ECLS und eCPR – Was ist wichtig für den Notarzt?

Reanimationsbemühungen mit den bisher vorhandenen Möglichkeiten kommen regelmäßig an ihre Grenzen. Die Möglichkeit zur kardiopulmonalen Unterstützung unter Einsatz eines maschinellen extrakorporalen Kreislaufs kann für ausgewählte Patienten mit refraktärem Herz-Kreislauf-Stillstand aufgrund potenziell reversibler Ursachen erwogen werden.

Abstract

Extracorporeal cardiopulmonary resuscitation (ECPR) to improve outcomes in out-of-hospital cardiac arrest (OHCA) patients has gained widespread interest. Observational studies and a randomized trial indicate better outcomes for OHCA patients who receive ECPR over traditional resuscitation; this includes increased survival to hospital discharge and improved neurological outcomes. However, ECPR is resource intensive and the implementation of programs is difficult. As ECPR utilization increases, there are still relevant uncertainties in daily practice. Hence, it is highly important that emergency physicians are aware of the possibilities and limitations of this treatment option. This article provides technical background as well as information regarding logistics, patient selection and structured communication in the emergency room.

Schlüsselwörter

Reanimation - ECLS - ECMO - ECPR - OHCA

Keywords

Resuscitation - ECLS - ECMO - ECMO - OHCA

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