Table of Contents Author Guidelines Submit a Manuscript
Anesthesiology Research and Practice
Volume 2010, Article ID 937215, 4 pages
http://dx.doi.org/10.1155/2010/937215
Case Report

Postoperative Cardiac Arrest after Heart Surgery: Does Extracorporeal Perfusion Support a Paradigm Change in Management?

1CVT Division, Department of Anesthesiology, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FL 33139, USA
2Division of Cardiothoracic Surgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, FL 33139, USA
3Department of Anesthesiology, Memorial Regional Hospital, Hollywood, FL 33021, USA

Received 2 February 2010; Accepted 1 April 2010

Academic Editor: Francis McGowan

Copyright © 2010 Edward Gologorsky et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Early institution of extracorporeal perfusion support (ECPS) may improve survival after cardiac arrest. Two patients sustained unexpected cardiac arrest in the Intensive Care Unit (ICU) following cardiac interventions. ECPS was initiated due to failure to restore hemodynamics after prolonged (over 60 minutes) advanced cardiac life support (ACLS) protocol-guided cardiopulmonary resuscitation. Despite relatively late institution of ECPS, both patients survived with preserved neurological function. This communication focuses on the utility of ECPS in the ICU as a part of resuscitative efforts.