体外膜肺氧合治疗的组织与应用——德国心脏外科科室的全国性调查
Organization and Application of ECLS Therapy-A Nationwide Survey in German Cardiosurgical Departments.
作者信息
Assmann Alexander, Boeken Udo, Klotz Stefan, Harringer Wolfgang, Beckmann Andreas
机构信息
Department of Cardiovascular Surgery, Medical Faculty, Heinrich Heine University, Duesseldorf, Germany.
Department of Cardiac and Thoracic Vascular Surgery, University Hospital of Schleswig-Holstein, Lübeck, Germany.
出版信息
Thorac Cardiovasc Surg. 2019 Apr;67(3):164-169. doi: 10.1055/s-0038-1675597. Epub 2018 Nov 20.
BACKGROUND
In context of the multidisciplinary German scientific guideline "Use of extracorporeal circulation (extracorporeal life support [ECLS]/extracorporeal membrane oxygenation) for cardiac and circulatory failure," a nationwide survey should depict the status of organization and application of ECLS therapy in Germany.
METHODS
Between June and October 2017, a standardized questionnaire consisting of 30 items related to ECLS therapy was sent to all German cardiosurgical departments, and all returned results were analyzed and evaluated.
RESULTS
The return rate amounted to 92.9% (78 out of 84 departments). In the participating departments, ECLS therapy is subject to different responsibilities, and exhibits divergent processes and various ways for specialization of the involved personnel. This also concerns local application standards, such as cannulation strategies, anticoagulation management, left ventricular unloading, antiwatershed treatment, and weaning from circulatory support.
CONCLUSION
This nationwide survey underlines the necessity of a multidisciplinary guideline concerning ECLS therapy.
背景
在德国多学科科学指南“体外循环（体外生命支持[ECLS]/体外膜肺氧合）用于心脏和循环衰竭”的背景下，一项全国性调查旨在描述德国ECLS治疗的组织和应用状况。
方法
2017年6月至10月期间，一份由30项与ECLS治疗相关内容组成的标准化问卷被发送至德国所有心脏外科科室，所有返回的结果均进行了分析和评估。
结果
回复率为92.9%（84个科室中的78个）。在参与调查的科室中，ECLS治疗的职责不同，其流程存在差异，相关人员的专业化方式也多种多样。这也涉及到局部应用标准，如插管策略、抗凝管理、左心室卸载、抗分水岭治疗以及循环支持撤离等。
结论
这项全国性调查强调了制定关于ECLS治疗的多学科指南的必要性。
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