Michael Richman MD, MMM, FACS (@doc4heart.bsky.social)

Arterial CO2 Targets in Veno-Arterial Extracorporeal Membrane Oxygenation After Cardiac Arrest - CHEST journal.chestnet.org/article/S001... #CPR #heartattack #ECMO

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Arterial CO2 Targets in Veno-Arterial Extracorporeal Membrane Oxygenation After Cardiac Arrest After cardiac arrest, restoration of circulation is the first step toward survivorship. Extracorporeal CPR (ECPR), the use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) to restore circulation, is increasingly being used in refractory cardiac arrest. The Advanced Reperfusion Strategies for Patients With Out-of-Hospital Cardiac Arrest and Refractory Ventricular Fibrillation (ARREST), Prague Out-of-Hospital, and Early Initiation of Extracorporeal Life Support in Refractory Out-of-Hospital Cardiac Arrest (INCEPTION) randomized controlled trials compared ECPR with conventional CPR for refractory out-of-hospital cardiac arrest (OHCA). https://journal.chestnet.org/article/S0012-3692%2825%2900168-0/fulltext