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

      1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 11 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42
      Medizinische Klinik, Intensivmedizin und Notfallmedizin
      Springer Science and Business Media LLC
      Association of the Scientific Medical Societies in Germany, Cardiac failure, Cardiomyopathy, ECC, ECLS, Mechanical circulatory support

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          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.

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          Author and article information

          Journal
          Med Klin Intensivmed Notfmed
          Medizinische Klinik, Intensivmedizin und Notfallmedizin
          Springer Science and Business Media LLC
          2193-6226
          2193-6218
          Nov 2021
          : 116
          : 8
          Affiliations
          [1 ] Department of Cardiac Surgery, Heinrich Heine University Medical School, Moorenstraße 5, 40225, Düsseldorf, Deutschland. udo.boeken@med.uni-duesseldorf.de.
          [2 ] Department of Cardiac and Thoracic Vascular Surgery, University Hospital of Schleswig-Holstein, Lübeck, Deutschland.
          [3 ] Department of Cardiac Surgery, Heinrich Heine University Medical School, Moorenstraße 5, 40225, Düsseldorf, Deutschland.
          [4 ] Department of Cardiothoracic Surgery, University Medical Center Regensburg, Regensburg, Deutschland.
          [5 ] Clinic for Internal Medicine III, University Hospital Halle (Saale), Martin Luther University Halle-Wittenberg, Halle-Wittenberg, Deutschland.
          [6 ] Department of Acute and Emergency Care, St Antonius Hospital Eschweiler, Eschweiler, Deutschland.
          [7 ] Department of Congenital Heart Disease-Pediatric Cardiology, German Heart Center Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.
          [8 ] Department of Pediatric Cardiology and Intensive Care Medicine, Medical School Hannover, Hannover, Deutschland.
          [9 ] Department of Cardiac Surgery, Segeberger Kliniken, Bad Segeberg, Deutschland.
          [10 ] Department of Cardiothoracic and Vascular Surgery, German Heart Center, Berlin, Deutschland.
          [11 ] Imland Hospital Rendsburg, Department for Intensive Care Medicine, Rendsburg, Schleswig-Holstein, Deutschland.
          [12 ] Department of Cardiac and Vascular Thoracic Surgery, Philipps University Hospital Marburg, Marburg, Deutschland.
          [13 ] Department of Health Sciences and Management, Baden-Wuerttemberg Cooperative State University (DHBW)-Stuttgart, Stuttgart, Deutschland.
          [14 ] Institute for Medical Knowledge Management, Association of the Scientific Medical Societies (AWMF), Universität Marburg, Marburg, Deutschland.
          [15 ] Department of Anesthesiology and Critical Care Medicine, Campus Kassel of the University of Southampton, Kassel, Deutschland.
          [16 ] Department of Anesthesiology and Operative Intensive Care Medicine, Aschaffenburg-Alzenau Hospital, Aschaffenburg, Bavaria, Deutschland.
          [17 ] Department of Intensive Care Medicine, Helios Clinic Erfurt, 99089, Erfurt, Deutschland.
          [18 ] HSK, Clinic of Internal Medicine I, Helios-Kliniken, Wiesbaden, Deutschland.
          [19 ] Department of Cardiology, Angiology and Internal Intensive Care Medicine, St. Marienkrankenhaus Siegen, Siegen, Deutschland.
          [20 ] Department of Cardiology, Pneumology, Angiology and Internal Intensive Care Medicine, SLK-Kliniken Heilbronn, Heilbronn, Deutschland.
          [21 ] Department of Internal Medicine I, Hospital Aschaffenburg-Alzenau, Aschaffenburg-Alzenau, Deutschland.
          [22 ] Department of Neonatology, University Children's Hospital Mannheim, University of Heidelberg, Mannheim, Deutschland.
          [23 ] Medical University Children's Hospital, Hannover, Deutschland.
          [24 ] Department of Intensive Care, University Medical Center Hamburg-Eppendorf, Hamburg, Deutschland.
          [25 ] Medical Clinic and Medical Intensive Care Medicine, St Antonius Hospital, Eschweiler, Deutschland.
          [26 ] Department of Internal Medicine II, University Hospital Regensburg, Regensburg, Deutschland.
          [27 ] Division of Neonatology, Dr. v. Hauner Children's Hospital and Perinatal Center Munich-Grosshadern, LMU Munich, Munich, Deutschland.
          [28 ] Department of Pediatric Surgery, Medical Faculty Mannheim, University of Heidelberg, Heidelberg, Deutschland.
          [29 ] Department of Cardiothoracic Surgery, University Hospital Bergmannsheil, Ruhr University, Bochum, Deutschland.
          [30 ] Department of Cardiovascular Surgery, Heart Center Freiburg University, Freiburg, Deutschland.
          [31 ] Division of Thoracic and Cardiovascular Surgery, Heart and Diabetes Center NRW, Ruhr University, Bochum, Deutschland.
          [32 ] Department of Physiotherapy, Heart and Diabetes Center NRW, Ruhr University, Bochum, Bochum, Deutschland.
          [33 ] German Heart Foundation, Frankfurt am Main, Deutschland.
          [34 ] Department of Thoracic Surgery and Lung Support, Ibbenbueren General Hospital, Ibbenbueren, Deutschland.
          [35 ] Department of Cardiothoracic Surgery, Münster University Hospital, Münster, Deutschland.
          [36 ] Department of Anesthesiology and Operative Intensive Care Medicine, Charité, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Deutschland.
          [37 ] Department of Cardiac Surgery, Triemli City Hospital Zurich, Birmensdorferstraße 497, 8063, Zurich, Schweiz.
          [38 ] Department of Cardiac Surgery, Medical University of Vienna, Vienna, Österreich.
          [39 ] Department of Cardiac Surgery, Medical University of Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich.
          [40 ] Department of Cardiothoracic and Vascular Surgery, University of Tübingen, Tübingen, Deutschland.
          [41 ] Department of Cardiology, Pulmonology and Vascular Medicine, Heinrich Heine University Medical School, Moorenstraße 5, Duesseldorf, Deutschland.
          [42 ] German Society for Thoracic and Cardiovascular Surgery, Langenbeck-Virchow-Haus, Luisenstraße 58/59, Berlin, Deutschland.
          Article
          10.1007/s00063-021-00868-3
          10.1007/s00063-021-00868-3
          34665281
          09a592e7-a8b4-45cc-a08c-d5f36e33ba9c
          History

          Mechanical circulatory support,Cardiac failure,Association of the Scientific Medical Societies in Germany,Cardiomyopathy,ECC,ECLS

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