Current and future status of extracorporeal life support for respiratory failure in adults

被引：19

作者：

Bartlett, Robert H. ^{[1
]}

Deatrick, Kristopher B. ^{[1
]}

机构：

[1] Univ Michigan, Dept Surg, Ann Arbor, MI 48109 USA

来源：

CURRENT OPINION IN CRITICAL CARE | 2016年 / 22卷 / 01期

关键词：

acute respiratory distress syndrome; artificial lung; extracorporeal membrane oxygenation; POSITIVE-PRESSURE VENTILATION; LUNG TRANSPLANTATION; MEMBRANE-OXYGENATION; BRIDGE; REMOVAL; RECOVERY; DEVICE; ARDS; ECMO; CO2;

D O I：

10.1097/MCC.0000000000000274

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Purpose of review The purpose is to review the development and current application of extracorporeal life support [ECLS, extracorporeal membrane oxygenation (ECMO)] in acute severe respiratory failure. Recent findings Extracorporeal support (ECMO) is used for acute severe respiratory failure in advanced ICUs. The current survival rate is 60-70%. Three controlled trials all demonstrated 20-30% improvement in survival compared to conventional care. Patients may now be maintained awake and ambulatory with spontaneous breathing. Summary ECMO is the next step in the algorithm for management of severe respiratory failure unresponsive to conventional care.

引用

页码：80 / 85

页数：6

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