Optimized CT-imaging Protocol in VA-ECMO Patients After CPR
Cardiopulmonary Arrest, VA-ECMO
About this trial
This is an interventional diagnostic trial for Cardiopulmonary Arrest focused on measuring CPR, ECMO, Vessel opacification, Computed tomography
Eligibility Criteria
Inclusion Criteria:
- Running or recent eCPR
- Clinically indicated CT and CT angiography of chest and abdomen (and head, if required)
- Femoro-femoral VA-ECMO-cannulation
Exclusion Criteria:
- Contraindication for CT scan or administration of iodinated contrast agent
Sites / Locations
- Medical University of ViennaRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
ECMO flow rate reduction
no ECMO flow rate reduction
In the intervention cohort ECMO flow rate is reduced for the duration of CT image acquisition (max. 1-2 min.), if the hemodynamic and respiratory situation allows it. Feasibility is determined by the accompanying emergency physician right before the CT scan and adapted to the individually tolerable level (max. 50% of initial flow, no less than 1,5 litre/min). After image acquisition, ECMO flow rate is immediately returned to the initial or clinically optimal value at this moment.
In this cohort ECMO flow rate is not reduced for CT image acquisition.