Indications and limitations of ECMO therapy. Considerations on evidence, treatment decisions and ethical challenges

Karagiannidis, C. and Bein, T. and Weber-Carstens, S. (2019) Indications and limitations of ECMO therapy. Considerations on evidence, treatment decisions and ethical challenges. MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN, 114 (3). pp. 207-213. ISSN 2193-6218, 2193-6226

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Abstract

The present work sheds light on the possibilities and limitations of modern extracorporeal membrane oxygenation (ECMO) therapy in the case of heart or lung failure. Since the number of applications of extracorporeal lung and heart/lung replacement procedures has increased dramatically in the last few years in severely ill patients, decision-making for a meaningful indication and in the course of a possible therapy target change has become particularly difficult, especially with regard to the complex situation in organ transplantation in Germany. An attempt is made to elucidate the dilemma between data from large controlled trials and epidemiological studies and the patients' individuality.

Item Type: Article
Uncontrolled Keywords: EXTRACORPOREAL MEMBRANE-OXYGENATION; NONINVASIVE VENTILATION; MECHANICAL VENTILATION; CARDIAC-ARREST; LIFE-SUPPORT; REMOVAL; RESUSCITATION; EPIDEMIOLOGY; FAILURE; ADULTS; Critical illness; Heart failure; Ethics; Terminal care; Epidemiology
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Apr 2020 12:47
Last Modified: 14 Apr 2020 12:47
URI: https://pred.uni-regensburg.de/id/eprint/27256

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