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. 2020 Jan 16;20(1):23.
doi: 10.1186/s12872-020-01332-4.

Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department

Kei Hayashida  1 , Takahiro Kinoshita  2 , Kazuma Yamakawa  2 , Santiago J Miyara  3   4 , Lance B Becker  3 , Satoshi Fujimi  2
Affiliations

Potential impacts of a novel integrated extracorporeal-CPR workflow using an interventional radiology and immediate whole-body computed tomography system in the emergency department

Kei Hayashida et al. BMC Cardiovasc Disord. .

Abstract

Extracorporeal cardiopulmonary resuscitation (ECPR) can be associated with increased survival and neurologic benefits in selected patients with out-of-hospital cardiac arrest (OHCA). However, there remains insufficient evidence to recommend the routine use of ECPR for patients with OHCA. A novel integrated trauma workflow concept that utilizes a sliding computed tomography (CT) scanner and interventional radiology (IR) system, named a hybrid emergency room system (HERS), allowing emergency therapeutic interventions and CT examination without relocating trauma patients, has recently evolved in Japan. HERS can drastically shorten the ECPR implementation time and more quickly facilitate definitive interventions than the conventional advanced cardiovascular life support workflow. Herein, we discuss our novel workflow concept using HERS on ECPR for patients with OHCA.

Keywords: Concurrent treatment; Emergency department; Extracorporeal cardiopulmonary resuscitation; HERS; Out-of-hospital cardiac arrest.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
A photograph showing our IR-CT system in the emergency department. All life-saving procedures including airway management, emergency surgery, and transcatheter arterial embolization can be performed on the table without relocating the patient
Fig. 2
Fig. 2
The schematic integrated concept of a hybrid emergency room system (HERS) workflow
See this image and copyright information in PMC

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