Use of extracorporeal circulation (ECLS/ECMO) for cardiac and circulatory failure -A clinical practice Guideline Level 3.

{"article_title":"Use of extracorporeal circulation (ECLS\/ECMO) for cardiac and circulatory failure -A clinical practice Guideline Level 3.","author":"NA","journal_title":"ESC heart failure","issn":"2055-5822 ; Electronic","isbn":"","publication_date":"20220201","volume":"9","issue":"1","first_page":"506","page_count":"13","accession_number":"34811959","doi":"10.1002\/ehf2.13718","publisher":"John Wiley & Sons Ltd on behalf of the European Society of Cardiology","doctype":"Journal Article; Research Support","subjects":"Cardiology ","interest_area":["Cardiology"," Pulmonology"," Emergency Medicine"],"abstract":"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.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=34811959&authtype=shib&custid=ns346513","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Assmann A, Beckmann A, Schmid C, Werdan K, Michels G, Miera O, Schmidt F, Klotz S, Starck C, Pilarczyk K, Rastan A, Burckhardt M, Nothacker M, Muellenbach R, Zausig Y, Haake N, Groesdonk H, Ferrari M, Buerke M, Hennersdorf M, Rosenberg M, Schaible T, K\u00f6ditz H, Kluge S, Janssens U, Lubnow M, Flemmer A, Herber-Jonat S, Wessel L, Buchwald D, Maier S, Kr\u00fcger L, Fr\u00fcnd A, Jaksties R, Fischer S, Wiebe K, Hartog CS, Dzemali O, Zimpfer D, Ruttmann-Ulmer E, Schlensak C, Kelm M, Ensminger S, Boeken U","Journal_Info":"Publisher: John Wiley & Sons Ltd on behalf of the European Society of Cardiology Country of Publication: England NLM ID: 101669191 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2055-5822 (Electronic) Linking ISSN: 20555822 NLM ISO Abbreviation: ESC Heart Fail Subsets: MEDLINE","Publication_Type":"Journal Article; Research Support, Non-U.S. Gov't","Published_Date":"2022-02-01","Source":"ESC heart failure [ESC Heart Fail] 2022 Feb; Vol. 9 (1), pp. 506-518. Date of Electronic Publication: 2021 Nov 22.","Languages":"English","Electronic_ISSN":"2055-5822","MeSH_Terms":"Extracorporeal Membrane Oxygenation*\/methods , Shock*\/etiology, Extracorporeal Circulation ; Germany ; Humans ; Practice Guidelines as Topic","Subjects":"Extracorporeal Circulation, Germany, Humans, Practice Guidelines as Topic, Extracorporeal Membrane Oxygenation methods, Shock etiology","Title_Abbreviations":"ESC heart failure","Volume":"9"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"34811959","RelevancyScore":"855","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"855.123229980469"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=34811959&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=34811959&authtype=shib&custid=ns346513&group=main&profile=eds"}