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Fig. 3 | Critical Care

Fig. 3

From: Extracorporeal cardiopulmonary resuscitation dissemination and integration with organ preservation in the USA: ethical and logistical considerations

Fig. 3

Outcome categories after successful cannulation for eCPR. eCPR extracorporeal cardiopulmonary resuscitation; ECMO extracorporeal membrane oxygenation; cDCD controlled donation after circulatory death; uDCD uncontrolled donation after circulatory death; DND donation after neurological death. Broad outcome categories after initiating eCPR are depicted in blue font; transplant recovery considerations are depicted in green filled ovals. One possible outcome is (i) decannulation following return of spontaneous circulation, leading to post-arrest care akin to standard CPR. For those unable to be weaned from ECMO, outcomes include: (ii) poor neurological function without anticipated recovery; (iii) death by neurologic criteria (“brain death”); (iv) good neurological function with eligibility for destination therapy (e.g., left ventricular assistive device or transplantation); and (v) good neurological function with inability to wean from ECMO and ineligibility for destination therapy (i.e., “bridge to nowhere”)

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Critical Care

ISSN: 1364-8535