[Recommendations for emergency management of patients with

Der Anaesthesist · Apr 2020

Review Guideline

[Recommendations for emergency management of patients with permanent mechanical circulatory support : Consensus statement of DGTHG, DIVI, DGIIN, DGAI, DGINA, DGfK and DGK].

The prevalence of patients living with long-term mechanical circulatory support (MCS) is rapidly increasing due to improved technology, improved survival, reduced adverse event profiles, greater reliability and mechanical durability, and limited numbers of organs available for donation. Patients with long-term MCS are very likely to require emergency medical support due to MCS-associated complications (e.g., right heart failure, left ventricular assist device malfunction, hemorrhage and pump thrombosis) but also due to non-MCS-associated conditions. Because of the unique characteristics of mechanical support, management of these patients is complicated and there is very little literature on emergency care for these patients. The purpose of this national scientific statement is to present consensus-based recommendations for the initial evaluation and resuscitation of adult patients with long-term MCS.

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- Kevin Pilarczyk, Udo Boeken, Andreas Beckmann, Andreas Markewitz, P Christian Schulze, Martin Pin, Ingo Gräff, Sebastian Schmidt, Birk Runge, Hans-Jörg Busch, Michael R Preusch, Nils Haake, Gereon Schälte, Jan Gummert, and Guido Michels.
- Klinik für Intensivmedizin, imland Klinik Rendsburg, Lilienstraße 22-28, 24768, Rendsburg, Deutschland. kevin.pilarczyk@imland.de.
- Anaesthesist. 2020 Apr 1; 69 (4): 238-253.
AbstractThe prevalence of patients living with long-term mechanical circulatory support (MCS) is rapidly increasing due to improved technology, improved survival, reduced adverse event profiles, greater reliability and mechanical durability, and limited numbers of organs available for donation. Patients with long-term MCS are very likely to require emergency medical support due to MCS-associated complications (e.g., right heart failure, left ventricular assist device malfunction, hemorrhage and pump thrombosis) but also due to non-MCS-associated conditions. Because of the unique characteristics of mechanical support, management of these patients is complicated and there is very little literature on emergency care for these patients. The purpose of this national scientific statement is to present consensus-based recommendations for the initial evaluation and resuscitation of adult patients with long-term MCS.

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[Recommendations for emergency management of patients with permanent mechanical circulatory support : Consensus statement of DGTHG, DIVI, DGIIN, DGAI, DGINA, DGfK and DGK].

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