{"id":"https://openalex.org/W16684608","doi":"https://doi.org/10.1161/circ.128.suppl_22.a93","title":"Abstract 93: Ecmo as Rescue Strategy for Refractory Cardiac Arrest and Profound Shock","display_name":"Abstract 93: Ecmo as Rescue Strategy for Refractory Cardiac Arrest and Profound Shock","publication_year":2013,"publication_date":"2013-11-26","ids":{"openalex":"https://openalex.org/W16684608","doi":"https://doi.org/10.1161/circ.128.suppl_22.a93","mag":"16684608"},"language":"en","primary_location":{"id":"doi:10.1161/circ.128.suppl_22.a93","doi":"https://doi.org/10.1161/circ.128.suppl_22.a93","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.128.suppl_22.a93","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5090623589","display_name":"David Foster Gaieski","orcid":"https://orcid.org/0000-0001-6876-9789","observed_orcids":["https://orcid.org/0000-0001-6876-9789"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David F Gaieski MD","raw_affiliation_strings":["EMERGENCY MED DEPARTMENT, Univ Pennsylvania, Philadelphia, PA","David F Gaieski MD"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"EMERGENCY MED DEPARTMENT, Univ Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"David F Gaieski MD","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049044122","display_name":"Nicholas James Johnson","orcid":"https://orcid.org/0000-0001-9915-0591","observed_orcids":["https://orcid.org/0000-0001-9915-0591"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nicholas J Johnson","raw_affiliation_strings":["Dept of Emergency Medicine, Univ Pennsylvania, Philadelphia, PA","Nicholas J Johnson"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dept of Emergency Medicine, Univ Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Nicholas J Johnson","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008211557","display_name":"Cindy H. Hsu","orcid":"https://orcid.org/0000-0002-8192-6969","observed_orcids":["https://orcid.org/0000-0002-8192-6969"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Cindy H Hsu","raw_affiliation_strings":["Univ Pennsylvania, Philadelphia, PA","Cindy H Hsu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Cindy H Hsu","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078661947","display_name":"Sarah M. Perman","orcid":"https://orcid.org/0000-0002-0849-0847","observed_orcids":["https://orcid.org/0000-0002-0849-0847"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah M Perman","raw_affiliation_strings":["Univ Pennsylvania, Philadelphia, PA","Sarah M Perman"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Sarah M Perman","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083278720","display_name":"Lance B. Becker","orcid":"https://orcid.org/0000-0001-7051-8778","observed_orcids":["https://orcid.org/0000-0001-7051-8778"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lance B Becker","raw_affiliation_strings":["Univ Pennsylvania, Philadelphia, PA","Lance B Becker"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Lance B Becker","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083652714","display_name":"Anne Victoria Grossestreuer","orcid":"https://orcid.org/0000-0001-7316-5576","observed_orcids":["https://orcid.org/0000-0001-7316-5576"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anne V Grossestreuer","raw_affiliation_strings":["Univ Pennsylvania, Philadelphia, PA","Anne V Grossestreuer"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Anne V Grossestreuer","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058491303","display_name":"Marion Leary","orcid":"https://orcid.org/0000-0002-4815-4223","observed_orcids":["https://orcid.org/0000-0002-4815-4223"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marion Leary","raw_affiliation_strings":["Univ Pennsylvania, Philadelphia, PA","Marion Leary"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Marion Leary","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054605170","display_name":"Michael G. Acker","orcid":"https://orcid.org/0000-0002-3565-9601","observed_orcids":["https://orcid.org/0000-0002-3565-9601"]},"institutions":[{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Acker","raw_affiliation_strings":["Univ Pennsylvania, Philadelphia, PA","Michael Acker"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ Pennsylvania, Philadelphia, PA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Michael Acker","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I79576946"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"128","issue":"suppl_22","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10675","display_name":"Mechanical Circulatory Support Devices","score":0.9628999829292297,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10675","display_name":"Mechanical Circulatory Support Devices","score":0.9628999829292297,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10645","display_name":"Cardiac Arrest and Resuscitation","score":0.0364999994635582,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10322","display_name":"Respiratory Support and Mechanisms","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/extracorporeal-membrane-oxygenation","display_name":"extracorporeal membrane oxygenation","score":0.9990000128746033},{"id":"https://openalex.org/keywords/refractory-cardiac-arrest","display_name":"refractory cardiac arrest","score":0.996999979019165},{"id":"https://openalex.org/keywords/vasopressor-refractory-shock","display_name":"vasopressor-refractory shock","score":0.8399999737739563},{"id":"https://openalex.org/keywords/survival-to-hospital-discharge","display_name":"survival to hospital discharge","score":0.8040000200271606},{"id":"https://openalex.org/keywords/neurological-outcome","display_name":"neurological outcome","score":0.7519999742507935},{"id":"https://openalex.org/keywords/ecmo-complications","display_name":"ECMO complications","score":0.8510000109672546},{"id":"https://openalex.org/keywords/bleeding-complications","display_name":"bleeding complications","score":0.5699999928474426},{"id":"https://openalex.org/keywords/ischemic-complications","display_name":"ischemic complications","score":0.7829999923706055},{"id":"https://openalex.org/keywords/ventricular-fibrillation","display_name":"ventricular fibrillation","score":0.7289999723434448},{"id":"https://openalex.org/keywords/ventricular-tachycardia","display_name":"ventricular tachycardia","score":0.871999979019165}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9688135981559753},{"id":"https://openalex.org/C142424586","wikidata":"https://www.wikidata.org/wiki/Q7307572","display_name":"Refractory (planetary science)","level":2,"score":0.7045832872390747},{"id":"https://openalex.org/C2776485726","wikidata":"https://www.wikidata.org/wiki/Q17141389","display_name":"Rescue therapy","level":2,"score":0.6906098127365112},{"id":"https://openalex.org/C2781300812","wikidata":"https://www.wikidata.org/wiki/Q178061","display_name":"Shock (circulatory)","level":2,"score":0.5482897162437439},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5187489986419678},{"id":"https://openalex.org/C2776850375","wikidata":"https://www.wikidata.org/wiki/Q2477062","display_name":"Cardiogenic shock","level":3,"score":0.5014145374298096},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.44234830141067505},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4261758327484131},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.12022483348846436},{"id":"https://openalex.org/C87355193","wikidata":"https://www.wikidata.org/wiki/Q411","display_name":"Astrobiology","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.128.suppl_22.a93","doi":"https://doi.org/10.1161/circ.128.suppl_22.a93","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.128.suppl_22.a93","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2782326771","https://openalex.org/W3010695845","https://openalex.org/W182111205","https://openalex.org/W4238761192","https://openalex.org/W2159992233","https://openalex.org/W4406440260","https://openalex.org/W2060371181","https://openalex.org/W2403257970","https://openalex.org/W4395061338","https://openalex.org/W2001071263"],"abstract_inverted_index":{"Background:":[0],"Extracorporeal":[1],"Membrane":[2],"Oxygenation":[3],"(ECMO)":[4],"has":[5],"been":[6],"trialed":[7],"as":[8,223],"a":[9,60,224],"rescue":[10,225],"strategy":[11,226],"for":[12,43,93,227],"patients":[13,89,117,134,154,177,193],"with":[14,39],"refractory":[15,228],"cardiac":[16,49,64,137,140],"arrest":[17,65,141,165,229],"unresponsive":[18,26],"to":[19,27,34,84,166,182,196,237],"conventional":[20],"cardiopulmonary":[21],"resuscitation":[22],"or":[23,66,148],"profound":[24,54,67,231],"shock":[25],"vasopressors":[28],"and":[29,47,51,78,131,189,230,243],"inotropes.":[30],"Objective:":[31],"We":[32],"sought":[33],"describe":[35],"our":[36,79],"institution\u2019s":[37],"experience":[38],"implementation":[40],"of":[41,53,70,74,76,133,168,198,209],"ECMO":[42,92,169,220],"Emergency":[44],"Department":[45],"(ED)":[46],"inpatient":[48],"arrests":[50],"cases":[52],"shock.":[55,232],"Main":[56],"variables":[57],"were":[58,97,118,126,129,145,156,185,202],"whether":[59],"patient":[61,71,241],"was":[62,82,122,170],"in":[63,151,158],"shock,":[68],"location":[69],"at":[72,99,211],"time":[73,163],"initiation":[75,167],"ECMO,":[77,183],"primary":[80],"outcome":[81],"survival":[83],"hospital":[85],"discharge.":[86],"Methods:":[87],"Consecutive":[88],"placed":[90],"on":[91],"the":[94,113,159,239],"above":[95],"indications":[96],"enrolled":[98],"two":[100],"urban":[101],"academic":[102],"medical":[103],"centers":[104],"from":[105,136,164],"July":[106],"2007":[107],"-":[108],"February":[109],"2012.":[110],"Results:":[111],"During":[112],"study":[114],"period,":[115],"44":[116],"included.":[119],"Average":[120],"age":[121],"44.6":[123],"years,":[124],"70%":[125],"male,":[127],"55%":[128],"white,":[130],"77%":[132],"suffered":[135],"arrest.":[138],"Among":[139],"patients,":[142],"initial":[143],"rhythms":[144],"ventricular":[146,149],"fibrillation":[147],"tachycardia":[150],"45%.":[152],"Fourteen":[153],"(32%)":[155],"cannulated":[157],"ED.":[160],"The":[161],"average":[162],"46":[171],"minutes":[172],"(range":[173],"0.33-3.17":[174],"hours).":[175],"Twenty-four":[176],"(54%)":[178],"had":[179],"complications":[180],"related":[181],"which":[184,199],"most":[186],"commonly":[187],"bleeding":[188],"ischemic":[190],"events.":[191],"Eleven":[192],"(25%)":[194],"survived":[195],"discharge,":[197],"9":[200],"(20%)":[201],"neurologically":[203],"intact":[204],"(Glasgow":[205],"Coma":[206],"Scale":[207],"Score":[208],"15)":[210],"6":[212],"months.":[213],"Conclusion:":[214],"In":[215],"this":[216],"US":[217],"case":[218],"series,":[219],"shows":[221],"promise":[222],"Further":[233],"investigations":[234],"are":[235],"necessary":[236],"refine":[238],"technique,":[240],"selection,":[242],"ancillary":[244],"therapeutics.":[245]},"counts_by_year":[{"year":2018,"cited_by_count":1}],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2016-06-24T00:00:00"}
