL CARDIOL, V73, P698, DOI 10.1016/j.jacc.2018.11.038
Panchal AR, 2019, CIRCULATION, V140, pE881, DOI 10.1161/CIR.0000000000000732
Rajan S, 2016, CIRCULATION, V134, P2095, DOI 10.1161/CIRCULATIONAHA.116.024400

Coleções

Artigos e Materiais de Revistas Científicas - FM/MCP
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/08
Artigos e Materiais de Revistas Científicas - LIM/09
Artigos e Materiais de Revistas Científicas - LIM/11

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