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Biomedicine

Volume: 44 Issue: 2

  • Open Access
  • Review Article

Survival and Neurological Outcome after Out-of-Hospital Cardiac Arrest: A Review on Comparison of Mechanical Circulatory Support versus Non-Mechanical Circulatory Support

Tanmaya Brahmadarshini Bhuyau1, Souam Samal1, Sohom Ghosh1, Sourav Maiti1, Brijeshraj Swain1, Tirumalaraju Veneeth Varma 1, Anmol Sahoo1, Neerukonda Sriteja2, Jonnalagadda Vihari1  

1 Institute of Medical Sciences (IMS) and Sum Hospital, Postgraduate, Siksba 'O' Anusandhan (SOA) Deemed to be University, Department of General Medicine, Bhubaneswar, Odisha. 

2 Kasturba Medical College, Postgraduate, Department of Internal Medicine, Mangalore, Manipal Academy of Higher Education, Manipal Deemed to be University, Karnataka, India. 

Corresponding author: Neernkonda Sriteja Email : [email protected] 

Year: 2024, Page: 179-183, Doi: https://doi.org/10.51248/v44i2.14

Received: April 27, 2024 Accepted: June 14, 2024 Published: June 16, 2024

Abstract

"In this comprehensive analysis, the effect of mechanical circulatory support (MCS) therapies [extracorporeal membrane oxygenation (ECMO) and ventricular assist devices (VADs)] on neurological and survival outcomes in patients who have experienced an out-of-hospital cardiac arrest (OHCA) is compared to non-MCS interventions [cardiopulmonary resuscitation (CPR) or conventional advanced cardiac life support (ACLS) procedures]. The morbidity and mortality of patients are significantly impacted by the life-threatening nature of OHCA. A potential tactic to enhance patient outcomes in these cases is the deployment of MCS devices. In comparison to non-MCS therapies, preliminary analysis of the included studies indicates that MCS interventions may be linked to better neurological and survival results in OHCA patients. The information that is currently available, nonetheless, is few and inconsistent because of differences in:
• Research design,
• Patient demographics, and
• MCS methods.

To fully comprehend the ideal use and efficacy of MCS therapies in OHCA patients, more study is required with:
• Standardization of study methodologies and
• Bigger, well-designed trials.

Keywords: Out-Of-Hospital Cardiac Arrest (OHCA), Mechanical Circulatory Support, Survival and Neurological Outcome, Cardiopulmonary Resuscitation (CPR), Advanced Cardiac Life Support (ACLS).

Cite this article

Survival and Neurological Outcome after Out-of-Hospital Cardiac Arrest: A Review on Comparison of Mechanical Circulatory Support  versus Non-Mechanical Circulatory Support. Tanmaya Brahmadarshini Bhuyau, Souam Samal, Sohom Ghosh, Sourav Maiti, Brijeshraj Swain, Tirumalaraju Veneeth Varma, Anmol Sahoo, Neerukonda Sriteja, Jonnalagadda Vihari. Biomedicine: 2024; 44(2):179-183

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