Reply to Shekar and Schmidt: Integrating Mechanical Ventilation and Extracorporeal Membrane Oxygenation in Severe Acute Respiratory Distress Syndrome
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چکیده
منابع مشابه
Ventilation during extracorporeal membrane oxygenation for adult respiratory distress syndrome
Lung protective ventilation is the mainstay of treatment in acute respiratory distress syndrome (ARDS). However, in patients who have severe ARDS and who are receiving extracorporeal membrane oxygenation (ECMO), the ventilation strategy might be modified. This was the subject of the review by Schmidt and colleagues [1] in a recent issue of Critical Care. We invited 39 ARDS centers in Germany to...
متن کاملVenovenous Extracorporeal Membrane Oxygenation for Postoperative Acute Respiratory Distress Syndrome
BACKGROUND Extracorporeal membrane oxygenation (ECMO) has recently attracted interest as a treatment for severe acute respiratory distress syndrome (ARDS). However, the outcomes of this procedure in post-surgical settings have not yet been characterized. In this study, we evaluated the outcomes of ECMO in patients with severe postoperative ARDS. METHODS From January 2007 to December 2012, a t...
متن کاملExtracorporeal membrane oxygenation for acute respiratory distress syndrome
Extracorporeal membrane oxygenation (ECMO) can be a lifesaving therapy in patients with refractory severe respiratory failure or cardiac failure. Severe acute respiratory distress syndrome (ARDS) still has a high-mortality rate, but ECMO may be able to improve the outcome. Use of ECMO for respiratory failure has been increasing since 2009. Initiation of ECMO for adult ARDS should be considered ...
متن کاملMechanical Ventilation during Extracorporeal Membrane Oxygenation in Patients with Acute Severe Respiratory Failure
Conventionally, a substantial number of patients with acute respiratory failure require mechanical ventilation (MV) to avert catastrophe of hypoxemia and hypercapnia. However, mechanical ventilation per se can cause lung injury, accelerating the disease progression. Extracorporeal membrane oxygenation (ECMO) provides an alternative to rescue patients with severe respiratory failure that convent...
متن کاملMechanical ventilation and acute respiratory distress syndrome.
Acute respiratory distress syndrome continues to be a high-mortality condition. The role of mechanical ventilation remains primarily a supportive modality. Recent research has elucidated the adverse impact of traditional ventilation strategies on development of the disease and, ultimately, mortality. The institution of low tidal volume ventilation has been the only intervention that has resulte...
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ژورنال
عنوان ژورنال: American Journal of Respiratory and Critical Care Medicine
سال: 2019
ISSN: 1073-449X,1535-4970
DOI: 10.1164/rccm.201903-0690le