Einsatz der extrakorporalen Zirkulation (ECLS/ECMO) bei Herz- und Kreislaufversagen. Kurzversion der AWMF-S3-Leitlinie

Boeken, Udo; Ensminger, Stephan; Assmann, Alexander; Schmid, Christof; Werdan, Karl; Michels, Guido; Miera, Oliver; Schmidt, Florian; Klotz, Stefan; Starck, Christoph; Pilarczyk, Kevin; Rastan, Ardawan; Burckhardt, Marion; Nothacker, Monika; Muellenbach, Ralf; Zausig, York; Haake, Nils; Groesdonk, Heinrich; Ferrari, Markus; Buerke, Michael; Hennersdorf, Marcus; Rosenberg, Mark; Schaible, Thomas; Koeditz, Harald; Kluge, Stefan; Janssens, Uwe; Lubnow, Matthias; Flemmer, Andreas; Herber-Jonat, Susanne; Wessel, Lucas; Buchwald, Dirk; Maier, Sven; Krueger, Lars; Fruend, Andreas; Jaksties, Rolf; Fischer, Stefan; Wiebe, Karsten; Hartog, Christiane; Dzemali, Omer; Zimpfer, Daniel; Ruttmann-Ulmer, Elfriede; Schlensak, Christian; Kelm, Malte und Beckmann, Andreas (2021): Einsatz der extrakorporalen Zirkulation (ECLS/ECMO) bei Herz- und Kreislaufversagen. Kurzversion der AWMF-S3-Leitlinie. In: Medizinische Klinik-Intensivmedizin und Notfallmedizin, Bd. 116, Nr. 8: S. 678-686

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.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 2193-6218
• Sprache: Deutsch