{"id":5385,"date":"2020-01-30T10:18:48","date_gmt":"2020-01-30T14:18:48","guid":{"rendered":"https:\/\/edecmo.org\/?p=5385"},"modified":"2020-05-24T09:52:14","modified_gmt":"2020-05-24T13:52:14","slug":"61-jason-bartos-ecpr-redefined","status":"publish","type":"post","link":"https:\/\/edecmo.org\/61-jason-bartos-ecpr-redefined\/","title":{"rendered":"61: Jason Bartos &#8211; ECPR Redefined"},"content":{"rendered":"<!--powerpress_player--><div class=\"powerpress_player\" id=\"powerpress_player_5014\"><!--[if lt IE 9]><script>document.createElement('audio');<\/script><![endif]-->\n<audio class=\"wp-audio-shortcode\" id=\"audio-5385-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/61.mp3?_=1\" \/><a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/61.mp3\">http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/61.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/61.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/edecmo.org\/?powerpress_pinw=5385-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"http:\/\/media.blubrry.com\/edecmo\/traffic.libsyn.com\/edecmo\/61.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"61.mp3\">Download<\/a> (Duration: 36:22 &#8212; 29.2MB)<\/p><p class=\"powerpress_links powerpress_subscribe_links\">Subscribe: <a href=\"https:\/\/edecmo.org\/feed\/podcast\/\" class=\"powerpress_link_subscribe powerpress_link_subscribe_rss\" target=\"_blank\" title=\"Subscribe via RSS\" rel=\"nofollow\">RSS<\/a><\/p><p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5386 alignleft\" src=\"https:\/\/edecmo.org\/wp-content\/uploads\/2020\/01\/Bartos-pic.png\" alt=\"\" width=\"186\" height=\"248\" \/><\/p>\n<p>Jason Bartos and his crew at the University<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright\" src=\"https:\/\/i.imgur.com\/Mj3mGmX.png\" alt=\"Image result for university of minnesota cardiology&quot;\" width=\"393\" height=\"98\" \/><\/p>\n<p>of Minnesota have revolutionized the concept\u00a0of ECPR for out of hospital cardiac arrests.\u00a0 His crew are interventional cardiologists who take OHCA straight to the cardiac cath lab.\u00a0 They have initiate times of around 6-8 minutes and have neurologically intact survival rates higher than 30%.\u00a0 Below are two of Jason\u2019s recent papers which every person who considers themselves an ECPR fan should pour over with a fine-toothed comb.\u00a0 There is so much in these papers.\u00a0 We split this interview into two pieces because there is so many pearls in it.<\/p>\n<p>&nbsp;<\/p>\n<p>Outcomes<\/p>\n<p>Resuscitation paper &#8211; 48% survival in 100 patients<\/p>\n<p>Circulation paper 2020\u2013 33% vs. 23% ALPS<\/p>\n<ul>\n<li>Cohort who had VF\/VT and one shock vs. a cohort who had VF\/VT and failed to ROSC at the scene, in the ambulance, and then all the way to the hospital.<\/li>\n<li>OHCA &#8211; &gt; Straight to the Cath lab &#8211;&gt; Get on ECMO &#8211;&gt; Go to CCU under Cards care.<\/li>\n<li>Inclusion criteria &#8211; Vf\/vt, lactate &lt;18, paO2 &gt;50,ETCO2&gt;10<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>References:<\/p>\n<pre>Bartos JA, Grunau B, Carlson C, Duval S, Ripeckyj A, Kalra R, Raveendran G,\r\nJohn R, Conterato M, Frascone RJ, Trembley A, Aufderheide TP, Yannopoulos D.\r\nImproved Survival with Extracorporeal Cardiopulmonary Resuscitation Despite\r\nProgressive Metabolic Derangement Associated with Prolonged Resuscitation.\r\nCirculation. 2020 Jan 3. doi: 10.1161\/CIRCULATIONAHA.119.042173. [Epub ahead of\r\nprint] PubMed PMID: 31896278.\r\n\r\n<\/pre>\n<pre>Bartos JA, Carlson K, Carlson C, Raveendran G, John R, Aufderheide TP,\r\nYannopoulos D. Surviving refractory out-of-hospital ventricular fibrillation\r\ncardiac arrest: Critical care and extracorporeal membrane oxygenation management.\r\nResuscitation. 2018 Nov;132:47-55. doi: 10.1016\/j.resuscitation.2018.08.030. Epub\r\n2018 Aug 29. PubMed PMID: 30171974.<\/pre>\n","protected":false},"excerpt":{"rendered":"<p>Jason Bartos and his crew at the University<\/p>\n<p>of Minnesota have revolutionized the concept\u00a0of ECPR for out of hospital cardiac arrests.\u00a0 His crew are interventional cardiologists who take OHCA straight to the cardiac cath lab.\u00a0 They have initiate times of around 6-8 minutes and have neurologically intact survival rates higher than 30%.\u00a0 Below are two of Jason\u2019s recent papers which every person who considers themselves an ECPR fan should pour over with a fine-toothed comb.\u00a0 There is so much in these papers.\u00a0 We split this interview into two pieces because there is so many pearls in it.<\/p>\n","protected":false},"author":5,"featured_media":5433,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[4],"tags":[246,120,72,159,342,248,135,166],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/edecmo.org\/wp-content\/uploads\/2020\/01\/Untitled-design.png","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p3JzC4-1oR","_links":{"self":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/5385"}],"collection":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/comments?post=5385"}],"version-history":[{"count":0,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/posts\/5385\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media\/5433"}],"wp:attachment":[{"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/media?parent=5385"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/categories?post=5385"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/edecmo.org\/wp-json\/wp\/v2\/tags?post=5385"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}