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Review
. 2020;23(4):168-173.
doi: 10.1007/s00740-020-00349-x. Epub 2020 Jun 10.

[Recommendations for Extracorporeal Membrane Oxygenation (ECMO) in COVID-19 Patients]

[Article in German]
Dominik Wiedemann  1 , Martin H Bernardi  2 , Klaus Distelmaier  3 , Georg Goliasch  3 , Christian Hengstenberg  3 , Alexander Hermann  4 , Michael Holzer  5 , Konrad Hoetzenecker  6 , Walter Klepetko  6 , György Lang  6 , Andrea Lassnigg  2 , Günther Laufer  1 , Ingrid A M Magnet  5 , Klaus Markstaller  7 , Martin Röggla  5 , Bernhard Rössler  7   8 , Peter Schellongowski  4 , Paul Simon  1 , Edda Tschernko  2 , Roman Ullrich  7 , Daniel Zimpfer  1 , Thomas Staudinger  4 ; COVID-19 ECMO Arbeitsgruppe Medizinische Universität Wien
Affiliations
Review

[Recommendations for Extracorporeal Membrane Oxygenation (ECMO) in COVID-19 Patients]

[Article in German]
Dominik Wiedemann et al. Wien Klin Mag. 2020.

Abstract
in English, German

The pandemic from the SARS-CoV‑2 Virus is currently challenging health care systems all over the world. Maintaining appropriate staffing and resources in healthcare facilities is essential to guarantee a safe work environment for healthcare personnel and safe patient care. Extracorporeal membrane oxygenation (ECMO) represents a valuable therapeutic option in patients with severe heart or lung failure. Although only a limited proportion of COVID-19 patients develops respiratory or circulatory failure that is refractory to conventional therapies, it is of utmost importance to clearly define criteria for the use of ECMOs in this steadily growing patient population. The ECMO working group of the Medical University of Vienna has established the following recommendations for ECMO support in COVID-19 patients.

Die aktuelle COVID-19-Pandemie, die durch das SARS-CoV‑2 ausgelöst wird, hat bereits in vielen betroffenen Ländern zu gravierenden Ressourcenengpässen der jeweiligen Gesundheitssysteme geführt. Obwohl sehr viele COVID-19-Patienten nur moderate Symptome zeigen, entwickelt eine Subgruppe ein schweres respiratorisches oder auch kardiales Versagen. Die extrakorporale Membranoxygenierung (ECMO) stellt eine wertvolle Therapieoption für Patienten mit therapierefraktärem Lungen- oder Herzversagen dar. Es bedarf klarer Empfehlungen, die den ECMO-Einsatz in dieser zahlenmäßig stetig steigenden Patientenpopulation regeln. Die ECMO-Arbeitsgruppe der Medizinischen Universität Wien hat daher die folgenden Empfehlungen für eine ECMO-Unterstützung bei COVID-19-Patienten formuliert.

Keywords: Acute Respiratory Distress Syndrome; Canulation; Criteria; Indications; Recommendations.

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