Evidence map›Paper›PMID 39177687›Full record

ReviewDie Anaesthesiologie2024

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

Jochen Dutzmann, Hanno Grahn, Udo Boeken, Christian Jung, Andrej Michalsen, Gunnar Duttge, Ralf Muellenbach, P Christian Schulze, Lars Eckardt, Georg Trummer and 1 more

Abstract readEnglish AbstractReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Die Anaesthesiologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Jochen DutzmannUniversitätsklinik und Poliklinik für Innere Medizin III, Mitteldeutsches Herzzentrum, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.
Hanno GrahnKlinik für Kardiologie, Universitäres Herz- und Gefäßzentrum, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
Udo BoekenKlinik für Herzchirurgie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Christian JungKlinik für Kardiologie, Pneumologie und Angiologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Andrej MichalsenKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Konstanz, Konstanz, Deutschland.
Gunnar DuttgeInstitut für Kriminalwissenschaften/Zentrum für Medizinrecht, Georg-August-Universität Göttingen, Göttingen, Deutschland.
Ralf MuellenbachKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, ECMO-Zentrum, Klinikum Kassel, Kassel, Deutschland.
P Christian SchulzeKlinik für Innere Medizin I, Universitätsklinikum Jena, Jena, Deutschland.
Lars EckardtKlinik für Kardiologie II - Rhythmologie, Universitätsklinikum Münster, Münster, Deutschland.
Georg TrummerKlinik für Herz- und Gefäßchirurgie, Universitäts-Herzzentrum Freiburg, Universitätsklinikum Freiburg, Freiburg, Deutschland.
Guido MichelsNotfallzentrum, Krankenhaus der Barmherzigen Brüder Trier, Medizincampus Trier der Universitätsmedizin Mainz, Nordallee 1, 54292, Trier, Deutschland. g.michels@bbtgruppe.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Extracorporeal Membrane OxygenationAlgorithmsHumansInformed ConsentLife Support SystemsAcute heart failureCardiac arrestCardiogenic shockDefibrillatorResuscitation

Identifiers

PMID39177687

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.