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02.07.2018 | Kardiogener Schock | Positionspapier

Empfehlungen zur extrakorporalen kardiopulmonalen Reanimation (eCPR)

Konsensuspapier der DGIIN, DGK, DGTHG, DGfK, DGNI, DGAI, DIVI und GRC

verfasst von: Prof. Dr. G. Michels, Dr. T. Wengenmayer, Prof. Dr. C. Hagl, Prof. Dr. C. Dohmen, Prof. Dr. B. W. Böttiger, Prof. Dr. J. Bauersachs, Prof. Dr. A. Markewitz, A. Bauer, Prof. Dr. J.-T. Gräsner, Prof. Dr. R. Pfister, Prof. Dr. A. Ghanem, Prof. Dr. H.-J. Busch, Prof. Dr. U. Kreimeier, Dr. A. Beckmann, Prof. Dr. M. Fischer, Prof. Dr. C. Kill, Prof. Dr. U. Janssens, Prof. Dr. S. Kluge, F. Born, Prof. Dr. H. M. Hoffmeister, PD Dr. M. Preusch, Prof. Dr. U. Boeken, Prof. Dr. R. Riessen, Prof. Dr. H. Thiele

Erschienen in: Medizinische Klinik - Intensivmedizin und Notfallmedizin | Ausgabe 6/2018

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Zusammenfassung

Die extrakorporale kardiopulmonale Reanimation („extracorporeal cardiopulmonary resuscitation“, eCPR) kann als Rettungsversuch für hoch selektierte Patienten mit refraktärem Herz-Kreislauf-Stillstand und potenziell reversibler Ätiologie erwogen werden. Aktuell fehlen randomisiert-kontrollierte Studien zur eCPR und es existieren keine validen Prädiktoren für Nutzen und Risiko, die bei der Indikationsstellung hilfreich sein könnten. Die bisherigen Selektionskriterien und Abläufe sind klinikspezifisch und ein (nationaler) standardisierter Algorithmus fehlt. Das vorliegende Konsensuspapier bietet basierend auf einer konsentierten Expertenmeinung den Vorschlag für ein standardisiertes Vorgehen bei eCPR.
Literatur
1.
Zurück zum Zitat Atwood C, Eisenberg MS, Herlitz J, Rea TD (2005) Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 67(1):75–80CrossRefPubMed Atwood C, Eisenberg MS, Herlitz J, Rea TD (2005) Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 67(1):75–80CrossRefPubMed
2.
Zurück zum Zitat Go AS, Mozaffarian D, Roger VL et al (2014) Executive summary: heart disease and stroke statistics-2014 update: a report from the American Heart Association. Circulation 129(3):399–410CrossRefPubMed Go AS, Mozaffarian D, Roger VL et al (2014) Executive summary: heart disease and stroke statistics-2014 update: a report from the American Heart Association. Circulation 129(3):399–410CrossRefPubMed
3.
Zurück zum Zitat Hawkes C, Booth S, Ji C et al (2017) Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation 110:133–140CrossRefPubMed Hawkes C, Booth S, Ji C et al (2017) Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation 110:133–140CrossRefPubMed
4.
Zurück zum Zitat Spangenberg T, Schewel J, Dreher A et al (2018) Health related quality of life after extracorporeal cardiopulmonary resuscitation in refractory cardiac arrest. Resuscitation 127:73–78CrossRefPubMed Spangenberg T, Schewel J, Dreher A et al (2018) Health related quality of life after extracorporeal cardiopulmonary resuscitation in refractory cardiac arrest. Resuscitation 127:73–78CrossRefPubMed
5.
Zurück zum Zitat Kuisma M, Alaspää A (1997) Out-of-hospital cardiac arrests of non-cardiac origin. Epidemiology and outcome. Eur Heart J 18(7):1122–1128CrossRefPubMed Kuisma M, Alaspää A (1997) Out-of-hospital cardiac arrests of non-cardiac origin. Epidemiology and outcome. Eur Heart J 18(7):1122–1128CrossRefPubMed
6.
Zurück zum Zitat Hess EP, Campbell RL, White RD (2007) Epidemiology, trends, and outcome of out-of-hospital cardiac arrest of non-cardiac origin. Resuscitation 72(2):200–206CrossRefPubMed Hess EP, Campbell RL, White RD (2007) Epidemiology, trends, and outcome of out-of-hospital cardiac arrest of non-cardiac origin. Resuscitation 72(2):200–206CrossRefPubMed
7.
Zurück zum Zitat Sandroni C, Nolan J, Cavallaro F, Antonelli M (2007) In-hospital cardiac arrest: Incidence, prognosis and possible measures to improve survival. Intensive Care Med 33:237–245CrossRefPubMed Sandroni C, Nolan J, Cavallaro F, Antonelli M (2007) In-hospital cardiac arrest: Incidence, prognosis and possible measures to improve survival. Intensive Care Med 33:237–245CrossRefPubMed
8.
Zurück zum Zitat Link MS, Berkow LC, Kudenchuk PJ et al (2015) Part 7: advanced cardiovascular life support – 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 132(Suppl 2):S444–S464CrossRefPubMed Link MS, Berkow LC, Kudenchuk PJ et al (2015) Part 7: advanced cardiovascular life support – 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 132(Suppl 2):S444–S464CrossRefPubMed
9.
Zurück zum Zitat Karam N, Marijon E, Dumas F et al (2017) Characteristics and outcomes of out-of-hospital sudden cardiac arrest according to the time of occurrence. Resuscitation 116:16–21CrossRefPubMed Karam N, Marijon E, Dumas F et al (2017) Characteristics and outcomes of out-of-hospital sudden cardiac arrest according to the time of occurrence. Resuscitation 116:16–21CrossRefPubMed
10.
Zurück zum Zitat Soar J, Nolan JP, Böttiger BW et al (2015) European Resuscitation Council guidelines for resuscitation 2015 Section 3. Adult advanced life support. Resuscitation 95:100–147CrossRefPubMed Soar J, Nolan JP, Böttiger BW et al (2015) European Resuscitation Council guidelines for resuscitation 2015 Section 3. Adult advanced life support. Resuscitation 95:100–147CrossRefPubMed
11.
Zurück zum Zitat Kim SJ, Kim HJ, Lee HY et al (2016) Comparing extracorporeal cardiopulmonary resuscitation with conventional cardiopulmonary resuscitation: a meta-analysis. Resuscitation 103:106–116CrossRefPubMed Kim SJ, Kim HJ, Lee HY et al (2016) Comparing extracorporeal cardiopulmonary resuscitation with conventional cardiopulmonary resuscitation: a meta-analysis. Resuscitation 103:106–116CrossRefPubMed
12.
Zurück zum Zitat Vdovin N, Günther SPW, de Waha S et al (2017) Early risk stratification in patients with cardiogenic shock complicating acute myocardial infarction treated with extracorporeal life support and primary percutaneous coronary intervention. JACC Cardiovasc Interv 10(23):2469–2471CrossRefPubMed Vdovin N, Günther SPW, de Waha S et al (2017) Early risk stratification in patients with cardiogenic shock complicating acute myocardial infarction treated with extracorporeal life support and primary percutaneous coronary intervention. JACC Cardiovasc Interv 10(23):2469–2471CrossRefPubMed
13.
Zurück zum Zitat Chen YS, Lin JW, Yu HY et al (2008) Cardiopulmonary resuscitation with assisted extracorporeal life support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis. Lancet 372:554–561CrossRefPubMed Chen YS, Lin JW, Yu HY et al (2008) Cardiopulmonary resuscitation with assisted extracorporeal life support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest: an observational study and propensity analysis. Lancet 372:554–561CrossRefPubMed
14.
Zurück zum Zitat Wang CH, Chou NK, Becker LB et al (2014) Improved outcome of extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest – a comparison with that for extracorporeal rescue for in-hospital cardiac arrest. Resuscitation 85(9):1219–1224CrossRefPubMed Wang CH, Chou NK, Becker LB et al (2014) Improved outcome of extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest – a comparison with that for extracorporeal rescue for in-hospital cardiac arrest. Resuscitation 85(9):1219–1224CrossRefPubMed
15.
Zurück zum Zitat Fagnoul D, Combes A, De Backer D (2014) Extracorporeal cardiopulmonary resuscitation. Curr Opin Crit Care 20(3):259–265CrossRefPubMed Fagnoul D, Combes A, De Backer D (2014) Extracorporeal cardiopulmonary resuscitation. Curr Opin Crit Care 20(3):259–265CrossRefPubMed
16.
Zurück zum Zitat Blumenstein J, Leick J, Liebetrau C et al (2016) Extracorporeal life support in cardiovascular patients with observed refractory in-hospital cardiac arrest is associated with favourable short and long-term outcomes: a propensity-matched analysis. Eur Heart J Acute Cardiovasc Care 5(7):13–22CrossRefPubMed Blumenstein J, Leick J, Liebetrau C et al (2016) Extracorporeal life support in cardiovascular patients with observed refractory in-hospital cardiac arrest is associated with favourable short and long-term outcomes: a propensity-matched analysis. Eur Heart J Acute Cardiovasc Care 5(7):13–22CrossRefPubMed
17.
Zurück zum Zitat Spangenberg T, Meincke F, Brooks S et al (2016) „Shock and Go?“ extracorporeal cardio-pulmonary resuscitation in the golden-hour of ROSC. Catheter Cardiovasc Interv 88(5):691–696CrossRefPubMed Spangenberg T, Meincke F, Brooks S et al (2016) „Shock and Go?“ extracorporeal cardio-pulmonary resuscitation in the golden-hour of ROSC. Catheter Cardiovasc Interv 88(5):691–696CrossRefPubMed
18.
Zurück zum Zitat Combes A, Brodie D, Chen YS et al (2017) The ICM research agenda on extracorporeal life support. Intensive Care Med 43(9):1306–1318CrossRefPubMed Combes A, Brodie D, Chen YS et al (2017) The ICM research agenda on extracorporeal life support. Intensive Care Med 43(9):1306–1318CrossRefPubMed
19.
Zurück zum Zitat Debaty G, Babaz V, Durand M et al (2017) Prognostic factors for extracorporeal cardiopulmonary resuscitation recipients following out-of-hospital refractory cardiac arrest. A systematic review and meta-analysis. Resuscitation 112:1–10CrossRefPubMed Debaty G, Babaz V, Durand M et al (2017) Prognostic factors for extracorporeal cardiopulmonary resuscitation recipients following out-of-hospital refractory cardiac arrest. A systematic review and meta-analysis. Resuscitation 112:1–10CrossRefPubMed
20.
21.
Zurück zum Zitat Richardson AS, Schmidt M, Bailey M et al (2017) ECMO Cardio-Pulmonary Resuscitation (ECPR), trends in survival from an international multicentre cohort study over 12-years. Resuscitation 112:34–40CrossRefPubMed Richardson AS, Schmidt M, Bailey M et al (2017) ECMO Cardio-Pulmonary Resuscitation (ECPR), trends in survival from an international multicentre cohort study over 12-years. Resuscitation 112:34–40CrossRefPubMed
22.
Zurück zum Zitat Haas NL, Coute RA, Hsu CH et al (2017) Descriptive analysis of extracorporeal cardiopulmonary resuscitation following out-of-hospital cardiac arrest-an ELSO registry study. Resuscitation 119:56–62CrossRefPubMedPubMedCentral Haas NL, Coute RA, Hsu CH et al (2017) Descriptive analysis of extracorporeal cardiopulmonary resuscitation following out-of-hospital cardiac arrest-an ELSO registry study. Resuscitation 119:56–62CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Ouweneel DM, Schotborgh JV, Limpens J et al (2016) Extracorporeal life support during cardiac arrest and cardiogenic shock: a systematic review and meta-analysis. Intensive Care Med 42:1922–1934CrossRefPubMedPubMedCentral Ouweneel DM, Schotborgh JV, Limpens J et al (2016) Extracorporeal life support during cardiac arrest and cardiogenic shock: a systematic review and meta-analysis. Intensive Care Med 42:1922–1934CrossRefPubMedPubMedCentral
24.
Zurück zum Zitat Trummer G, Bein B, Buerke M et al (2011) Standardized terminology of mechanical heart, lung and circulatory assist devices: a recommendation of the section „heart and circulation“ of the German Interdisciplinary Association of Critical Care Medicine. Appl Cardiopulm Pathophysiol 15:181–182 Trummer G, Bein B, Buerke M et al (2011) Standardized terminology of mechanical heart, lung and circulatory assist devices: a recommendation of the section „heart and circulation“ of the German Interdisciplinary Association of Critical Care Medicine. Appl Cardiopulm Pathophysiol 15:181–182
26.
Zurück zum Zitat Günther S, Born F, Buchholz S et al (2018) Patienten unter Reanimation: Kandidaten für „Extracorporeal Life Support“? Z Herz Thorax Gefäßchir 32:133–140CrossRef Günther S, Born F, Buchholz S et al (2018) Patienten unter Reanimation: Kandidaten für „Extracorporeal Life Support“? Z Herz Thorax Gefäßchir 32:133–140CrossRef
27.
Zurück zum Zitat Wengenmayer T, Rombach S, Ramshorn F et al (2017) Influence of low-flow time on survival after extracorporeal cardiopulmonary resuscitation (eCPR). Crit Care 21(1):157CrossRefPubMedPubMedCentral Wengenmayer T, Rombach S, Ramshorn F et al (2017) Influence of low-flow time on survival after extracorporeal cardiopulmonary resuscitation (eCPR). Crit Care 21(1):157CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Kuroki N, Abe D, Iwama T et al (2017) Association between delay to coronary reperfusion and outcome in patients with acute coronary syndrome undergoing extracorporeal cardiopulmonary resuscitation. Resuscitation 114:1–6CrossRefPubMed Kuroki N, Abe D, Iwama T et al (2017) Association between delay to coronary reperfusion and outcome in patients with acute coronary syndrome undergoing extracorporeal cardiopulmonary resuscitation. Resuscitation 114:1–6CrossRefPubMed
30.
Zurück zum Zitat Yannopoulos D, Bartos JA, Raveendran G et al (2017) Coronary artery disease in patients with out-of-hospital refractory ventricular fibrillation cardiac arrest. J Am Coll Cardiol 70(9):1109–1117CrossRefPubMed Yannopoulos D, Bartos JA, Raveendran G et al (2017) Coronary artery disease in patients with out-of-hospital refractory ventricular fibrillation cardiac arrest. J Am Coll Cardiol 70(9):1109–1117CrossRefPubMed
31.
Zurück zum Zitat Hayashida K, Suzuki M, Yonemoto N et al (2017) Early lactate clearance is associated with improved outcomes in patients with postcardiac arrest syndrome: a prospective, multicenter observational study (SOS-KANTO 2012 study). Crit Care Med 45(6):e559–e566CrossRefPubMed Hayashida K, Suzuki M, Yonemoto N et al (2017) Early lactate clearance is associated with improved outcomes in patients with postcardiac arrest syndrome: a prospective, multicenter observational study (SOS-KANTO 2012 study). Crit Care Med 45(6):e559–e566CrossRefPubMed
32.
Zurück zum Zitat Slottosch I, Liakopoulos O, Kuhn E et al (2017) Lactate and lactate clearance as valuable tool to evaluate ECMO therapy in cardiogenic shock. J Crit Care 42:35–41CrossRefPubMed Slottosch I, Liakopoulos O, Kuhn E et al (2017) Lactate and lactate clearance as valuable tool to evaluate ECMO therapy in cardiogenic shock. J Crit Care 42:35–41CrossRefPubMed
33.
Zurück zum Zitat Momiyama Y, Yamada W, Miyata K et al (2017) Prognostic values of blood pH and lactate levels in patients resuscitated from out-of-hospital cardiac arrest. Acute Med Surg 4(1):25–30CrossRefPubMed Momiyama Y, Yamada W, Miyata K et al (2017) Prognostic values of blood pH and lactate levels in patients resuscitated from out-of-hospital cardiac arrest. Acute Med Surg 4(1):25–30CrossRefPubMed
34.
Zurück zum Zitat Zeserson E, Goodgame B, Hess JD et al (2018) Correlation of venous blood gas and pulse oximetry with arterial blood gas in the undifferentiated critically ill patient. J Intensive Care Med 33(3):176–181CrossRefPubMed Zeserson E, Goodgame B, Hess JD et al (2018) Correlation of venous blood gas and pulse oximetry with arterial blood gas in the undifferentiated critically ill patient. J Intensive Care Med 33(3):176–181CrossRefPubMed
35.
Zurück zum Zitat Siegenthaler W (2005) Differentialdiagnose, 19. Aufl. Thieme, Stuttgart Siegenthaler W (2005) Differentialdiagnose, 19. Aufl. Thieme, Stuttgart
36.
Zurück zum Zitat Geisler AC, Söffker G, Breunig F et al (2014) Der besondere Fall-Optimale Rettungskette. Hamb Arztebl 68(10):44–46 Geisler AC, Söffker G, Breunig F et al (2014) Der besondere Fall-Optimale Rettungskette. Hamb Arztebl 68(10):44–46
38.
Zurück zum Zitat Shin J, Lim YS, Kim K et al (2017) Initial blood pH during cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients: a multicenter observational registry-based study. Crit Care 21(1):322CrossRefPubMedPubMedCentral Shin J, Lim YS, Kim K et al (2017) Initial blood pH during cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients: a multicenter observational registry-based study. Crit Care 21(1):322CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat Gil E, Na SJ, Ryu JA et al (2017) Association of body mass index with clinical outcomes for in-hospital cardiac arrest adult patients following extracorporeal cardiopulmonary resuscitation. PLoS ONE 12(4):e176143CrossRefPubMedPubMedCentral Gil E, Na SJ, Ryu JA et al (2017) Association of body mass index with clinical outcomes for in-hospital cardiac arrest adult patients following extracorporeal cardiopulmonary resuscitation. PLoS ONE 12(4):e176143CrossRefPubMedPubMedCentral
40.
Zurück zum Zitat Kang SB, Kim KS, Suh GJ et al (2017) Long-term survival of out-of-hospital cardiac arrest patients with malignancy. Am J Emerg Med 35(10):1457–1461CrossRefPubMed Kang SB, Kim KS, Suh GJ et al (2017) Long-term survival of out-of-hospital cardiac arrest patients with malignancy. Am J Emerg Med 35(10):1457–1461CrossRefPubMed
41.
Zurück zum Zitat Sulzgruber P, Sterz F, Poppe M et al (2017) Age-specific prognostication after out-of-hospital cardiac arrest - the ethical dilemma between „life-sustaining treatment“ and „the right to die“ in the elderly. Eur Heart J Acute Cardiovasc Care 6(2):112–120CrossRefPubMed Sulzgruber P, Sterz F, Poppe M et al (2017) Age-specific prognostication after out-of-hospital cardiac arrest - the ethical dilemma between „life-sustaining treatment“ and „the right to die“ in the elderly. Eur Heart J Acute Cardiovasc Care 6(2):112–120CrossRefPubMed
42.
Zurück zum Zitat Pabst D, El-Banayosy A, Soleimani B, Brehm CE (2018) Predictors of survival for nonhighly selected patients undergoing resuscitation with extracorporeal membrane oxygenation after cardiac arrest. ASAIO J 64(3):368–374CrossRefPubMed Pabst D, El-Banayosy A, Soleimani B, Brehm CE (2018) Predictors of survival for nonhighly selected patients undergoing resuscitation with extracorporeal membrane oxygenation after cardiac arrest. ASAIO J 64(3):368–374CrossRefPubMed
43.
Zurück zum Zitat Lorusso R, Gelsomino S, Parise O et al (2017) Venoarterial extracorporeal membrane oxygenation for refractory cardiogenic shock in elderly patients: trends in application and outcome from the Extracorporeal Life Support Organization (ELSO) Registry. Ann Thorac Surg 104(1):62–69CrossRefPubMed Lorusso R, Gelsomino S, Parise O et al (2017) Venoarterial extracorporeal membrane oxygenation for refractory cardiogenic shock in elderly patients: trends in application and outcome from the Extracorporeal Life Support Organization (ELSO) Registry. Ann Thorac Surg 104(1):62–69CrossRefPubMed
44.
45.
Zurück zum Zitat Mancini ME, Diekema DS, Hoadley TA et al (2015) Part 3: ethical issues: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 132(18 Suppl 2):S383–S396CrossRefPubMed Mancini ME, Diekema DS, Hoadley TA et al (2015) Part 3: ethical issues: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation 132(18 Suppl 2):S383–S396CrossRefPubMed
46.
Zurück zum Zitat Meltzer EC, Ivascu NS, Stark M et al (2016) A survey of physicians’ attitudes toward decision-making authority for initiating and withdrawing VA-ECMO: results and ethical implications for shared decision making. J Clin Ethics 27(4):281–289PubMedPubMedCentral Meltzer EC, Ivascu NS, Stark M et al (2016) A survey of physicians’ attitudes toward decision-making authority for initiating and withdrawing VA-ECMO: results and ethical implications for shared decision making. J Clin Ethics 27(4):281–289PubMedPubMedCentral
48.
Zurück zum Zitat Niecke A, Schneider G, Hartog CS, Michels G (2017) Traumatized relatives of intensive care patients. Med Klin Intensivmed Notfmed 112(7):612–617CrossRefPubMed Niecke A, Schneider G, Hartog CS, Michels G (2017) Traumatized relatives of intensive care patients. Med Klin Intensivmed Notfmed 112(7):612–617CrossRefPubMed
49.
Zurück zum Zitat Michels G, Thiele H, Kluge S, Pfister R (2017) Are there any prognostic predictors for extracorporeal cardiopulmonary resuscitation (ECPR) in case of out-of-hospital cardiac arrest? Med Klin Intensivmed Notfmed 112(7):634–636CrossRefPubMed Michels G, Thiele H, Kluge S, Pfister R (2017) Are there any prognostic predictors for extracorporeal cardiopulmonary resuscitation (ECPR) in case of out-of-hospital cardiac arrest? Med Klin Intensivmed Notfmed 112(7):634–636CrossRefPubMed
50.
Zurück zum Zitat Stiell IG, Nichol G, Leroux BG et al (2011) Early versus later rhythm analysis in patients with out-of-hospital cardiac arrest. N Engl J Med 365(9):787–797CrossRefPubMedPubMedCentral Stiell IG, Nichol G, Leroux BG et al (2011) Early versus later rhythm analysis in patients with out-of-hospital cardiac arrest. N Engl J Med 365(9):787–797CrossRefPubMedPubMedCentral
51.
Zurück zum Zitat Goslar T, Knafelj R, Radsel P et al (2016) Emergency percutaneous implantation of veno-arterial extracorporeal membrane oxygenation in the catheterisation laboratory. EuroIntervention 12(12):1465–1472CrossRefPubMed Goslar T, Knafelj R, Radsel P et al (2016) Emergency percutaneous implantation of veno-arterial extracorporeal membrane oxygenation in the catheterisation laboratory. EuroIntervention 12(12):1465–1472CrossRefPubMed
52.
Zurück zum Zitat Kashiura M, Sugiyama K, Tanabe T, Akashi A, Hamabe Y (2017) Effect of ultrasonography and fluoroscopic guidance on the incidence of complications of cannulation in extracorporeal cardiopulmonary resuscitation in out-of-hospital cardiac arrest: a retrospective observational study. BMC Anesthesiol 17(1):4CrossRefPubMedPubMedCentral Kashiura M, Sugiyama K, Tanabe T, Akashi A, Hamabe Y (2017) Effect of ultrasonography and fluoroscopic guidance on the incidence of complications of cannulation in extracorporeal cardiopulmonary resuscitation in out-of-hospital cardiac arrest: a retrospective observational study. BMC Anesthesiol 17(1):4CrossRefPubMedPubMedCentral
53.
Zurück zum Zitat Voicu S, Henry P, Malissin I et al (2018) Improving cannulation time for extracorporeal life support in refractory cardiac arrest of presumed cardiac cause – comparison of two percutaneous cannulation techniques in the catheterization laboratory in a center without on-site cardiovascular surgery. Resuscitation 122:69–75CrossRefPubMed Voicu S, Henry P, Malissin I et al (2018) Improving cannulation time for extracorporeal life support in refractory cardiac arrest of presumed cardiac cause – comparison of two percutaneous cannulation techniques in the catheterization laboratory in a center without on-site cardiovascular surgery. Resuscitation 122:69–75CrossRefPubMed
54.
Zurück zum Zitat Reynolds JC, Callaway CW, El Khoudary SR et al (2009) Coronary angiography predicts improved outcome following cardiac arrest: propensity-adjusted analysis. J Intensive Care Med 24(3):179–186CrossRefPubMedPubMedCentral Reynolds JC, Callaway CW, El Khoudary SR et al (2009) Coronary angiography predicts improved outcome following cardiac arrest: propensity-adjusted analysis. J Intensive Care Med 24(3):179–186CrossRefPubMedPubMedCentral
55.
Zurück zum Zitat Dumas F, Cariou A, Manzo-Silberman S et al (2010) Immediate percutaneous coronary intervention is associated with better survival after out-of-hospital cardiac arrest: insights from the PROCAT (Parisian Region Out of hospital Cardiac ArresT) registry. Circ Cardiovasc Interv 3(3):200–207CrossRefPubMed Dumas F, Cariou A, Manzo-Silberman S et al (2010) Immediate percutaneous coronary intervention is associated with better survival after out-of-hospital cardiac arrest: insights from the PROCAT (Parisian Region Out of hospital Cardiac ArresT) registry. Circ Cardiovasc Interv 3(3):200–207CrossRefPubMed
57.
Zurück zum Zitat Scholz KH, Andresen D, Böttiger BW et al (2017) Quality indicators and structural requirements for cardiac arrest centers-German Resuscitation Council (GRC). Kardiologe 11:205–208CrossRef Scholz KH, Andresen D, Böttiger BW et al (2017) Quality indicators and structural requirements for cardiac arrest centers-German Resuscitation Council (GRC). Kardiologe 11:205–208CrossRef
58.
Zurück zum Zitat Jarosz A, Darocha T, Kosiński S et al (2017) Profound accidental hypothermia: systematic approach to active recognition and treatment. ASAIO J 63(3):e26–e30CrossRefPubMedPubMedCentral Jarosz A, Darocha T, Kosiński S et al (2017) Profound accidental hypothermia: systematic approach to active recognition and treatment. ASAIO J 63(3):e26–e30CrossRefPubMedPubMedCentral
59.
Zurück zum Zitat Beckmann A, Benk C, Beyersdorf F et al (2011) Position article for the use of extracorporeal life support in adult patients. Eur J Cardiothorac Surg 40(3):676–680PubMed Beckmann A, Benk C, Beyersdorf F et al (2011) Position article for the use of extracorporeal life support in adult patients. Eur J Cardiothorac Surg 40(3):676–680PubMed
60.
Zurück zum Zitat Combes A, Brodie D, Bartlett R et al (2014) Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients. Am J Respir Crit Care Med 190(5):488–496CrossRefPubMed Combes A, Brodie D, Bartlett R et al (2014) Position paper for the organization of extracorporeal membrane oxygenation programs for acute respiratory failure in adult patients. Am J Respir Crit Care Med 190(5):488–496CrossRefPubMed
63.
Zurück zum Zitat Michels G, Zinke H, Möckel M et al (2017) Recommendations for education in ultrasound in medical intensive care and emergency medicine: position paper of DGIIN, DEGUM and DGK. Med Klin Intensivmed Notfmed 112(4):314–319CrossRefPubMed Michels G, Zinke H, Möckel M et al (2017) Recommendations for education in ultrasound in medical intensive care and emergency medicine: position paper of DGIIN, DEGUM and DGK. Med Klin Intensivmed Notfmed 112(4):314–319CrossRefPubMed
64.
Zurück zum Zitat Zhang Z (2017) Echocardiography for patients undergoing extracorporeal cardiopulmonary resuscitation: a primer for intensive care physicians. J Intensive Care 5:15CrossRefPubMedPubMedCentral Zhang Z (2017) Echocardiography for patients undergoing extracorporeal cardiopulmonary resuscitation: a primer for intensive care physicians. J Intensive Care 5:15CrossRefPubMedPubMedCentral
65.
Zurück zum Zitat Price S, Platz E, Cullen L et al (2017) Expert consensus document: echocardiography and lung ultrasonography for the assessment and management of acute heart failure. Nat Rev Cardiol 14(7):427–440CrossRefPubMedPubMedCentral Price S, Platz E, Cullen L et al (2017) Expert consensus document: echocardiography and lung ultrasonography for the assessment and management of acute heart failure. Nat Rev Cardiol 14(7):427–440CrossRefPubMedPubMedCentral
66.
Zurück zum Zitat Nolan JP, Hazinski MF, Aickin R et al (2015) Part 1: executive summary: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation 95:e1–e31CrossRefPubMed Nolan JP, Hazinski MF, Aickin R et al (2015) Part 1: executive summary: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation 95:e1–e31CrossRefPubMed
67.
Zurück zum Zitat Olasveengen TM, de Caen AR, Mancini ME et al (2017) 2017 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations summary. Circulation 136(23):e424–e440CrossRefPubMed Olasveengen TM, de Caen AR, Mancini ME et al (2017) 2017 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations summary. Circulation 136(23):e424–e440CrossRefPubMed
68.
Zurück zum Zitat Perkins GD, Olasveengen TM, Maconochie I et al (2018) European Resuscitation Council guidelines for resuscitation: 2017 update. Resuscitation 123:43–50CrossRefPubMed Perkins GD, Olasveengen TM, Maconochie I et al (2018) European Resuscitation Council guidelines for resuscitation: 2017 update. Resuscitation 123:43–50CrossRefPubMed
69.
Zurück zum Zitat Swol J, Belohlávek J, Haft JW et al (2016) Conditions and procedures for in-hospital extracorporeal life support (ECLS) in cardiopulmonary resuscitation (CPR) of adult patients. Perfusion 31(3):182–188CrossRefPubMed Swol J, Belohlávek J, Haft JW et al (2016) Conditions and procedures for in-hospital extracorporeal life support (ECLS) in cardiopulmonary resuscitation (CPR) of adult patients. Perfusion 31(3):182–188CrossRefPubMed
70.
Zurück zum Zitat Leick J, Liebetrau C, Szardien S et al (2013) Door-to-implantation time of extracorporeal life support systems predicts mortality in patients with out-of-hospital cardiac arrest. Clin Res Cardiol 102(9):661–669CrossRefPubMed Leick J, Liebetrau C, Szardien S et al (2013) Door-to-implantation time of extracorporeal life support systems predicts mortality in patients with out-of-hospital cardiac arrest. Clin Res Cardiol 102(9):661–669CrossRefPubMed
72.
Zurück zum Zitat Ahn HJ, Lee JW, Joo KH et al (2018) Point-of-care ultrasound-guided percutaneous cannulation of extracorporeal membrane oxygenation: make it simple. J Emerg Med 54(4):507–513CrossRefPubMed Ahn HJ, Lee JW, Joo KH et al (2018) Point-of-care ultrasound-guided percutaneous cannulation of extracorporeal membrane oxygenation: make it simple. J Emerg Med 54(4):507–513CrossRefPubMed
73.
Zurück zum Zitat Beck L, Burg MC, Heindel W, Schülke C (2017) Extracorporeal membrane oxygenation in adults – variants, complications during therapy, and the role of radiological imaging. Rofo 189(2):119–127PubMed Beck L, Burg MC, Heindel W, Schülke C (2017) Extracorporeal membrane oxygenation in adults – variants, complications during therapy, and the role of radiological imaging. Rofo 189(2):119–127PubMed
74.
Zurück zum Zitat Pang PY, Wee GH, Hoo AE et al (2016) Therapeutic hypothermia in adult patients receiving extracorporeal life support: early results of a randomized controlled study. J Cardiothorac Surg 11:43CrossRefPubMedPubMedCentral Pang PY, Wee GH, Hoo AE et al (2016) Therapeutic hypothermia in adult patients receiving extracorporeal life support: early results of a randomized controlled study. J Cardiothorac Surg 11:43CrossRefPubMedPubMedCentral
75.
Zurück zum Zitat Spartera M, Jabbour RJ, Chiarito M, De Bonis M, Pappalardo F (2017) Stepwise use of circulatory support devices in a patient refractory to cardiopulmonary resuscitation. Cardiovasc Revasc Med 18(6):447–449CrossRefPubMed Spartera M, Jabbour RJ, Chiarito M, De Bonis M, Pappalardo F (2017) Stepwise use of circulatory support devices in a patient refractory to cardiopulmonary resuscitation. Cardiovasc Revasc Med 18(6):447–449CrossRefPubMed
76.
Zurück zum Zitat Tepper S, Masood MF, Baltazar Garcia M et al (2017) Left ventricular unloading by Impella device versus surgical vent during extracorporeal life support. Ann Thorac Surg 104(3):861–867CrossRefPubMed Tepper S, Masood MF, Baltazar Garcia M et al (2017) Left ventricular unloading by Impella device versus surgical vent during extracorporeal life support. Ann Thorac Surg 104(3):861–867CrossRefPubMed
77.
Zurück zum Zitat Ibanez B, James S, Agewall S et al (2018) 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J 39(2):119–177 (The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC))CrossRefPubMed Ibanez B, James S, Agewall S et al (2018) 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Eur Heart J 39(2):119–177 (The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC))CrossRefPubMed
79.
Zurück zum Zitat Barbaro RP, Odetola FO, Kidwell KM et al (2015) Association of hospital-level volume of extracorporeal membrane oxygenation cases and mortality. Analysis of the extracorporeal life support organization registry. Am J Respir Crit Care Med 191(8):894–901CrossRefPubMedPubMedCentral Barbaro RP, Odetola FO, Kidwell KM et al (2015) Association of hospital-level volume of extracorporeal membrane oxygenation cases and mortality. Analysis of the extracorporeal life support organization registry. Am J Respir Crit Care Med 191(8):894–901CrossRefPubMedPubMedCentral
Metadaten
Titel
Empfehlungen zur extrakorporalen kardiopulmonalen Reanimation (eCPR)
Konsensuspapier der DGIIN, DGK, DGTHG, DGfK, DGNI, DGAI, DIVI und GRC
verfasst von
Prof. Dr. G. Michels
Dr. T. Wengenmayer
Prof. Dr. C. Hagl
Prof. Dr. C. Dohmen
Prof. Dr. B. W. Böttiger
Prof. Dr. J. Bauersachs
Prof. Dr. A. Markewitz
A. Bauer
Prof. Dr. J.-T. Gräsner
Prof. Dr. R. Pfister
Prof. Dr. A. Ghanem
Prof. Dr. H.-J. Busch
Prof. Dr. U. Kreimeier
Dr. A. Beckmann
Prof. Dr. M. Fischer
Prof. Dr. C. Kill
Prof. Dr. U. Janssens
Prof. Dr. S. Kluge
F. Born
Prof. Dr. H. M. Hoffmeister
PD Dr. M. Preusch
Prof. Dr. U. Boeken
Prof. Dr. R. Riessen
Prof. Dr. H. Thiele
Publikationsdatum
02.07.2018
Verlag
Springer Medizin
Erschienen in
Medizinische Klinik - Intensivmedizin und Notfallmedizin / Ausgabe 6/2018
Print ISSN: 2193-6218
Elektronische ISSN: 2193-6226
DOI
https://doi.org/10.1007/s00063-018-0452-8

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