2023/10/23 by Mark Dennis, Kiran Shekar, Aidan JC Burrell +2 · 11 citations
Engineering · Medicine · #Cardiac Arrest and Resuscitation #Cardiac Structural Anomalies and Repair #Cardiopulmonary resuscitation #Emergency medicine #Extracorporeal #Extracorporeal cardiopulmonary resuscitation #Intensive care medicine #Internal medicine #Mechanical Circulatory Support Devices #Medicine #Refractory (planetary science) #Resuscitation
paper · pdf · doi:10.5694/mja2.52130
published in The Medical Journal of Australia 220(1), 46-53 (Wiley)
openalex publication_date 2023/10/23 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/30
Extracorporeal cardiopulmonary resuscitation (ECPR) in patients with prolonged or refractory out-of-hospital cardiac arrest (OHCA) is likely to be beneficial when used as part of a well developed emergency service system. ECPR is technically challenging to initiate and resource-intensive, but it has been found to be cost-effective in hospital-based ECPR programs. ECPR expansion within Australia has thus far been reactive and does not provide broad coverage or equity of access for patients. Newer delivery strategies that improve access to ECPR for patients with OHCA are being trialled, including networked hospital-based ECPR and pre-hospital ECPR programs. The efficacy, scalability, sustainability and cost-effectiveness of these programs need to be assessed. There is a need for national collaboration to determine the most cost-effective delivery strategies for ECPR provision along with its place in the OHCA survival chain.