Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Comite d´Evaluation et de Diffusion des Innovations Technologiques (CEDIT). ECMO pour la prise en charge pré-hospitalière de l'arrêt cardiaque. [Pre-hospital ECMO for refractory cardiac arrest] Paris, France: Comite d´Evaluation et de Diffusion des Innovations Technologiques (CEDIT). 2015 Authors' objectives The CEDIT (hospital based HTA agency) of AP-HP (Paris University Hospital) assessed the impact and value of extracorporeal membrane oxygenation (ECMO) used in a pre-hospital setting, for patients with refractory cardiac arrests. This assessment follows a request from an advanced life support unit from Necker Hospital to use the Cardiohelp® device (Maquet) for this purpose. Authors' conclusions The small number of cases published argue for the feasibility of veno-arterial ECMO performed in a pre-hospital setting, but the level of evidence is low and the feasibility has to be confirmed. There is currently no conclusive evidence of efficacy and clinical safety.
The few elements of presumption existing could warrant a clinical study comparing hospital and pre-hospital ECMO. The study is to demonstrate the clinical benefit of pre-hospital ECMO and provide arguments lacking in terms of medical evidence (eg understanding of the risk of infection and ischemic consequences for the canulated limb).
Given the medical, economic and organizational uncertainties, CEDIT recommends that the use of veno-arterial pre-hospital ECMO at AP-HP should only be made in the context of a clinical trial involving a cooperation between the different teams.
CEDIT wishes to re-evaluate the pre-hospital use of ECMO in the light of the results of this study.
The importance of the subject could justify a national assessment. Indexing Status Subject indexing assigned by CRD MeSH Cardiopulmonary Resuscitation; Extracorporeal Membrane Oxygenation; Heart Arrest; Hospitals; Humans Country of organisation France English summary An English language summary is available. Address for correspondence SECRETARIAT SCIENTIFIQUE DU CEDIT, 3 Avenue Victoria, 75184 PARIS Cedex 04 – FRANCE
Tél. : (33)1.40.27.18.90 Email: info.cedit@sap.aphp.fr AccessionNumber 32015001190 Date abstract record published 24/11/2015 |