Mechanical chest compression and extracorporeal life support for out-of-hospital cardiac arrest. A 30-month observational study in the metropolitan area of Milan, Italy

Mistraletti, Giovanni; Lancioni, Armando; Bassi, Gabriele; Nespoli, Francesca; Umbrello, Michele; Salini, Silvia; Zangrillo, Alberto; Pappalardo, Federico; Mara Scandroglio, Anna; Foti, Giuseppe; Avalli, Leonello; Patroniti, Nicolò; Raimondi, Ferdinando; Costantini, Elena; Catena, Emanuele; Ottolina, Davide; Ruffini, Claudia; Migliari, Maurizio; Sesana, Giovanni; Fumagalli, Roberto; Pesenti, Antonio

doi:10.1016/j.resuscitation.2022.11.025

Return of spontaneous circulation (ROSC) is achieved in 25% of out-of-hospital cardiac arrest (OHCA) patients. Mechanical chest compression (mechCPR) may maintain better perfusion during transport, allowing hospital treatments like extracorporeal circulation life support (ECLS). We aim to assess the effectiveness of a pre-hospital protocol introduction.

Mechanical chest compression and extracorporeal life support for out-of-hospital cardiac arrest. A 30-month observational study in the metropolitan area of Milan, Italy / Mistraletti, Giovanni; Lancioni, Armando; Bassi, Gabriele; Nespoli, Francesca; Umbrello, Michele; Salini, Silvia; Zangrillo, Alberto; Pappalardo, Federico; Mara Scandroglio, Anna; Foti, Giuseppe; Avalli, Leonello; Patroniti, Nicolò; Raimondi, Ferdinando; Costantini, Elena; Catena, Emanuele; Ottolina, Davide; Ruffini, Claudia; Migliari, Maurizio; Sesana, Giovanni; Fumagalli, Roberto; Pesenti, Antonio. - In: RESUSCITATION. - ISSN 0300-9572. - 182:(2023), p. 109659. [10.1016/j.resuscitation.2022.11.025]