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KARDIOTECHNIK Ausgabe: 2022/4; 031(1):009-014
https://doi.org/10.47624/kt.031.FXNU6333

Extracorporeal Circulation (ECLS/ECMO) for Cardiocirculatory Failure – Summary of the S3 Guideline

Boeken1, A. Assmann1, A. Beckmann2, Ch. Schmid3, K. Werdan4, G. Michels5, O. Miera6, F. Schmidt7, S. Klotz8, Ch. Starck9, K. Pilarczyk10, A. Rastan11, M. Burckhardt12, M. Nothacker13, R. Muellenbach14, Y. Zausig15, N. Haake10, H. Groesdonk16, M. Ferrari17, M. Buerke18, M. Hennersdorf19, M. Rosenberg20, T. Schaible21, H. Köditz22, S. Kluge23, U. Janssens24, M. Lubnow25, A. Flemmer26, S. Herber-Jonat27, L. Wessel28, D. Buchwald29, S. Maier30, L. Krüger31, A. Fründ32, R. Jaksties33, S. Fischer34, K. Wiebe35, Ch. S. Hartog36, O. Dzemali37, D. Zimpfer38, E. Ruttmann-Ulmer39, Ch. Schlensak40, M. Kelm41, S. Ensminger42

 

1Department of Cardiac Surgery, Heinrich-Heine-University Medical School, Duesseldorf, Germany

2German Society for Thoracic and Cardiovascular Surgery, Langenbeck-Virchow-Haus, Berlin, Germany

3Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Germany

4Clinic for Internal Medicine III, University Hospital Halle (Saale), Martin-Luther University, Halle-Wittenberg, Germany

5Department of Acute and Emergency Care, St. Antonius Hospital Eschweiler, Eschweiler, Germany

6Department of Congenital Heart Disease-Pediatric Cardiology, German Heart Center Berlin, Berlin, Germany

7Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Germany

8Department of Cardiac Surgery, Segeberger Kliniken, Bad Segeberg, Germany

9Department of Cardiothoracic and Vascular Surgery, German Heart Centre, Berlin, Germany

10Department for Intensive Care Medicine, Imland Hospital Rendsburg, Rendsburg, Schleswig-Holstein, Germany

11Department of Cardiac and Vascular Thoracic Surgery, Philipps-University Hospital Marburg, Marburg, Germany

12Department of Health Sciences and Management, Baden-Wuerttemberg Cooperative State University (DHBW), Stuttgart, Germany

13Institute for Medical Knowledge Management, Association of the Scientific Medical Societies (AWMF), Universität Marburg, Marburg, Germany

14Department of Anaesthesiology and Critical Care Medicine, Campus Kassel of the University of Southampton, Kassel, Germany

15Department of Anesthesiology and Operative Intensive Care Medicine,Aschaffenburg-Alzenau Hospital, Aschaffenburg, Bavaria, Germany

16Department of Intensive Care Medicine, Helios Clinic Erfurt, Erfurt, Germany

17HSK, Clinic of Internal Medicine I, Helios-Kliniken, Wiesbaden, Germany

18Department of Cardiology, Angiology and Intensive Care Medicine, St. Marienkrankenhaus Siegen, Siegen, Germany

19Department of Cardiology, Pneumology, Angiology and Internal Intensive Care Medicine, SLK-Kliniken Heilbronn, Heilbronn, Germany

20Klinikum Aschaffenburg-Alzenau, Aschaffenburg, Germany

21Department of Neonatology, University Children’s Hospital Mannheim,University of Heidelberg, Mannheim, Germany

22Medical University Children’s Hospital, Hannover, Germany

23Klinik für Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland

24Medical Clinic and Medical Intensive Care Medicine, St. Antonius Hospital, Eschweiler, Germany

25Department of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany

26Division of Neonatology, Dr. v. Hauner Children’s Hospital and Perinatal Center Munich-Grosshadern, LMU Munich, Munich, Germany

27Division of Neonatology, Dr. v. Hauner Children’s Hospital and Perinatal Center Munich-Grosshadern, LMU Munich, Munich, Germany

28Department of Pediatric Surgery,Medical Faculty Mannheim, University of Heidelberg, Germany

29Department of Cardiothoracic Surgery, University Hospital Bergmannsheil, Ruhr-University, Bochum, Germany

30Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Germany

31Division of Thoracic and Cardiovascular Surgery, Heart- and Diabetes Centre NRW, Ruhr-University, Bochum, Germany

32Department of Physiotherapy, Heart- and Diabetes Centre NRW, Ruhr-University, Bochum, Germany

33German Heart Foundation

34Department of Thoracic Surgery and Lung Support, Ibbenbueren General Hospital, Ibbenbueren, Germany

35Department of Cardiothoracic Surgery, Münster University Hospital, Münster, Germany

36Department of Anesthesiology and Operative Intensive Care Medicine, Charité Universitätsmedizin Berlin, and Klinik Bavaria, Kreischa, Germany

37Department of Cardiac Surgery, Triemli City Hospital Zurich, Zurich, Switzerland

38Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria

39Department of Cardiac Surgery, Medical University of Innsbruck, Innsbruck, Austria

40Department of Cardio-Thoracic and Vascular Surgery, University of Tübingen, Tübingen, Germany

41Department of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine-University Medical School, Duesseldorf, Germany

42Department of Cardiac and Thoracic Vascular Surgery, University Hospital of Schleswig-Holstein, Lübeck, Germany

Zusammenfassung

Keywords

Guideline, extracorporeal membrane oxygenation, extracorporeal life support, heart failure, lung failure

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Literatur

1. Assmann A, Boeken U, Klotz S, Harringer W, Beckmann A. Organization and application of ECLS therapy—a nationwide survey in German Cardiosurgical Departments. Thorac Cardiovasc Surg 2019;67(03):164–169.
2. Extrakorporale Zirkulation (ECLS/ECMO), Einsatz bei Herz- und Kreislaufversagen. S3-Leitlinie. AWMF-RN 011–021; 2020. Available at: https://www.awmf.org/leitlinien/ detail/ll/011-021.html.
3. Balshem H, Helfand M, Schünemann HJ, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol 2011;64(04):401–406.
4. Andrews J, Guyatt G, Oxman AD, et al. GRADE guidelines: 14. Going from evidence to recommendations: the significance and presentation of recommendations. J Clin Epidemiol 2013;66(07):719–725.

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