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- Title
Ethische Aspekte im Rahmen von extrakorporalen Herz-Kreislauf-Unterstützungssystemen (ECLS): Konsensuspapier der DGK, DGTHG und DGAI.
- Authors
Dutzmann, Jochen; Grahn, Hanno; Boeken, Udo; Jung, Christian; Michalsen, Andrej; Duttge, Gunnar; Muellenbach, Ralf; Schulze, P. Christian; Eckardt, Lars; Trummer, Georg; Michels, Guido
- Abstract
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.
- Subjects
EXTRACORPOREAL membrane oxygenation; DECISION making; RESUSCITATION; LIFE support systems in critical care; INFORMED consent (Medical law); CARDIAC arrest; CARDIAC pacemakers; ALGORITHMS
- Publication
Die Anaesthesiologie, 2024, Vol 73, Issue 9, p591
- ISSN
2731-6858
- Publication type
Article
- DOI
10.1007/s00101-024-01458-6