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Extracorporeal 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 respirator...

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Autores principales: Aokage, Toshiyuki, Palmér, Kenneth, Ichiba, Shingo, Takeda, Shinhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940971/
https://www.ncbi.nlm.nih.gov/pubmed/27408728
http://dx.doi.org/10.1186/s40560-015-0082-7
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author Aokage, Toshiyuki
Palmér, Kenneth
Ichiba, Shingo
Takeda, Shinhiro
author_facet Aokage, Toshiyuki
Palmér, Kenneth
Ichiba, Shingo
Takeda, Shinhiro
author_sort Aokage, Toshiyuki
collection PubMed
description 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 when conventional therapy cannot maintain adequate oxygenation. ECMO can stabilize gas exchange and haemodynamic compromise, consequently preventing further hypoxic organ damage. ECMO is not a treatment for the underlying cause of ARDS. Because ARDS has multiple causes, the diagnosis should be investigated and treatment should be commenced during ECMO. Since ECMO is a complicated and high-risk therapy, adequate training in its performance and creation of a referring hospital network are essential. ECMO transport may be an effective method of transferring patients with severe ARDS.
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spelling pubmed-49409712016-07-13 Extracorporeal membrane oxygenation for acute respiratory distress syndrome Aokage, Toshiyuki Palmér, Kenneth Ichiba, Shingo Takeda, Shinhiro J Intensive Care Review 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 when conventional therapy cannot maintain adequate oxygenation. ECMO can stabilize gas exchange and haemodynamic compromise, consequently preventing further hypoxic organ damage. ECMO is not a treatment for the underlying cause of ARDS. Because ARDS has multiple causes, the diagnosis should be investigated and treatment should be commenced during ECMO. Since ECMO is a complicated and high-risk therapy, adequate training in its performance and creation of a referring hospital network are essential. ECMO transport may be an effective method of transferring patients with severe ARDS. BioMed Central 2015-06-17 /pmc/articles/PMC4940971/ /pubmed/27408728 http://dx.doi.org/10.1186/s40560-015-0082-7 Text en © Aokage et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Aokage, Toshiyuki
Palmér, Kenneth
Ichiba, Shingo
Takeda, Shinhiro
Extracorporeal membrane oxygenation for acute respiratory distress syndrome
title Extracorporeal membrane oxygenation for acute respiratory distress syndrome
title_full Extracorporeal membrane oxygenation for acute respiratory distress syndrome
title_fullStr Extracorporeal membrane oxygenation for acute respiratory distress syndrome
title_full_unstemmed Extracorporeal membrane oxygenation for acute respiratory distress syndrome
title_short Extracorporeal membrane oxygenation for acute respiratory distress syndrome
title_sort extracorporeal membrane oxygenation for acute respiratory distress syndrome
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940971/
https://www.ncbi.nlm.nih.gov/pubmed/27408728
http://dx.doi.org/10.1186/s40560-015-0082-7
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