Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure -A clinical practice Guideline Level 3
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Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure -A clinical practice Guideline Level 3. / Assmann, Alexander; Beckmann, Andreas; Schmid, Christof; Werdan, Karl; Michels, Guido; Miera, Oliver; Schmidt, Florian; Klotz, Stefan; Starck, Christoph; Pilarczyk, Kevin; Rastan, Ardawan; Burckhardt, Marion; Nothacker, Monika; Müllenbach, Ralf; Zausig, York; Haake, Nils; Groesdonk, Heinrich; Ferrari, Markus; Buerke, Michael; Hennersdorf, Marcus; Rosenberg, Mark; Schaible, Thomas; Köditz, Harald; Kluge, Stefan; Janssens, Uwe; Lubnow, Matthias; Flemmer, Andreas; Herber-Jonat, Susanne; Wessel, Lucas; Buchwald, Dirk; Maier, Sven; Krüger, Lars; Fründ, Andreas; Jaksties, Rolf; Fischer, Stefan; Wiebe, Karsten; Hartog, Christiane S; Dzemali, Omer; Zimpfer, Daniel; Ruttmann-Ulmer, Elfriede; Schlensak, Christian; Kelm, Malte; Ensminger, Stephan; Boeken, Udo.
In: ESC HEART FAIL, Vol. 9, No. 1, 02.2022, p. 506-518.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure -A clinical practice Guideline Level 3
AU - Assmann, Alexander
AU - Beckmann, Andreas
AU - Schmid, Christof
AU - Werdan, Karl
AU - Michels, Guido
AU - Miera, Oliver
AU - Schmidt, Florian
AU - Klotz, Stefan
AU - Starck, Christoph
AU - Pilarczyk, Kevin
AU - Rastan, Ardawan
AU - Burckhardt, Marion
AU - Nothacker, Monika
AU - Müllenbach, Ralf
AU - Zausig, York
AU - Haake, Nils
AU - Groesdonk, Heinrich
AU - Ferrari, Markus
AU - Buerke, Michael
AU - Hennersdorf, Marcus
AU - Rosenberg, Mark
AU - Schaible, Thomas
AU - Köditz, Harald
AU - Kluge, Stefan
AU - Janssens, Uwe
AU - Lubnow, Matthias
AU - Flemmer, Andreas
AU - Herber-Jonat, Susanne
AU - Wessel, Lucas
AU - Buchwald, Dirk
AU - Maier, Sven
AU - Krüger, Lars
AU - Fründ, Andreas
AU - Jaksties, Rolf
AU - Fischer, Stefan
AU - Wiebe, Karsten
AU - Hartog, Christiane S
AU - Dzemali, Omer
AU - Zimpfer, Daniel
AU - Ruttmann-Ulmer, Elfriede
AU - Schlensak, Christian
AU - Kelm, Malte
AU - Ensminger, Stephan
AU - Boeken, Udo
PY - 2022/2
Y1 - 2022/2
N2 - Aims Worldwide applications of extracorporeal circulation for mechanical support in cardiac and circulatory failure, which are referred to as extracorporeal life support (ECLS) or veno-arterial extracorporeal membrane oxygenation (va-ECMO), have dramatically increased over the past decade. In spite of the expanding use and the immense medical as well as socio-economic impact of this therapeutic approach, there has been a lack of interdisciplinary recommendations considering the best available evidence for ECLS treatment. Methods and Results In a multiprofessional, interdisciplinary scientific effort of all scientific societies involved in the treatment of patients with acute cardiac and circulatory failure, the first evidence- and expert consensus-based guideline (level S3) on ECLS/ECMO therapy was developed in a structured approach under regulations of the AWMF (Association of the Scientific Medical Societies in Germany) and under use of GRADE (Grading of Recommendations Assessment, Development and Evaluation) criteria. This article presents all recommendations created by the expert panel, addressing a multitude of aspects for ECLS initiation, continuation, weaning and aftercare as well as structural and personnel requirements. Conclusions This first evidence- and expert consensus-based guideline (level S3) on ECLS/ECMO therapy should be used to apply the best available care nationwide. Beyond clinical practice advice, remaining important research aspects for future scientific efforts are formulated.
AB - Aims Worldwide applications of extracorporeal circulation for mechanical support in cardiac and circulatory failure, which are referred to as extracorporeal life support (ECLS) or veno-arterial extracorporeal membrane oxygenation (va-ECMO), have dramatically increased over the past decade. In spite of the expanding use and the immense medical as well as socio-economic impact of this therapeutic approach, there has been a lack of interdisciplinary recommendations considering the best available evidence for ECLS treatment. Methods and Results In a multiprofessional, interdisciplinary scientific effort of all scientific societies involved in the treatment of patients with acute cardiac and circulatory failure, the first evidence- and expert consensus-based guideline (level S3) on ECLS/ECMO therapy was developed in a structured approach under regulations of the AWMF (Association of the Scientific Medical Societies in Germany) and under use of GRADE (Grading of Recommendations Assessment, Development and Evaluation) criteria. This article presents all recommendations created by the expert panel, addressing a multitude of aspects for ECLS initiation, continuation, weaning and aftercare as well as structural and personnel requirements. Conclusions This first evidence- and expert consensus-based guideline (level S3) on ECLS/ECMO therapy should be used to apply the best available care nationwide. Beyond clinical practice advice, remaining important research aspects for future scientific efforts are formulated.
U2 - 10.1002/ehf2.13718
DO - 10.1002/ehf2.13718
M3 - SCORING: Journal article
C2 - 34811959
VL - 9
SP - 506
EP - 518
JO - ESC HEART FAIL
JF - ESC HEART FAIL
SN - 2055-5822
IS - 1
ER -