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J Korean Soc Emerg Med > Volume 24(5); 2013 > Article
Journal of The Korean Society of Emergency Medicine 2013;24(5): 627-629.
Complete Recovery after Prolonged Resuscitation Using Extracorporeal Membrane Oxygenation for In-hospital Arrest Due to Refractory Ventricular Fibrillation
Yong Kyu Park, Si Wan Choi, Seon Ah Jin, Kye Taek Ahn, Jun Hyung Kim, Jae Hyeong Park, Jae Hwan Lee, Jin Ok Jeong, In Whan Seong
Division of Cardiology, Department of Internal Medicine, School of Medicine, Chungnam National University, Chungnam National University Hospital, Daejeon, Republic of Korea. siwanc@cnu.ac.kr
Extracorporeal life support (ECLS) has been used as an adjunctive therapy to conventional cardiopulmonary resuscitation (CPR) in patients with in-hospital cardiac arrest. However, whether to apply ECLS after prolonged CPR (>30 minutes) is a difficult decision. We present the case of a 49-year-old woman with in-hospital cardiac arrest caused by refractory ventricular fibrillation and rescued by extracorporeal membrane oxygenation (ECMO) during prolonged CPR. The ECMO was implemented 90 minutes after the initiation of CPR and the total duration of CPR was about 5 hours. The patient fully recovered and was discharged without neurological complications.
Key words: Extracorporeal membrane oxygenation, Cardiopulmonary resuscitation, Ventricular fibrillation
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