Faktorer assosiert ved Veno-Arteriell Ekstrakorporal membranoksygenering (ECMO) på Ekstrakorporal Hjerte-lunge redning (ECPR) Scoping review

Abstract

Faktorer assosieres ved Veno-Arteriell Ekstrakorporal membranoksygenering (ECMO) på Ekstrakorporal Hjerte-lunge redning (ECPR). Bakgrunn: Veno-Arteriell ekstrakorporal membranoksygenering (VA-ECMO) kan behandle hjertestans som ikke får tilbake egen sirkulasjon ved konvensjonell hjerte -lungeredning. Metoden kalles for ekstrakorporal pulmonalresuscitering (ECPR). Kort tidsintervall fra pasienten ankommer sykehus til ECMO kretsløp er etablert er assosiert med økt overlevelse. Imidlertid viser litteraturen ulike variabler på dør til dør kanylering på ECPR. Hensikt og forskningsspørsmål: Kartlegge og sammenfatte resultater fra eksisterende studier om bruk av ECMO på hjertestans pasienter for å belyse hvilke resultater som er adressert og assosieres med dør til dør kanyleringstid ved VA- ECMO på ECPR. Metode: En scoping review etter Arksey og O`Malley metodisk rammeverk og PRISMA extension for scoping reviews (PRISMA-ScR) guidelines. PubMed, Cochrane Library, Nursing Reference Center plus, UpTodate, The National institute for Health and Care Excellence (NICE) databaser ble søkt i for å identifisere studier publisert fra 2013 til frem til 20 februar 2022 på engelske eller nordiske språk. Braun & Clarke tematisk analysemetode ble brukt for svare på hensikten. Resultater: Det ble inkludert 14 studier fra Asia, Europa og Nord-Amerika. To randomisert kontrollerte studier, en systematisk review, 11 kohortstudier ble identifisert. Svy tema ble identifisert; Simulering som lære metode, hjelpemidler og teknikker brukt i VA-ECMO kanylering, Rask utrykning og rask avgjørelse for ECPR, kombinasjon av helsepersonell, opphøre mekanisk bryst kompresjon ved kanylering, størrelse på arterie- og venekanyler og bruk av stiv guidewire var resultatene fra analysen. Konklusjon: Denne scoping review belyser relevans for en systematisk og høytroverdig simuleringstrening av helsepersonell som er involvert i ECPR behandling slik at dør til dør kanylering blir kortest mulig. Bruk av ultralydveiledet, florouskopi og stiv guidewire i VA-ECMO kanylering samt et velfungerende ECMO team minimerer tid på dør til dør kanylering på ECPR. Nøkkelord: ECMO; ECPR; Heart arrest, Extracorporeal cardiopulmonary resuscitation;

Title Factors associate with veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in Extracorporeal cardiopulmonary resuscitation (ECPR). Background: Cardiac arrest without return of spontaneous circulation can be treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO). The method is called Extracorporeal cardiopulmonary resuscitation (ECPR). A shorter time from arrival to cannulation of ECMO was predicted to be associated with better survival rates. However, studies worldwide show different variables in door to cannulation time. Aim/Purpose: The present study undertakes a scoping review to summarize the available evidence the use of ECMO in cardiac arrest. This scoping review aims to identify factors associate with door to cannulation time on VA-ECMO on ECPR. Method: This scoping review follows Arksey and O`Malley framework and also PRISMA extension for scoping reviews (PRISMA-ScR) guidelines. PubMed, Cochrane Library, Nursing Reference Center plus, UpTodate, The National institute for Health and Care Excellence (NICE) databases were used to identify papers published from database from 2013 to February 20, 2020. Results: Fourteen studies from Asia, Europe, and North America have been analyzed by using Braun & Clarke thematic analysis method; one systematic review, two randomized control trials and eleven observational studies were included in this scoping review. Thematic analyzed identified seven themes; simulation in training, used of devices in cannulation, the size of artery, venous cannula, used of stiff guidewire, Rapid respond and rapid determination of ECPR, a short brief of breast compression in cannulation and combination of healthcare personnel. Conclusions: This scoping review highlights the need for a systematic, high-fidelity simulation training among the ECMO team to minimize door to cannulation time. Studies show the used of ultrasound and stiff guidewire in cannulation and rapid determination of ECPR decreased door to cannulation time on ECPR. Keywords: ECPR; cardiac arrest; extracorporeal cardiopulmonary resuscitation; extracorporeal life support; extracorporeal membrane oxygenation; refractory ventricular fibrillation; resuscitation. Door to cannulation. Background: Cardiac arrest without return of spontaneous circulation can be treated with veno-arterial extracorporeal membrane oxygenation (VA-ECMO). The method is called Extracorporeal cardiopulmonary resuscitation (ECPR). A shorter time from arrival to cannulation of ECMO was predicted to be associated with better survival rates. However, studies worldwide show different variables in door to cannulation time. Aim/Purpose: The present study undertakes a scoping review to summarize the available evidence the use of ECMO in cardiac arrest. This scoping review aims to identify factors associate with door to cannulation time on VA-ECMO on ECPR. Method: This scoping review follows Arksey and O`Malley framework and also PRISMA extension for scoping reviews (PRISMA-ScR) guidelines. PubMed, Cochrane Library, Nursing Reference Center plus, UpTodate, The National institute for Health and Care Excellence (NICE) databases were used to identify papers published from database from 2013 to February 20, 2020. Results: Fourteen studies from Asia, Europe, and North America have been analyzed by using Braun & Clarke thematic analysis method; one systematic review, two randomized control trials and eleven observational studies were included in this scoping review. Thematic analyzed identified seven themes; simulation in training, used of devices in cannulation, the size of artery, venous cannula, used of stiff guidewire, Rapid respond and rapid determination of ECPR, a short brief of breast compression in cannulation and combination of healthcare personnel. Conclusions: This scoping review highlights the need for a systematic, high-fidelity simulation training among the ECMO team to minimize door to cannulation time. Studies show the used of ultrasound and stiff guidewire in cannulation and rapid determination of ECPR decreased door to cannulation time on ECPR. Keywords: ECPR; cardiac arrest; extracorporeal cardiopulmonary resuscitation; extracorporeal life support; extracorporeal membrane oxygenation; refractory ventricular fibrillation; resuscitation. Door to cannulation.