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Empfehlungen zur extrakorporalen kardiopulmonalen Reanimation (eCPR)

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

Recommendations for extracorporeal cardiopulmonary resuscitation (eCPR)

Consensus statement of DGIIN, DGK, DGTHG, DGfK, DGNI, DGAI, DIVI and GRC

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.

Abstract

Extracorporeal cardiopulmonary resuscitation (eCPR) may be considered as a rescue attempt for highly selected patients with refractory cardiac arrest and potentially reversible etiology. Currently there are no randomized, controlled studies on eCPR, and valid predictors of benefit and outcome which might guide the indication for eCPR are lacking. Currently selection criteria and procedures differ across hospitals and standardized algorithms are lacking. Based on expert opinion, the present consensus statement provides a proposal for a standardized treatment algorithm for eCPR.

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Literatur

  1. 1.

    Atwood C, Eisenberg MS, Herlitz J, Rea TD (2005) Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 67(1):75–80

    Article  PubMed  Google Scholar 

  2. 2.

    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):399–410

    Article  PubMed  Google Scholar 

  3. 3.

    Hawkes C, Booth S, Ji C et al (2017) Epidemiology and outcomes from out-of-hospital cardiac arrests in England. Resuscitation 110:133–140

    Article  PubMed  Google Scholar 

  4. 4.

    Spangenberg T, Schewel J, Dreher A et al (2018) Health related quality of life after extracorporeal cardiopulmonary resuscitation in refractory cardiac arrest. Resuscitation 127:73–78

    Article  PubMed  CAS  Google Scholar 

  5. 5.

    Kuisma M, Alaspää A (1997) Out-of-hospital cardiac arrests of non-cardiac origin. Epidemiology and outcome. Eur Heart J 18(7):1122–1128

    Article  PubMed  CAS  Google Scholar 

  6. 6.

    Hess EP, Campbell RL, White RD (2007) Epidemiology, trends, and outcome of out-of-hospital cardiac arrest of non-cardiac origin. Resuscitation 72(2):200–206

    Article  PubMed  Google Scholar 

  7. 7.

    Sandroni C, Nolan J, Cavallaro F, Antonelli M (2007) In-hospital cardiac arrest: Incidence, prognosis and possible measures to improve survival. Intensive Care Med 33:237–245

    Article  PubMed  Google Scholar 

  8. 8.

    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–S464

    Article  PubMed  Google Scholar 

  9. 9.

    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 116:16–21

    Article  PubMed  Google Scholar 

  10. 10.

    Soar J, Nolan JP, Böttiger BW et al (2015) European Resuscitation Council guidelines for resuscitation 2015 Section 3. Adult advanced life support. Resuscitation 95:100–147

    Article  PubMed  Google Scholar 

  11. 11.

    Kim SJ, Kim HJ, Lee HY et al (2016) Comparing extracorporeal cardiopulmonary resuscitation with conventional cardiopulmonary resuscitation: a meta-analysis. Resuscitation 103:106–116

    Article  PubMed  Google Scholar 

  12. 12.

    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):2469–2471

    Article  PubMed  Google Scholar 

  13. 13.

    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 372:554–561

    Article  PubMed  Google Scholar 

  14. 14.

    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):1219–1224

    Article  PubMed  Google Scholar 

  15. 15.

    Fagnoul D, Combes A, De Backer D (2014) Extracorporeal cardiopulmonary resuscitation. Curr Opin Crit Care 20(3):259–265

    Article  PubMed  Google Scholar 

  16. 16.

    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):13–22

    Article  PubMed  Google Scholar 

  17. 17.

    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):691–696

    Article  PubMed  Google Scholar 

  18. 18.

    Combes A, Brodie D, Chen YS et al (2017) The ICM research agenda on extracorporeal life support. Intensive Care Med 43(9):1306–1318

    Article  PubMed  Google Scholar 

  19. 19.

    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 112:1–10

    Article  PubMed  Google Scholar 

  20. 20.

    Conrad SA, Rycus PT (2017) Extracorporeal membrane oxygenation for refractory cardiac arrest. Ann Card Anaesth 20(Supplement):S4–S10

    Article  PubMed  PubMed Central  Google Scholar 

  21. 21.

    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 112:34–40

    Article  PubMed  Google Scholar 

  22. 22.

    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 119:56–62

    Article  PubMed  PubMed Central  Google Scholar 

  23. 23.

    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 42:1922–1934

    Article  PubMed  PubMed Central  Google Scholar 

  24. 24.

    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

    Google Scholar 

  25. 25.

    ELSO (2013) ECPR supplement to the ELSO general guidelines. Version 1.3 (https://www.elso.org/Portals/0/IGD/Archive/FileManager/6713186745cusersshyerdocumentselsoguidelinesforecprcases1.3.pdf)

    Google Scholar 

  26. 26.

    Günther S, Born F, Buchholz S et al (2018) Patienten unter Reanimation: Kandidaten für „Extracorporeal Life Support“? Z Herz Thorax Gefäßchir 32:133–140

    Article  Google Scholar 

  27. 27.

    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):157

    Article  PubMed  PubMed Central  Google Scholar 

  28. 28.

    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 114:1–6

    Article  PubMed  Google Scholar 

  29. 29.

    Abrams D, Garan AR, Abdelbary A et al (2018) Position paper for the organization of ECMO programs for cardiac failure in adults. Intensive Care Med. https://doi.org/10.1007/s00134-018-5064-5

    Article  PubMed  Google Scholar 

  30. 30.

    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):1109–1117

    Article  PubMed  Google Scholar 

  31. 31.

    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–e566

    Article  PubMed  Google Scholar 

  32. 32.

    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 42:35–41

    Article  PubMed  CAS  Google Scholar 

  33. 33.

    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):25–30

    Article  PubMed  Google Scholar 

  34. 34.

    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):176–181

    Article  PubMed  Google Scholar 

  35. 35.

    Siegenthaler W (2005) Differentialdiagnose, 19. Aufl. Thieme, Stuttgart

    Google Scholar 

  36. 36.

    Geisler AC, Söffker G, Breunig F et al (2014) Der besondere Fall-Optimale Rettungskette. Hamb Arztebl 68(10):44–46

    Google Scholar 

  37. 37.

    Hohmann C, Pfister R, Michels G (2018) Are the initial pH and the lactate values after cardiopulmonary resuscitation always crucial? Med Klin Intensivmed Notfmed. https://doi.org/10.1007/s00063-018-0432-z

    PubMed  Article  Google Scholar 

  38. 38.

    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):322

    Article  PubMed  PubMed Central  Google Scholar 

  39. 39.

    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):e176143

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  40. 40.

    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):1457–1461

    Article  PubMed  Google Scholar 

  41. 41.

    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):112–120

    Article  PubMed  Google Scholar 

  42. 42.

    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):368–374

    Article  PubMed  Google Scholar 

  43. 43.

    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):62–69

    Article  PubMed  Google Scholar 

  44. 44.

    Riggs KR, Becker LB, Sugarman J (2015) Ethics in the use of extracorporeal cardiopulmonary resuscitation in adults. Resuscitation 91:73–75

    Article  PubMed  PubMed Central  Google Scholar 

  45. 45.

    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–S396

    Article  PubMed  Google Scholar 

  46. 46.

    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):281–289

    PubMed  PubMed Central  Google Scholar 

  47. 47.

    Makdisi T, Makdisi G (2017) Extra-corporeal membrane oxygenation support: ethical dilemmas. Ann Transl Med 5(5):112

    Article  PubMed  PubMed Central  Google Scholar 

  48. 48.

    Niecke A, Schneider G, Hartog CS, Michels G (2017) Traumatized relatives of intensive care patients. Med Klin Intensivmed Notfmed 112(7):612–617

    Article  PubMed  CAS  Google Scholar 

  49. 49.

    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):634–636

    Article  PubMed  CAS  Google Scholar 

  50. 50.

    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):787–797

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  51. 51.

    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):1465–1472

    Article  PubMed  Google Scholar 

  52. 52.

    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):4

    Article  PubMed  PubMed Central  Google Scholar 

  53. 53.

    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 122:69–75

    Article  PubMed  Google Scholar 

  54. 54.

    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):179–186

    Article  PubMed  PubMed Central  Google Scholar 

  55. 55.

    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):200–207

    Article  PubMed  Google Scholar 

  56. 56.

    Kragholm K, Malta Hansen C, Dupre ME et al (2017) Direct transport to a percutaneous cardiac intervention center and outcomes in patients with out-of-hospital cardiac arrest. Circ Cardiovasc Qual Outcomes 10(6):e3414. https://doi.org/10.1161/CIRCOUTCOMES.116.003414

    Article  PubMed  Google Scholar 

  57. 57.

    Scholz KH, Andresen D, Böttiger BW et al (2017) Quality indicators and structural requirements for cardiac arrest centers-German Resuscitation Council (GRC). Kardiologe 11:205–208

    Article  Google Scholar 

  58. 58.

    Jarosz A, Darocha T, Kosiński S et al (2017) Profound accidental hypothermia: systematic approach to active recognition and treatment. ASAIO J 63(3):e26–e30

    Article  PubMed  PubMed Central  Google Scholar 

  59. 59.

    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):676–680

    PubMed  Google Scholar 

  60. 60.

    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):488–496

    Article  PubMed  Google Scholar 

  61. 61.

    Dirnberger D, Fiser R, Harvey C et al (2015) Extracorporeal Life Support Organization (ELSO), guidelines for ECMO transport. https://www.elso.org/resources/guidelines.aspx

    Google Scholar 

  62. 62.

    Broman LM, Frenckner B (2016) Transportation of critically ill patients on extracorporeal membrane oxygenation. Front Pediatr 4:63

    Article  PubMed  PubMed Central  Google Scholar 

  63. 63.

    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):314–319

    Article  PubMed  CAS  Google Scholar 

  64. 64.

    Zhang Z (2017) Echocardiography for patients undergoing extracorporeal cardiopulmonary resuscitation: a primer for intensive care physicians. J Intensive Care 5:15

    Article  PubMed  PubMed Central  Google Scholar 

  65. 65.

    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):427–440

    Article  PubMed  PubMed Central  Google Scholar 

  66. 66.

    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–e31

    Article  PubMed  Google Scholar 

  67. 67.

    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–e440

    Article  PubMed  Google Scholar 

  68. 68.

    Perkins GD, Olasveengen TM, Maconochie I et al (2018) European Resuscitation Council guidelines for resuscitation: 2017 update. Resuscitation 123:43–50

    Article  PubMed  Google Scholar 

  69. 69.

    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):182–188

    Article  PubMed  Google Scholar 

  70. 70.

    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):661–669

    Article  PubMed  Google Scholar 

  71. 71.

    Nanjayya VB, Murphy D (2015) Ultrasound guidance for extra-corporeal membrane oxygenation general guidelines (https://www.elso.org/Portals/0/Files/elso_Ultrasoundguideance_ecmogeneral_guidelines_May2015.pdf)

    Google Scholar 

  72. 72.

    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):507–513

    Article  PubMed  Google Scholar 

  73. 73.

    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):119–127

    PubMed  Google Scholar 

  74. 74.

    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 11:43

    Article  PubMed  PubMed Central  Google Scholar 

  75. 75.

    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):447–449

    Article  PubMed  Google Scholar 

  76. 76.

    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):861–867

    Article  PubMed  Google Scholar 

  77. 77.

    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))

    Article  PubMed  Google Scholar 

  78. 78.

    Johnson B, Runyon M, Weekes A, Pearson D (2017) Team-focused cardiopulmonary resuscitation: prehospital principles adapted for emergency department cardiac arrest resuscitation. J Emerg Med. https://doi.org/10.1016/j.jemermed.2017.08.065

    Article  PubMed  Google Scholar 

  79. 79.

    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):894–901

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to G. Michels.

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Interessenkonflikt

G. Michels ist Mitglied des wissenschaftlichen Beirats der Deutschen Gesellschaft für internistische Intensiv- und Notfallmedizin e. V. (DGIIN), kommissarischer Sprecher der Arbeitsgruppe Kardiopulmonale Reanimation der Deutschen Gesellschaft für Kardiologie e. V. (DGK) sowie Mitglied der Arbeitsgruppe ECMO/eCPR des Deutschen Rats für Wiederbelebung e. V./German Resuscitation Council (GRC) und erhielt Honorare für Vortragstätigkeiten von den Firmen Pfizer, Novartis, Servier, Zoll und Orion Pharma. J. Bauersachs ist Sprecher der DFG-geförderten Klinischen Forschergruppe (KFO) 311 „(Prä-) terminale Herz- und Lungeninsuffizienz: Entlastung und Reparatur“ und erhielt Honorare für Vortragstätigkeiten und Forschungsunterstützung von den Firmen Abiomed und Zoll. B. W. Böttiger ist European Resuscitation Council (ERC) Board Director Science and Research, Vorstandsvorsitzender des Deutschen Rats für Wiederbelebung e. V./German Resuscitation Council (GRC), Mitglied in der „Advanced Cardiac Life Support“ (ALS) Task Force des International Liaison Committee on Resuscitation (ILCOR), Mitglied im Präsidium der Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin (DIVI), Associated Editor des European Journal of Anaesthesiology (EJA), Mitherausgeber der Zeitschrift Resuscitation, Schriftleiter der Zeitschrift Notfall+Rettungsmedizin. Für Vorträge hat er Honorare der folgenden Firmen erhalten: med update GmbH, Forum für Medizinische Fortbildung (FoMF), Baxalta, Bayer Vita, Zoll, BARD. A. Ghanem erhielt Honorare für Vortragstätigkeiten von Getinge. A. Markewitz erhielt ein Vortragshonorar von TÜV Süd, München. J.-T. Gräsner ist 1. Sprecher des Wissenschaftlichen Arbeitskreises Notfallmedizin der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin, Sprecher des Organisationskomitees des Deutschen Reanimationsregisters, Chair des European Registry of Cardiac Arrest, Mitglied im Exekutivkomitee des Deutschen Rats für Wiederbelebung, Mitglied im Präsidium des Berufsverbands Deutscher Anästhesisten. U. Kreimeier ist Leiter der Arbeitsgruppe Advanced Life Support im Deutschen Rat für Wiederbelebung e. V./German Resuscitation Council (GRC). T. Wengenmayer, C. Hagl, C. Dohmen, A. Bauer, R. Pfister, H.-J. Busch, A. Beckmann, M. Fischer, C. Kill, U. Janssens, S. Kluge, F. Born, H. M. Hoffmeister, M. Preusch, U. Boeken, R. Riessen und H. Thiele geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Dieses Positionspapier erscheint parallel in den Zeitschriften Medizinische Klinik – Intensivmedizin und Notfallmedizin, Der Kardiologe, Der Anaesthesist, Zeitschrift für Herz‑, Thorax- und Gefäßchirurgie und Anästhesiologie & Intensivmedizin.

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Michels, G., Wengenmayer, T., Hagl, C. et al. Empfehlungen zur extrakorporalen kardiopulmonalen Reanimation (eCPR). Med Klin Intensivmed Notfmed 113, 478–486 (2018). https://doi.org/10.1007/s00063-018-0452-8

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Schlüsselwörter

  • Herz-Kreislauf-Stillstand
  • Extrakorporale kardiopulmonale Reanimation
  • Extrakorporale Membranoxygenierung
  • Kardiogener Schock
  • Wiederbelebung

Keywords

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