Ventilation concepts under extracorporeal membrane oxygenation (ECMO) in acute respiratory distress syndrome (ARDS)

被引:0
作者
Bluth, Thomas [1 ]
Gueldner, Andreas [1 ]
Spieth, Peter M. [1 ]
机构
[1] Univ Klinikum Dresden, Klin Anasthesiol & Intensivtherapie, Fetscherstr 74, D-01307 Dresden, Germany
来源
ANAESTHESIOLOGIE | 2024年 / 73卷 / 05期
关键词
Mechanical ventilation; Ultraprotective ventilation; Spontaneous breathing; Acute lung failure; Invasiveness of mechanical ventilation; MECHANICAL VENTILATION; LIFE-SUPPORT; DRIVING PRESSURE; 6; ML/KG; MORTALITY; THERAPY; ASSOCIATIONS; MANAGEMENT; HYPOXEMIA; REMOVAL;
D O I
10.1007/s00101-024-01407-3
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Extracorporeal membrane oxygenation (ECMO) is often the last resort for escalation of treatment in patients with severe acute respiratory distress syndrome (ARDS). The success of treatment is mainly determined by patient-specific factors, such as age, comorbidities, duration and invasiveness of the pre-existing ventilation treatment as well as the expertise of the treating ECMO center. In particular, the adjustment of mechanical ventilation during ongoing ECMO treatment remains controversial. Although a reduction of invasiveness of mechanical ventilation seems to be reasonable due to physiological considerations, no improvement in outcome has been demonstrated so far for the use of ultraprotective ventilation regimens.
引用
收藏
页码:352 / 362
页数:11
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