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AIIMS doctors revived the patient who was confined for 90 minutes with ECPR; How is this life-saving technique performed?
Doctors at AIIMS Bhubaneswar saved the life of a 24-year-old soldier who was suffering from cardiac arrest due to which his heart stopped for more than 90 minutes. Doctors say that despite 40 minutes of conventional CPR, no cardiac activity was detected, so an attempt was made to use the state-of-the-art ECPR procedure. And after 40 minutes the patient’s heart started beating again. In the next 2-3 days his nerves also became normal. Read on to know more about this cutting-edge technology that could save more lives.
eCPR works when a patient’s blood is sent through a catheter to an external machine
Doctors at AIIMS Bhubaneswar saved the life of a 24-year-old army man – reviving his heart after it had stopped for about one and a half hours through an advanced extracorporeal cardio-pulmonary resuscitation (eCPR) procedure.
According to doctors, the young patient was brought in a critical condition due to cardiac arrest last month. However, shortly after his arrival, he suffered a cardiac arrest. And despite 40 minutes of conventional CPR, no cardiac activity was detected, presenting a critical decision – to declare him dead or attempt the state-of-the-art ECPR procedure.
After this it was decided to operate state-of-the-art extracorporeal cardiopulmonary resuscitation – An advanced medical procedure that combines conventional CPR with extracorporeal membrane oxygenation technology was performed and the patient was revived.
Doctors said that after the 40-minute procedure, the patient’s heart started beating again, albeit irregularly. However, over the next two days, his heart function improved significantly and he was also successfully weaned off ECMO. The team also managed several other life-threatening complications he faced due to reduced blood flow to his heart and brain.
Intensivist and adult ECMO specialist Dr. Shrikant Behera said, “While technically challenging, ECPR represents a promising advancement in the treatment of cardiac arrest traditionally considered fatal. This success marks a milestone in the medical history of Odisha.” It is a stone of. times of India,
What is ECPR?,
Defined as a life-saving technique to help treat patients with cardiac arrest or severe heart and pulmonary failure, ECPR works when a patient’s blood is pumped into an external machine through a catheter inserted into large blood vessels. Is sent to. The machine oxygenates the blood and pumps it back to the body, bypassing the heart and lungs.
According to doctors, this technique is used as a last resort for people who experience refractory cardiac arrest, which occurs when there is no spontaneous circulation after 15-30 minutes of CPR.
While the basic technology behind eCPR has been in existence since the 1950s, when CPR and the first heart-lung machines were developed, the ECMO process, during which a person’s blood is removed, oxygenated and returned to their body Pumped up, became simpler over time. , However, the technology became more widely available in 2009 when physicians in Asia began using ECMO to treat people hospitalized with H1N1 influenza.
Doctors say the use of ECMO during the COVID-19 pandemic has further increased interest in the approach.
The procedure mostly involves inserting a catheter into large blood vessels to divert the patient’s blood to an external machine that oxygenates and pumps the blood in return through the body. Thus, it bypasses the heart and lungs and gives both the organs some time to rest and recover. According to experts, ECPR is usually performed in specialized centers with trained personnel and technology, as it requires immediate initiation and precise management.
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