**9. Conclusion**

Over the last several decades, healthcare results for this demographic procedure have improved significantly due to increased expertise and experience in patient care. ECMO remains an invaluable tool in the armamentarium of cardiac surgery, and its use combined with CPR has promising results, but it is hindered by nonavailability and high capital usage from the hospital. ECPR must be judicially used in the context of CA as every case will not lead to successful resuscitation. Surgical and medical management of CA patients continues to be difficult. Despite gains, various learning opportunities remain as we try to make even more progress.
