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Wiener klinische Wochenschrift

, Volume 127, Issue 5–6, pp 169–184 | Cite as

Positionspapier der Österreichischen Kardiologischen Gesellschaft zum Einsatz der extrakorporalen Membranoxygenation (ECMO) bei Erwachsenen kardiologischen Patienten

  • Philipp Pichler
  • Herwig Antretter
  • Martin Dünser
  • Stephan Eschertzhuber
  • Roman Gottardi
  • Gottfried Heinz
  • Gerhard Pölzl
  • Ingrid Pretsch
  • Angelika Rajek
  • Andrä Wasler
  • Daniel Zimpfer
  • Alexander GeppertEmail author
Positionspapier ÖKG
  • 414 Downloads

Zusammenfassung

Durch die Verfügbarkeit verbesserter ECMO Geräte mit einfacherer Implantation und einfacherem stabilerem Betrieb, findet die ECMO Implantation zunehmende Verbreitung. Das vorliegende Positionspapier der Österreichischen Kardiologischen Gesellschaft beleuchtet den Einsatz der ECMO bei erwachsenen kardiologischen nicht-postoperativen Patienten. In diesem Positionspapier werden nicht nur Indikationen- Kontraindikationen beleuchtet sondern auch Maßnahmen während des ECMO Betriebes – Monitoring und Komplikationsmanagement sowie das ECMO weaning behandelt. Mit diesen detaillierten Leitlinien soll der Einsatz der ECMO österreichweit verbessert, wenig erfahrenen Zentren eine Unterstützung für den eigenständigen Aufbau eines ECMO-Programmes geliefert und nicht ECMO-Zentren eine Hilfestellung für die Kontaktaufnahme mit ECMO-Zentren geboten werden.

Schlüsselwörter

ECMO Positionspapier Leitlinien Indikationen Kardiogener Schock Kardiopulmonale Reanimation CPR Weaning Entwöhnung Komplikationen 

Use of ECMO in adult patients with cardiogenic shock: a position paper of the Austrian Society of Cardiology.

Summary

The use of ECMO to stabilize critically ill patients with severely depressed cardiac function and hemodynamics increased in the last years due to broader availability, better performance and easier implantation of the devices. The present guidelines of the Austrian Society of Cardiology focus on the use of ECMO in adult non-operated patients with cardiac diseases. Not only indications and contraindications are highlighted, but also the equally important issues of monitoring, complication management, measures during implantation and operation, and weaning of the devices are treated in detail. Thereby the present guidelines aim to optimize the use of ECMO in the individual centers, and aim to help current non-ECMO centers in developing a local ECMO-program or to contact ECMO-centers for discussion of individual patients.

Keywords

ECMO Guidelines Indications Cardiogenic shock Resuscitation Weaning Complications 

Notes

Conflict of interest

Prof. Pölzl hat Vortragshonorare und einen unrestricted grant von Orion Pharma erhalten. Doz. Geppert hat Vortragshonorare von Orion Pharma erhalten. Alle übrigen Autoren geben an keinen conflict of interest in Bezug auf die gegenständliche Publikation zu haben.

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Copyright information

© Springer-Verlag Wien 2015

Authors and Affiliations

  • Philipp Pichler
    • 1
  • Herwig Antretter
    • 2
  • Martin Dünser
    • 3
  • Stephan Eschertzhuber
    • 4
  • Roman Gottardi
    • 5
  • Gottfried Heinz
    • 1
  • Gerhard Pölzl
    • 6
  • Ingrid Pretsch
    • 7
  • Angelika Rajek
    • 8
  • Andrä Wasler
    • 9
  • Daniel Zimpfer
    • 10
  • Alexander Geppert
    • 11
    Email author
  1. 1.Universitätsklinik für Innere Medizin II, Abteilung für KardiologieMedizinische Universität WienWienÖsterreich
  2. 2.Universitätsklinik für HerzchirurgieMedizinische Universität InnsbruckInnsbruckÖsterreich
  3. 3.Universitätsklinik für Anästhesie und IntensivmedizinParacelsus Medizinische Privatuniversität, Landeskrankenhaus SalzburgSalzburgÖsterreich
  4. 4.Abteilung für Anästhesie und IntensivmedizinUniversitätsklinik InnsbruckInnsbruckÖsterreich
  5. 5.Universitätslinik für HerzchirurgieParacelsus Medizinische Privatuniversität, Landeskrankenhaus SalzburgSalzburgÖsterreich
  6. 6.Klinik für Innere Medizin III, Abteilung für KardiologieUniversitätsklinik InnsbruckInnsbruckÖsterreich
  7. 7.Universitätslinik für Innere Medizin II, KardiologieParacelsus Medizinische Privatuniversität, Landeskrankenhaus SalzburgSalzburgÖsterreich
  8. 8.Klin. Abteilung für Herz-Thorax-Gefäßchirurgische Anästhesie und IntensivmedizinMedizinische Universität WienWienÖsterreich
  9. 9.Abteilung für Herz-ThoraxchirurgieUniversitätsklinik GrazGrazÖsterreich
  10. 10.Universitätsklinik für Chirurgie, Klin. Abteilung für HerzthoraxchirurgieMedizinische Universität WienWienÖsterreich
  11. 11.3. Medizinische Abteilung mit KardiologieWilhelminenspital der Stadt WienWienÖsterreich

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