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Thorac Cardiovasc Surg 2021; 69(06): 483-489
DOI: 10.1055/s-0041-1735464
Special Report

Extracorporeal Circulation (ECLS/ECMO) for Cardio-circulatory Failure—Summary of the S3 Guideline

Authors

  • Udo Boeken

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

  • Alexander Assmann

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

  • Andreas Beckmann

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

  • Christof Schmid

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

  • Karl Werdan

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

  • Guido Michels

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

  • Oliver Miera

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

  • Florian Schmidt

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

  • Stefan Klotz

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

  • Christoph Starck

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

  • Kevin Pilarczyk

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

  • Ardawan Rastan

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

  • Marion Burckhardt

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

  • Monika Nothacker

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

  • Ralf Muellenbach

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

  • York Zausig

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

  • Nils Haake

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

  • Heinrich Groesdonk

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

  • Markus Ferrari

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

  • Michael Buerke

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

  • Marcus Hennersdorf

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

  • Mark Rosenberg

    20   Klinikum Aschaffenburg-Alzenau, Aschaffenburg, Germany

  • Thomas Schaible

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

  • Harald Köditz

    22   Medical University Children's Hospital, Hannover, Germany

  • Stefan Kluge

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

  • Uwe Janssens

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

  • Matthias Lubnow

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

  • Andreas Flemmer

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

  • Susanne Herber-Jonat

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

  • Lucas Wessel

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

  • Dirk Buchwald

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

  • Sven Maier

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

  • Lars Krüger

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

  • Andreas Fründ

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

  • Rolf Jaksties

    33   Deutsche Herzstiftung

  • Stefan Fischer

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

  • Karsten Wiebe

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

  • Christiane S. Hartog

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

  • Omer Dzemali

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

  • Daniel Zimpfer

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

  • Elfriede Ruttmann-Ulmer

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

  • Christian Schlensak

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

  • Malte Kelm

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

  • Stephan Ensminger

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

Funding The preparation of this guideline was funded by institutional grants of the German Society of Thoracic and Cardiovascular Surgery (GSTCVS, DGTHG) Berlin, Germany.
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Introduction

In Germany, a remarkable increase in the usage of extracorporeal membrane oxygenation (ECMO) and extracorporeal life support (ECLS) systems has been observed throughout the last year with approximately 3,000 annual ECLS/ECMO implantations since 2015. Despite the widespread use of ECLS/ECMO, there is still lack of evidence-based recommendations and guidelines, particularly associated with indications, contraindications, limitations, and management.[1]

Therefore, in 2015 the German Society for Thoracic and Cardiovascular Surgery (GSTCVS, DGTHG) registered the multidisciplinary S3 guideline “use of extracorporeal circulation life support/extracorporeal membrane oxygenation (ECLS/ECMO) for cardiac and circulatory failure” to create recommendations for ECMO/ECLS systems according to the requirements of the Association of the Scientific Medical Societies in Germany (AWMF) and the Medical Centre for Quality (Ärztliches Zentrum für Qualität, ÄZQ). Although the clinical application of ECMO/ECLS represents the main focus, the guideline also addresses structural and economic issues and was completed in February 2021. This report presents a summary of the methodological concept and accepted recommendations of this guideline.

Note

The complete guideline is published in the enclosed supplement to this issue.




Publication History

Article published online:
21 September 2021

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