Michels G, Wengenmayer T, Hagl C, Dohmen C, Böttiger B W, Bauersachs J, Markewitz A, Bauer A, Gräsner J-T, Pfister R, Ghanem A, Busch H-J, Kreimeier U, Beckmann A, Fischer M, Kill C, Janssens U, Kluge S, Born F, Hoffmeister H M, Preusch M, Boeken U, Riessen R, Thiele H
Klinik III für Innere Medizin, Herzzentrum, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
Klinik für Kardiologie und Angiologie I, Universitäts-Herzzentrum Freiburg - Bad Krozingen, Medizinische Fakultät der Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland.
Med Klin Intensivmed Notfmed. 2018 Sep;113(6):478-486. doi: 10.1007/s00063-018-0452-8.
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.
体外心肺复苏(eCPR)可被视为针对高度选定的、病因可能可逆的难治性心脏骤停患者的一种抢救尝试。目前尚无关于eCPR的随机对照研究,也缺乏可能指导eCPR适应证的有效获益和预后预测指标。目前,各医院的选择标准和程序各不相同,且缺乏标准化算法。基于专家意见,本共识声明提出了一种eCPR标准化治疗算法的建议。