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| Name | Class |
|---|---|
| Ospedale San Gerardo. S.S.U.E.M. 118 Brianza | UNKNOWN |
| Ospedale San Gerardo. Terapia Intensiva Cardiochirurgica | UNKNOWN |
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Extracorporeal membrane oxygenation (ECMO) support has been suggested to improve the survival rate in patients with refractory cardiac arrest (CA). Recent studies have also highlighted the potential early application of this method in improving the prognosis of prolonged cardiac arrest both for in hospital CA (INHCA) and out of hospital CA (OHCA). The rationale for use of ECMO in these patients is to optimize early perfusion of vital organs, curing the cause of CA and waiting for the recovery of the injured myocardium. The investigators have created a flow-chart to decide which patients are eligible. The aims of this study are to evaluate if, with this flow-chart, the investigators are able to detect which patients have more probability of survival.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Extracorporeal Membrane Oxygenation | All patients have to start ECMO under CPR, by insertion of peripheral VA cannulas. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ECMO | Procedure | Insertion of peripheral Veno-Arterious ECMO, subsequent therapeutic hypothermia |
|
| Measure | Description | Time Frame |
|---|---|---|
| 28 days survival | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Neurologic recovery | Neurologic recovery defined as minimal neurologic impairment according to the Glasgow-Pittsburgh cerebral performance categories score ≤ 2. | 28 days |
| Cardiac recovery | Measured by echocardiography |
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Inclusion Criteria:
Exclusion Criteria:
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Adults 18-75 years old, community sample
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| Name | Affiliation | Role |
|---|---|---|
| Leonelllo Avalli, MD | Ospedale San Gerardo | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| San Gerardo Hospital | Recruiting | Monza | MB | 20052 | Italy |
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| ID | Term |
|---|---|
| D006323 | Heart Arrest |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| 28 days |
| Six months survival with minimal neurologic impairment | survival with minimal neurologic impairment according to the Glasgow-Pittsburgh cerebral performance categories score ≤ 2. | 180 days |