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Rianimazione extracorporea cardiopulmonare per arresto cardiaco refrattario.

Supady A, Bělohlávek J, Combes A, Hutin A, Lorusso R, MacLaren G, et al.

The Lancet. Respiratory medicine·1 agosto 2025·DOI ↗

When conventional cardiopulmonary resuscitation (CCPR) cannot restore spontaneous circulation, the initiation of venoarterial extracorporeal membrane oxygenation during refractory cardiac arrest-known as extracorporeal CPR (ECPR)-might restore circulation and adequate tissue oxygenation. ECPR could substantially improve survival with favourable functional recovery. However, the complexity and time-sensitive nature of the intervention, high costs, resource demands, considerable risks, and complications restrict the availability of ECPR. Patient age and comorbidities, timely and effective CCPR, and time-to-ECPR are major contributors to the outcome of patients. The primary goal of ECPR is full

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