Cardiopulmonary Bypass (CPB)

For futuristic advanced resuscitation potentials, an emergency (portable) cardiopulmonary bypass (CPB) system was developed and evaluated in the 1980s, by Dr. Safar, Dr. Klain, and Mr. Stezoski. Dr. Tisherman evaluated CPB for cardiac arrest cases in the E.D. In dog outcome models, after prolonged cardiac arrest, CPB (veno-arterial pumping via oxygenator without opening the chest) was found superior to standard CPR advanced life support, in terms of cardiac and cerebral recovery (Safar, et al: Am J Emerg Med 8:55, 1990). Manufacturers have not yet developed prototype devices for clinical trials in the field.

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