Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure Short version of the S3 guideline

Boeken, Udo and Ensminger, Stephan and Assmann, Alexander and Schmid, Christof and Werdan, Karl and Michels, Guido and Miera, Oliver and Schmidt, Florian and Klotz, Stefan and Starck, Christoph and Pilarczyk, Kevin and Rastan, Ardawan and Burckhardt, Marion and Nothacker, Monika and Muellenbach, Ralf and Zausig, York and Haake, Nils and Groesdonk, Heinrich and Ferrari, Markus and Buerke, Michael and Hennersdorf, Marcus and Rosenberg, Mark and Schaible, Thomas and Koditz, Harald and Kluge, Stefan and Janssens, Uwe and Lubnow, Matthias and Flemmer, Andreas and Herber-Jonat, Susanne and Wessel, Lucas and Buchwald, Dirk and Maier, Sven and Kruger, Lars and Frund, Andreas and Jaksties, Rolf and Fischer, Stefan and Wiebe, Karsten and Hartog, Christiane and Dzemali, Omer and Zimpfer, Daniel and Ruttmann-Ulmer, Elfriede and Schlensak, Christian and Kelm, Malte and Beckmann, Andreas (2021) Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure Short version of the S3 guideline. ANAESTHESIST, 70 (11). pp. 942-950. ISSN 0003-2417, 1432-055X

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Abstract

In Germany, a remarkable increase regarding the usage of extracorporeal membrane oxygenation (ECMO) and extracorporeal life support (ECLS) systems has been observed in recent years with approximately 3000 ECLS/ECMO implantations annually since 2015. Despite the widespread use of ECLS/ECMO, evidence-based recommendations or guidelines are still lacking regarding indications, contraindications, limitations and management of ECMO/ECLS patients. Therefore in 2015, the German Society of Thoracic and Cardiovascular Surgery (GSTCVS) registered the multidisciplinary S3 guideline "Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure" to develop evidence-based recommendations for ECMO/ECLS systems according to the requirements of the Association of the Scientific Medical Societies in Germany (AWMF). Although the clinical application of ECMO/ECLS represents the main focus, the presented guideline also addresses structural and economic issues. Experts from 17 German, Austrian and Swiss scientific societies and a patients' organization, guided by the GSTCVS, completed the project in February 2021. In this report, we present a summary of the methodological concept and tables displaying the recommendations for each chapter of the guideline.

Item Type: Article
Uncontrolled Keywords: REFRACTORY CARDIOGENIC-SHOCK; MEMBRANE-OXYGENATION; LIFE-SUPPORT; CARDIOPULMONARY-RESUSCITATION; POSITION PAPER; SURVIVAL; ORGANIZATION; ARREST; ECMO; COMPLICATIONS; ECC; ECLS; Cardiac failure; Cardiomyopathy; Mechanical circulatory support; Association of the Scientific Medical Societies in Germany
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Medicine > Lehrstuhl für Innere Medizin II
Depositing User: Dr. Gernot Deinzer
Date Deposited: 27 Sep 2022 13:08
Last Modified: 27 Sep 2022 13:08
URI: https://pred.uni-regensburg.de/id/eprint/48091

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