Articles |

Emergency Department Cardiopulmonary Bypass in the Treatment of Human Cardiac Arrest FREE TO VIEW

Gerard B. Martin; Emanuel P. Rivers; Norman A. Paradis; Mark G. Goetting; Daniel C. Morris; Richard M. Nowak
Author and Funding Information

From the Department of Emergency Medicine, Henry Ford Hospital, Detroit

1998 by the American College of Chest Physicians

Chest. 1998;113(3):743-751. doi:10.1378/chest.113.3.743
Text Size: A A A
Published online


Objective: To study the use of emergency department (ED) femoro-femoral cardiopulmonary bypass (CPB) in the resuscitation of medical cardiac arrest patients.

Design: Prospective, uncontrolled trial.

Setting: Urban academic ED staffed with board-certified emergency physicians (EPs).

Participants: Ten patients with medical cardiac arrest unresponsive to standard therapy.

Interventions: Femoro-femoral CPB instituted by EPs.

Results: The time of cardiac arrest prior to CPB (mean±SD) was 32.0±13.6 min. The cardiac output while on CPB was 4.09±1.03 L/min with an average of 229±111 min on bypass. All 10 patients had resumption of spontaneous cardiac activity while on CPB. Seven of these were weaned from CPB with intrinsic spontaneous circulation. Of these, six patients were transferred from the ED to the operating room for cannula removal and vessel repair while the other patient died in the ED soon after discontinuing CPB. Mean survival was 47.8±44.7 h in the six patients leaving the ED. Although these patients had successful hemodynamic resuscitation, there were no long-term survivors.

Conclusion: CPB instituted by EPs is feasible and effective for the hemodynamic resuscitation of cardiac arrest patients unresponsive to advanced cardiac life support therapy. Future efforts need to focus on improving long-term outcome.




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
Rapid response team. Health care protocol.
Institute for Clinical Systems Improvement
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543