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Extracorporeal Cardiopulmonary Resuscitation in Indian Scenario: A Web-based Survey

机译：印度情景的体外心肺复苏：基于网络的调查

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Background:Practice and knowledge of extracorporeal cardiopulmonary resuscitation (ECPR) in an Indian setting is not known. The etiology could be multifactorial, such as lack of awareness, lack of facilities, and lack of finances. Unless we identify and rectify the underlying problems, utilization of this aspect of extracorporeal membrane oxygenation (ECMO) support would be difficult.Materials and methods:This cross-sectional observational study was done over 6 months in three phases: (A) Formation of questionnaire/tool kit by Delphi method for 1 month (July 2019), (B) circulation of questionnaire to participants in the form of Google Forms and data collection for 2 months (August and October 2019), and (C) analysis, compilation of data, and writing the final report over 1 month (November 2019).Results:Sixty-four participants responded. The majority of the respondents were intensivists (50%). Only six respondents (9.5%) had done ECPR at their center with median ECPRs per year of 2 (1-10). All ECPRs were being done in private sector hospitals. The most common indication for initiation was conventional cardiopulmonary resuscitation (CPR) for more than 10 minutes without return of spontaneous circulation (ROSC)(n = 4, 66%). In all cases, the intensivists took decision for the initiation of ECPR. The rest 57 did not have the experience of ECPR at their center due to lack of equipment and experience (50%) and financial issues (50%).Conclusion and clinical significance:There is a huge need to increase the awareness of the ECPR program and teams to be trained in India. We also suggest that the tertiary care medical institutions in public sector as well as the private sector that is offering critical care courses should train fellows on ECPR to employ it at times when needed to improve the outcomes of critically ill patients.How to cite this article:Gulla K M, Sahoo T, Pooboni S K, et al. Extracorporeal Cardiopulmonary Resuscitation in Indian Scenario: A Web-based Survey. Indian J Crit Care Med 2021;25(6):675-679.Copyright ? 2021; Jaypee Brothers Medical Publishers (P) Ltd.
机译：背景：印度环境中的体外心肺复苏（ECPR）的实践和知识尚不清楚。病因可能是多因素，例如缺乏意识，缺乏设施和缺乏财务。除非我们识别和纠正潜在的问题，否则对体外膜氧合（ECMO）支持的这种方面的利用将是困难的。材料和方法是：这种横截面观察研究在三个阶段以超过6个月进行：（a）调查问卷的形成/工具套件由Delphi方法1个月（2019年7月），（b）问卷向参与者以谷歌表格和数据收集的形式传送2个月（2019年8月和10月），（c）分析，汇编数据并在1个月内写入最终报告（2019年11月）。结果：六十四名参与者回应。大多数受访者都是强烈主义者（50％）。只有六名受访者（9.5％）已在其中心完成了ECPR，每年2名（1-10）。所有ecprs都在私营部门医院完成。最常见的引发表征是常规的心肺复苏（CPR）超过10分钟而不会返回自发循环（ROSC）（n = 4,66％）。在所有情况下，强度主义者都决定了ECPR的启动。由于缺乏设备和经验（50％）和财务问题（50％），其余57件在其中心没有ECPR的经验。结论和临床意义：巨大需要提高ECPR计划的认识和队伍在印度培训。我们还建议公共部门的第三节护理医疗机构以及提供关键护理课程的私营部门应该在ECPR上培训COLEWS在需要改进批评患者的结果时雇用它。为了引用这篇文章：Gulla Km，Sahoo T，Pooboni Sk，等。印度情景体外心肺复苏：基于网络的调查。印度j crit care med 2021; 25（6）：675-679.copyright？ 2021; Jaypee Brothers Medical Publishers（P）有限公司

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