ARDS-Fragebogen Englisch

Contraindication for anticoagulation (ICB, HIT II, etc.) *

Yes

Infection/Antibiotic Therapy

PRESERVE-Score*

* Schmidt M, Zogheib E, Rozé H et al: The PRESERVE mortality risk score and analysis of long-term outcomes after extracorporeal membrane oxygenation for severe acute respiratoy distress Syndrome. Intensive Care Med (2013) 39: 1704-1713

I hereby agree to the collection of all data mentioned in this form. *

I have read the information on data protection and accept it. *

Please contact us by phone parallel to the written request.

ARDS Inquiry Form

Your Information

Patient Information

Respiratory Information

ABG/Labs

Contraindications/Diagnostic

Neurology

Hemodynamic

Infection/Antibiotic Therapy

Vascular Access

PRESERVE-Score*

Consent

Please contact us by phone parallel to the written request.

Follow us