Extracorporeal life support for patients with acute respiratory distress syndrome: report of a Consensus Conference

被引：53

作者：

Richard, Christian ^{[1
]}

Argaud, Laurent ^{[2
]}

Blet, Alice ^{[3
]}

Boulain, Thierry ^{[4
]}

Contentin, Laetitia ^{[5
]}

Dechartres, Agnes ^{[6
]}

Dejode, Jean-Marc ^{[7
]}

Donetti, Laurence ^{[8
]}

Fartoukh, Muriel ^{[9
]}

Fletcher, Dominique ^{[10
]}

Kuteifan, Khaldoun ^{[11
]}

Lasocki, Sigismond ^{[12
]}

Liet, Jean-Michel

Lukaszewicz, Anne-Claire ^{[13
]}

Mal, Herve ^{[14
]}

Maury, Eric ^{[15
]}

Osman, David ^{[16
]}

Outin, Herve ^{[17
]}

Richard, Jean-Christophe ^{[18
]}

Schneider, Francis ^{[19
,20
]}

Tamion, Fabienne ^{[21
]}

机构：

[1] Univ Paris 11, EA 4533, Serv Reanimat Med, Hop Univ Paris Sud,Hop Bicetre, F-94270 Le Kremlin Bicetre, France

[2] Grp Hosp Edouard Herriot, Serv Reanimat Med, Hosp Civils Lyon, F-69437 Lyon, France

[3] Hop St Louis, Hop Univ St Louis, Dept Anesthesie Reanimat, Ctr Traitement Brules, F-75010 Paris, France

[4] Hop La Source, CHR Orleans, Serv Reanimat Polyvalente, F-45067 Orleans, France

[5] Hop Bretonneau, CHRU Tours, Serv Reanimat Polyvalente, F-37000 Tours, France

[6] Hop Hotel Dieu, Ctr Cochrane Francais, INSERM, U1153,Ctr Rech Epidemiol & Biostat,Equipe Methode, F-75004 Paris, France

[7] Hop Mere Enfant, CHU Nantes, F-40000 Nantes, France

[8] CH Le Raincy Montfermeil, Serv Reanimat, F-93370 Montfermeil, France

[9] Hop Tenon, Hop Univ Est Parisien, Unite Reanimat Medicochirurg, F-75020 Paris, France

[10] Hop Raymond Poincare, Hop Univ Paris Ile de France Ouest, Dept Anesthesie, F-92380 Garches, France

[11] Hop Emile Muller, Serv Reanimat Med, F-68070 Mulhouse, France

[12] Univ Angers, LUNAM Univ, CHU Angers, F-49000 Angers, France

[13] Hop Lariboisiere, Grp Hosp St Louis Lariboisiere Fernand Widal, Dept Anesthesie Reanimat Reanimat Chirurg & Posto, F-75010 Paris, France

[14] Hop Bichat Claude Bernard, Hop Univ Paris Nord Val de Seine, Serv Pneumol, F-75018 Paris, France

[15] Hop St Antoine, Serv Reanimat Med, Hop Univ Est Parisien, F-75020 Paris, France

[16] Hop Bicetre, Hop Univ Paris Sud, Serv Reanimat Med, F-94270 Le Kremlin Bicetre, France

[17] Ctr Hosp Intercommunal Poissy St Germain en Laye, Serv Reanimat Medicochirurg, F-78300 Poissy, France

[18] Hop Croix Rousse, Hosp Civils Lyon, Serv Reanimat Med, F-69004 Lyon, France

[19] Univ Strasbourg, Hop Hautepierre, Serv Reanimat Med, Hop Univ Strasbourg, Strasbourg, France

[20] Univ Strasbourg, Hop Hautepierre, Serv Reanimat Med, Fac Med, Strasbourg, France

[21] Univ Rouen, INSERM, U1096, CHU Charles Nicolle,Serv Reanimat Med,IRIB, F-76031 Rouen, France

来源：

ANNALS OF INTENSIVE CARE | 2014年 / 4卷

关键词：

Extracorporeal life support; Extracorporeal membrane oxygenation; Extracorporeal CO2 removal; Acute respiratory distress syndrome; Protective ventilation; MEMBRANE-OXYGENATION SUPPORT; 2009 INFLUENZA A(H1N1); PEDIATRIC-PATIENTS; CO2; REMOVAL; BERLIN DEFINITION; LUNG INJURY; FAILURE; ADULTS; ARDS; ECMO;

D O I：

10.1186/2110-5820-4-15

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The influenza H1N1 epidemics in 2009 led a substantial number of people to develop severe acute respiratory distress syndrome and refractory hypoxemia. In these patients, extracorporeal membrane oxygenation was used as rescue oxygenation therapy. Several randomized clinical trials and observational studies suggested that extracorporeal membrane oxygenation associated with protective mechanical ventilation could improve outcome, but its efficacy remains uncertain. Organized by the Societe de Reanimation de Langue Francaise (SRLF) in conjunction with the Societe Francaise d'Anesthesie et de Reanimation (SFAR), the Societe de Pneumologie de Langue Francaise (SPLF), the Groupe Francophone de Reanimation et d'Urgences Pediatriques (GFRUP), the Societe Francaise de Perfusion (SOFRAPERF), the Societe Francaise de Chirurgie Thoracique et Cardiovasculaire (SFCTV) et the Sociedad Espanola de Medecina Intensiva Critica y Unidades Coronarias (SEMICYUC), a Consensus Conference was held in December 2013 and a jury of 13 members wrote 65 recommendations to answer the five following questions regarding the place of extracorporeal life support for patients with acute respiratory distress syndrome: 1) What are the available techniques?; 2) Which patients could benefit from extracorporeal life support?; 3) How to perform extracorporeal life support?; 4) How and when to stop extracorporeal life support?; 5) Which organization should be recommended? To write the recommendations, evidence-based medicine (GRADE method), expert panel opinions, and shared decisions taken by all the thirteen members of the jury of the Consensus Conference were taken into account.

引用

页数：16

共 59 条

[1] What is new in extracorporeal membrane oxygenation for ARDS in adults? [J].