• Der Anaesthesist · Nov 2021

    Review

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

    • Udo Boeken, Stephan Ensminger, Alexander Assmann, Christof Schmid, Karl Werdan, Guido Michels, Oliver Miera, Florian Schmidt, Stefan Klotz, Christoph Starck, Kevin Pilarczyk, Ardawan Rastan, Marion Burckhardt, Monika Nothacker, Ralf Muellenbach, York Zausig, Nils Haake, Heinrich Groesdonk, Markus Ferrari, Michael Buerke, Marcus Hennersdorf, Mark Rosenberg, Thomas Schaible, Harald Köditz, Stefan Kluge, Uwe Janssens, Matthias Lubnow, Andreas Flemmer, Susanne Herber-Jonat, Lucas Wessel, Dirk Buchwald, Sven Maier, Lars Krüger, Andreas Fründ, Rolf Jaksties, Stefan Fischer, Karsten Wiebe, Christiane Hartog, Omer Dzemali, Daniel Zimpfer, Elfriede Ruttmann-Ulmer, Christian Schlensak, Malte Kelm, and Andreas Beckmann.
    • Department of Cardiac Surgery, Heinrich Heine University Medical School, Moorenstraße 5, 40225, Düsseldorf, Deutschland. udo.boeken@med.uni-duesseldorf.de.
    • Anaesthesist. 2021 Nov 1; 70 (11): 942-950.

    AbstractIn 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.© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

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