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Clin Res Cardiol. 2019 May;108(5):455-464. doi: 10.1007/s00392-018-1366-4. Epub 2018 Sep 4.

Recommendations for extracorporeal cardiopulmonary resuscitation (eCPR): consensus statement of DGIIN, DGK, DGTHG, DGfK, DGNI, DGAI, DIVI and GRC.

Michels G1,2, Wengenmayer T3,4, Hagl C5,6, Dohmen C7,8,9, Böttiger BW10,9,11,12, Bauersachs J13,14, Markewitz A15,6,9, Bauer A16,17, Gräsner JT18,11,12, Pfister R19, Ghanem A20, Busch HJ21,4,9,12, Kreimeier U22,9,12, Beckmann A23,6, Fischer M24,11, Kill C25,11, Janssens U26,4,9, Kluge S27,4,9, Born F5,17, Hoffmeister HM28,14, Preusch M29, Boeken U30, Riessen R31,4, Thiele H32,14.

Author information

1
Department III of Internal Medicine, Heart Centre of the University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany. guido.michels@uk-koeln.de.
2
German Society of Medical Intensive Care and Emergency Medicine (Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin, DGIIN), Berlin, Germany. guido.michels@uk-koeln.de.
3
Department of Cardiology and Angiology I, Heart Center Freiburg University, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
4
German Society of Medical Intensive Care and Emergency Medicine (Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin, DGIIN), Berlin, Germany.
5
Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
6
German Society of Thoracic, Cardiac and Vascular Surgery (Deutsche Gesellschaft für Thorax-, Herz- und Gefäßchirurgie, DGTHG), Berlin, Germany.
7
LVR-Hospital Bonn, Bonn, Germany.
8
German Society of Neuro-Intensive Care and Emergency Medicine (Deutsche Gesellschaft für Neurointensiv- und Notfallmedizin, DGNI), Jena, Germany.
9
German Interdisciplinary Association for Intensive Care and Emergency Medicine (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin, DIVI), Berlin, Germany.
10
Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany.
11
German Society of Anaesthesiology and Intensive Care Medicine (Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin, DGAI), Nürnberg, Germany.
12
German Resuscitation Council (GRC), Ulm, Germany.
13
Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
14
German Cardiac Society (Deutsche Gesellschaft für Kardiologie, DGK), Düsseldorf, Germany.
15
, Bendorf, Germany.
16
Department of Cardiovascular Perfusion, MediClin Heart Center Coswig, Coswig, Saxony-Anhalt, Germany.
17
German Society of Cardiotechnics (Deutsche Gesellschaft für Kardiotechnik, DGfK), Coswig, Saxony-Anhalt, Germany.
18
Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Kiel, Germany.
19
Department III of Internal Medicine, Heart Centre of the University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
20
Department of Cardiology, Asklepios Klinik St Georg, Hamburg, Germany.
21
Department of Emergency Medicine, University Hospital of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
22
Department of Anaesthesiology, Ludwig-Maximilians-University Munich, Munich, Germany.
23
Department of Cardiac Surgery, Heart Centre Duisburg, Evangelisches Krankenhaus Niederrhein, Duisburg, Germany.
24
Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Service, Hospital Am Eichert, Alb Fils Kliniken GmbH, Goeppingen, Germany.
25
Centre of Emergency Medicine, University Hospital Essen, Essen, Germany.
26
Department of Internal Medicine and Intensive Care Medicine, St. Antonius Hospital Eschweiler, Eschweiler, Germany.
27
Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
28
Department of Cardiology and General Internal Medicine, Städtisches Klinikum Solingen gGmbH, Solingen, Germany.
29
Department of Cardiology, Angiology and Pneumology, University of Heidelberg, Heidelberg, Germany.
30
Department of Cardiovascular Surgery, Heinrich Heine University, Düsseldorf, Germany.
31
Department of Internal Medicine, Medical Intensive Care Unit, University of Tuebingen, Tübingen, Germany.
32
Department of Internal Medicine/Cardiology, Heart Center Leipzig, University Hospital, Leipzig, Germany.

Abstract

Extracorporeal cardiopulmonary resuscitation (eCPR) may be considered as a rescue attempt for highly selected patients with refractory cardiac arrest and potentially reversible aetiology. Currently, there are no randomised, controlled studies on eCPR. Thus, prospective validated predictors of benefit and outcome are lacking. Currently, selection criteria and procedure techniques differ across hospitals and standardised algorithms are lacking. Based on expert opinion, the present consensus statement provides a first standardised treatment algorithm for eCPR.

KEYWORDS:

Cardiac arrest; Cardiogenic shock; Extracorporeal cardiopulmonary resuscitation; Extracorporeal membrane oxygenation; Resuscitation

PMID:
30361819
DOI:
10.1007/s00392-018-1366-4
[Indexed for MEDLINE]

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