Recommendations of the S3 Guideline "Use of Extracorporeal Circulation (ECLS/ECMO) for Cardiac and Circulatory Failure" of the Association of Scientific Medical Societies in Germany

Fischer, Stefan and Assmann, Alexander and Beckmann, Andreas 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 J. and Burckhardt, Marion and Nothacker, Monika and Muellenbach, Ralf and Zausig, York and Haake, Nils and Goesdonk, Heinrich and Ferrari, Markus Wolfgang and Buerke, Michael and Hennersdorf, Marcus and Rosenberg, Mark and Schaible, Thomas and Koeditz, Harald and Kluge, Stefan and Janssens, Uwe and Lubnow, Matthias and Flemmer, Andreas and Herber-Jonat, Susanne and Wessel, Lucas M. and Buchwald, Dirk and Maier, Sven and Krueger, Lars and Fruend, Andreas and Jaksties, Rolf and Wiebe, Karsten and Hartog, Christiane and Dzemali, Omer and Zimpfer, Daniel and Ruttmann-Ulmer, Elfriede and Schlensak, Christian and Ensminger, Stephan and Kelm, Malte and Boeken, Udo (2023) Recommendations of the S3 Guideline "Use of Extracorporeal Circulation (ECLS/ECMO) for Cardiac and Circulatory Failure" of the Association of Scientific Medical Societies in Germany. ZENTRALBLATT FUR CHIRURGIE, 148 (03). pp. 284-292. ISSN 0044-409X, 1438-9592

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Abstract

In recent years, the use of mechanical support for patients with cardiac or circulatory failure has continuously increased, leading to 3,000 ECLS/ECMO (extracorporeal life support/extracorporeal membrane oxygenation) implantations annually in Germany. Due to the lack of guidelines, there is an urgent need for evidence-based recommendations addressing the central aspects of ECLS/ECMO therapy. In July 2015, the generation of a guideline level S3 according to the standards of the Association of the Scientific Medical Societies in Germany (AWMF) was announced by the German Society for Thoracic and Cardiovascular Surgery (GSTCVS). In a well-structured consensus process, involving experts from Germany, Austria and Switzerland, delegated by 16 scientific societies and the patients' representation, the guideline "Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure" was created under guidance of the GSTCVS, and published in February 2021. The guideline focuses on clinical aspects of initiation, continuation, weaning and aftercare, herein also addressing structural and economic issues. This article presents an overview on the methodology as well as the final recommendations.

Item Type: Article
Uncontrolled Keywords: REFRACTORY CARDIOGENIC-SHOCK; MEMBRANE-OXYGENATION; LIFE-SUPPORT; POSITION PAPER; CARDIOPULMONARY-RESUSCITATION; NEUROLOGIC COMPLICATIONS; ADULT PATIENTS; SURVIVAL; ORGANIZATION; ECMO; Linksherzversagen; critical care; ECMO; ECLS; extracorporeal support; left ventricular failure
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Medicine > Lehrstuhl für Innere Medizin II
Depositing User: Petra Gürster
Date Deposited: 05 Sep 2023 11:19
Last Modified: 05 Sep 2023 11:19
URI: https://pred.uni-regensburg.de/id/eprint/58675

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