Update on the Extracorporeal Life Support

被引:1
作者
Huh, Jin-Won [1 ]
机构
[1] Univ Ulsan, Asan Med Ctr, Coll Med, Dept Pulm & Crit Care Med, 88 Olymp Ro 43 Gil, Seoul 138736, South Korea
关键词
Respiratory Distress Syndrome; Adult; Extracorporeal Membrane Oxygenationgenation;
D O I
10.4046/trd.2015.78.3.149
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Extracorporeal life support (ECLS) is a type of cardiopulmonary bypass. It is an artificial means of supplying oxygen and removing CO2 on behalf of damaged lungs while patients are recovering from underlying diseases. Recently, the use of ECLS is rapidly increasing as this machine becomes smaller, less invasive and easier to use. In addition, the improvement of clinicians' technique and outcome is increasing their application to patients with acute respiratory distress. In this regard, the purpose of this review is to introduce the physiological principles, risk factors, and advantages of ECLS, clinical rationale for using ECLS, ventilatory strategy during ECLS, which are still causing different opinions, the weaning from ECLS, and the use of anticoagulant.
引用
收藏
页码:149 / 155
页数:7
相关论文
共 27 条
  • [1] Lower tidal volume strategy (≈ 3 ml/kg) combined with extracorporeal CO2 removal versus 'conventional' protective ventilation (6 ml/kg) in severe ARDS
    Bein, Thomas
    Weber-Carstens, Steffen
    Goldmann, Anton
    Mueller, Thomas
    Staudinger, Thomas
    Brederlau, Joerg
    Muellenbach, Ralf
    Dembinski, Rolf
    Graf, Bernhard M.
    Wewalka, Marlene
    Philipp, Alois
    Wernecke, Klaus-Dieter
    Lubnow, Matthias
    Slutsky, Arthur S.
    [J]. INTENSIVE CARE MEDICINE, 2013, 39 (05) : 847 - 856
  • [2] Safety of percutaneous dilatational tracheostomy in patients on extracorporeal lung support
    Braune, Stephan
    Kienast, Susanne
    Hadem, Johannes
    Wiesner, Olaf
    Wichmann, Dominic
    Nierhaus, Axel
    Simon, Marcel
    Welte, Tobias
    Kluge, Stefan
    [J]. INTENSIVE CARE MEDICINE, 2013, 39 (10) : 1792 - 1799
  • [3] Extracorporeal Membrane Oxygenation for ARDS in Adults
    Brodie, Daniel
    Bacchetta, Matthew
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2011, 365 (20) : 1905 - 1914
  • [4] Buck Marcia L, 2005, J Pediatr Pharmacol Ther, V10, P26, DOI 10.5863/1551-6776-10.1.26
  • [5] Bench to bedside review: Extracorporeal carbon dioxide removal, past present and future
    Cove, Matthew E.
    MacLaren, Graeme
    Federspiel, William J.
    Kellum, John A.
    [J]. CRITICAL CARE, 2012, 16 (05):
  • [6] Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute Respiratory Distress Syndrome
    Davies, Andrew
    Jones, Daryl
    Bailey, Michael
    Beca, John
    Bellomo, Rinaldo
    Blackwell, Nikki
    Forrest, Paul
    Gattas, David
    Granger, Emily
    Herkes, Robert
    Jackson, Andrew
    McGuinness, Shay
    Nair, Priya
    Pellegrino, Vincent
    Pettilae, Ville
    Plunkett, Brian
    Pye, Roger
    Torzillo, Paul
    Webb, Steve
    Wilson, Michael
    Ziegenfuss, Marc
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (17): : 1888 - 1895
  • [7] Extracorporeal life support for adults with severe acute respiratory failure
    Del Sorbo, Lorenzo
    Cypel, Marcelo
    Fan, Eddy
    [J]. LANCET RESPIRATORY MEDICINE, 2014, 2 (02) : 154 - 164
  • [8] A review of 100 patients transported on extracorporeal life support
    Foley, DS
    Pranikoff, T
    Younger, JG
    Swaniker, F
    Hemmila, MR
    Remenapp, RA
    Copenhaver, W
    Landis, D
    Hirschl, RB
    Bartlett, RH
    [J]. ASAIO JOURNAL, 2002, 48 (06) : 612 - 619
  • [9] Extracorporeal Membrane Oxygenation in Awake Patients as Bridge to Lung Transplantation
    Fuehner, Thomas
    Kuehn, Christian
    Hadem, Johannes
    Wiesner, Olaf
    Gottlieb, Jens
    Tudorache, Igor
    Olsson, Karen M.
    Greer, Mark
    Sommer, Wiebke
    Welte, Tobias
    Haverich, Axel
    Hoeper, Marius M.
    Warnecke, Gregor
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2012, 185 (07) : 763 - 768
  • [10] Clinical review: Extracorporeal membrane oxygenation
    Gattinoni, Luciano
    Carlesso, Eleonora
    Langer, Thomas
    [J]. CRITICAL CARE, 2011, 15 (06):