Extracorporeal Circulatory Approaches to Treat Acute Respiratory Distress Syndrome

被引:10
作者
Abrams, Darryl [1 ]
Brodie, Daniel [1 ]
机构
[1] Columbia Univ, Div Pulm Allergy & Crit Care, Coll Phys & Surg, New York, NY 10032 USA
关键词
Acute respiratory distress syndrome; Extracorporeal membrane oxygenation; Extracorporeal carbon dioxide removal; Respiratory failure; Lung-protective ventilation; POSITIVE-PRESSURE VENTILATION; ACUTE LUNG INJURY; CARBON-DIOXIDE REMOVAL; TIDAL VOLUME VENTILATION; MEMBRANE-OXYGENATION; PROTECTIVE-VENTILATION; CO2; REMOVAL; MECHANICAL VENTILATION; LIFE-SUPPORT; NOSOCOMIAL INFECTIONS;
D O I
10.1016/j.ccm.2014.08.013
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The early history of extracorporeal membrane oxygenation (ECMO) for adult patients with the acute respiratory distress syndrome (ARDS) evolved slowly over decades, a consequence of extracorporeal technology with high risk and unclear benefit. However, advances in component technology, accumulating evidence, and growing experience in recent years have resulted in a resurgence of interest in ECMO. Extracorporeal support, though currently lacking high-level evidence, has the potential to improve outcomes, including survival, in ARDS. In the near future, novel extracorporeal management strategies may, in fact, lead to a new paradigm in the approach to certain patients with ARDS.
引用
收藏
页码:765 / +
页数:17
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