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World Journal of Advance Healthcare Research (WJAHR) is giving Best Article Award in every Issue for Best Article and Issue Certificate of Appreciation to the Authors to promote research activity of scholar.
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Abstract
EXTRACORPOREAL CARDIOPULMONARY RESUSCITATION
Dr. Shek Yin Au*, Ka Man Fong, Wing Yiu George Ng and Kit Hung Anne Leung
ABSTRACT
Extracorporeal cardiopulmonary resuscitation (ECPR) is the application of mechanical circulatory support by means of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) to a patient during cardiac arrest. The VA-ECMO provides a more effective cardiopulmonary support than conventional cardiopulmonary resuscitation with 6-month survival of up to 30%. Besides, there is long term neurological benefit of ECPR over conventional counterparts. However, randomized controlled trials comparing ECPR and conventional CPR are difficult to carry out. Current recommendations on ECPR are largely based on expert opinion. Moreover, there are other technical and ethical issues that remain unanswered. Yet, there is increasing trend of ECPR performed both in Hong Kong and worldwide. This review will discuss the evidence of ECPR, as well as the technical, practical and ethical issues that are related to ECPR.
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