Ethical aspects in the context of extracorporeal life support systems (ECLS): consensus paper of the DGK, DGTHG and DGAI

被引：0

作者：

Dutzmann, Jochen ^{[1
,12
,13
]}

Grahn, Hanno ^{[2
,12
]}

Boeken, Udo ^{[3
,12
,14
]}

Jung, Christian ^{[4
,12
]}

Michalsen, Andrej ^{[5
,15
]}

Duttge, Gunnar ^{[6
]}

Muellenbach, Ralf ^{[7
,15
]}

Schulze, P. Christian ^{[8
,12
,16
]}

Eckardt, Lars ^{[9
,16
]}

Trummer, Georg ^{[10
,14
]}

Michels, Guido ^{[11
,12
]}

机构：

[1] Univ Klinikum Halle Saale, Univ Klin & Poliklin Innere Med 3, Mitteldeutsches Herzzentrum, Halle, Saale, Germany

[2] Univ Klinikum Hamburg Eppendorf, Klin Kardiol, Univ Herz & Gefasszentrum, Hamburg, Germany

[3] Univ Klinikum Dusseldorf, Klin Herzchirurgie, Dusseldorf, Germany

[4] Univ Klinikum Dusseldorf, Klin Kardiol Pneumol & Angiol, Dusseldorf, Germany

[5] Klinikum Konstanz, Klin Anasthesiol Intens Med Notfallmed & Schmerzth, Constance, Germany

[6] Georg August Univ Gottingen, Inst Kriminalwissensch, Zentrum Med Recht, Gottingen, Germany

[7] Klinikum Kassel, ECMO Zentrum, Klin Anasthesiol Intens Med Notfallmed & Schmerzth, Kassel, Germany

[8] Univ Klinikum Jena, Klin Innere Med 1, Jena, Germany

[9] Univ Klinikum Munster, Klin Kardiol II, Rhythmol, Munster, Germany

[10] Univ Klinikum Freiburg, Univ Herzzentrum Freiburg, Klin Herz & Gefasschirurg, Freiburg, Germany

[11] Univ Med Mainz, Krankenhaus Barmherzigen Bruder Trier, Notfallzentrum, Med Campus Trier,Nordallee 1, D-54292 Trier, Germany

[12] Deutsch Gesell Kardiol Herz & Kreislaufforsch eV D, Cluster Kardiovaskulare Akut & Intens Med, Dusseldorf, Germany

[13] DGK, Projektgrp Eth Kardiol, Dusseldorf, Germany

[14] Deutsch Gesell Thorax Herz & Gefasschirurg eV DGTH, Berlin, Germany

[15] Deutsch Gesell Anasthesiol & Intens Med eV DGAI, Nurnberg, Germany

[16] DGK, Kommiss Klin Kardiovaskulare Med, Dusseldorf, Germany

来源：

KARDIOLOGIE | 2024年 / 18卷 / 05期

关键词：

Cardiac Arrest; Defibrillator; Acute heart failure; Cardiogenic shock; Resuscitation; INTENSIVE-CARE;

D O I：

10.1007/s12181-024-00703-x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Extracorporeal life support systems (ECLS) are life-sustaining measures for severe cardiovascular diseases, serving as bridging treatment either until cardiovascular function is restored or alternative treatment, such as heart transplantation or the implantation of permanent ventricular assist devices is performed. Given the insufficient evidence and frequent urgency of implantation without initial patient consent, the ethical challenges and psychological burden for patients, relatives and the interprofessional intensive care team are significant. As with any treatment, an appropriate therapeutic goal for ECLS treatment based on the indications and patient informed consent is mandatory. In order to integrate the necessary ethical considerations into everyday clinical practice, a structured algorithm for handling ECLS is proposed here, which takes ethical aspects into due account.

引用

页码：353 / 364

页数：12

共 35 条

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