Extracorporeal Membrane Oxygenation in Adult Acute Respiratory Distress Syndrome

被引:50
作者
Park, Pauline K. [1 ]
Napolitano, Lena M. [1 ]
Bartlett, Robert H. [1 ]
机构
[1] Univ Michigan Hlth Syst, Dept Surg, Div Acute Care Surg, Ann Arbor, MI 48109 USA
关键词
Extracorporeal membrane oxygenation; Extracorporeal life support; Acute respiratory distress syndrome; Respiratory failure; 2009 INFLUENZA A(H1N1); CRITICALLY-ILL PATIENTS; LUNG ASSIST; INTERHOSPITAL TRANSPORTATION; INTRACRANIAL HEMORRHAGE; ARDS PATIENTS; GAS-EXCHANGE; CO2; REMOVAL; BLOOD-FLOW; ECMO;
D O I
10.1016/j.ccc.2011.05.009
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The role of extracorporeal membrane oxygenation (ECMO) in supporting adult refractory respiratory failure continues to evolve. Technical advances and the clinical challenges of H1N1 associated severe ARDS have spurred a resurgence of interest in ECMO. Published systematic review and pooled analyses point out the limitations of available studies, however, a growing body of evidence suggest potential for benefit. Referral to a specialized center with ECMO experience should be considered early after the initiation of high-level ventilator support in adult patients with severe ARDS.
引用
收藏
页码:627 / +
页数:22
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