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KMID : 0385920130240050627
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Journal of the Korean Society of Emergency Medicine
2013 Volume.24 No. 5 p.627 ~ p.629
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Complete Recovery after Prolonged Resuscitation Using Extracorporeal Membrane Oxygenation for In-hospital Arrest Due to Refractory Ventricular Fibrillation
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Park Yong-Gyu
Choi Si-Wan
Jin Seon-Ah
Ahn Kye-Taek
Kim Jun-Hyung
Park Jae-Hyeong
Lee Jae-Hwan
Jung Jin-Ok
Sung In-Hwan
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Abstract
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Extracorporeal life support (ECLS) has been used as an adjunctive therapy to conventional cardiopulmonary resuscitation (CPR) in patients with in-hospital cardiac arrest. However, whether to apply ECLS after prolonged CPR (>30 minutes) is a difficult decision. We present the case of a 49-year-old woman with in-hospital cardiac arrest caused by refractory ventricular fibrillation and rescued by extracorporeal membrane oxygenation (ECMO) during prolonged CPR. The ECMO was implemented 90 minutes after the initiation of CPR and the total duration of CPR was about 5 hours. The patient fully recovered and was discharged without neurological complications.
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KEYWORD
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Extracorporeal membrane oxygenation, Cardiopulmonary resuscitation, Ventricular fibrillation
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