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[If the extracorporeal lung assist comes to its limit: use and management of extracorporeal membrane oxygenation in severe acute respiratory distress syndrome].

Abstract

In patients with the most severe forms of acute respiratory distress syndrome (ARDS) refractory to conventional mechanical ventilation and adjunctive or rescue therapies like kinetic therapy, inhaled vasodilators or extracorporeal CO2-elimination (extracorporeal lung assist), the use of the extracorporeal membrane oxygenation (ECMO) can secure gas exchange. Due to technical improvements and miniaturization, the new ECMO system is safer and simpler. Nowadays the ECMO-systems are heparin-coated, so that there is no need of therapeutic systemic anticoagulation, and thus bleeding complications are less frequent. Recent data suggests, that outcome of patients with severe ARDS treated with ECMO may improve. This review describes the function and the management of ECMO-therapy in ARDS-patients.

Authors+Show Affiliations

Klinik und Poliklinik für Anästhesiologieder Universität Würzburg. kuesterman_j@klinik.uniwuerzburg.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

ger

PubMed ID

23097209

Citation

Küstermann, Julian, et al. "[If the Extracorporeal Lung Assist Comes to Its Limit: Use and Management of Extracorporeal Membrane Oxygenation in Severe Acute Respiratory Distress Syndrome]." Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS, vol. 47, no. 10, 2012, pp. 646-54.
Küstermann J, Brederlau J, Kranke P, et al. [If the extracorporeal lung assist comes to its limit: use and management of extracorporeal membrane oxygenation in severe acute respiratory distress syndrome]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2012;47(10):646-54.
Küstermann, J., Brederlau, J., Kranke, P., Roewer, N., & Muellenbach, R. M. (2012). [If the extracorporeal lung assist comes to its limit: use and management of extracorporeal membrane oxygenation in severe acute respiratory distress syndrome]. Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS, 47(10), 646-54. https://doi.org/10.1055/s-0032-1329402
Küstermann J, et al. [If the Extracorporeal Lung Assist Comes to Its Limit: Use and Management of Extracorporeal Membrane Oxygenation in Severe Acute Respiratory Distress Syndrome]. Anasthesiol Intensivmed Notfallmed Schmerzther. 2012;47(10):646-54. PubMed PMID: 23097209.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [If the extracorporeal lung assist comes to its limit: use and management of extracorporeal membrane oxygenation in severe acute respiratory distress syndrome]. AU - Küstermann,Julian, AU - Brederlau,Jörg, AU - Kranke,Peter, AU - Roewer,Norbert, AU - Muellenbach,Ralf Michael, Y1 - 2012/10/24/ PY - 2012/10/26/entrez PY - 2012/10/26/pubmed PY - 2013/4/12/medline SP - 646 EP - 54 JF - Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS JO - Anasthesiol Intensivmed Notfallmed Schmerzther VL - 47 IS - 10 N2 - In patients with the most severe forms of acute respiratory distress syndrome (ARDS) refractory to conventional mechanical ventilation and adjunctive or rescue therapies like kinetic therapy, inhaled vasodilators or extracorporeal CO2-elimination (extracorporeal lung assist), the use of the extracorporeal membrane oxygenation (ECMO) can secure gas exchange. Due to technical improvements and miniaturization, the new ECMO system is safer and simpler. Nowadays the ECMO-systems are heparin-coated, so that there is no need of therapeutic systemic anticoagulation, and thus bleeding complications are less frequent. Recent data suggests, that outcome of patients with severe ARDS treated with ECMO may improve. This review describes the function and the management of ECMO-therapy in ARDS-patients. SN - 1439-1074 UR - https://www.unboundmedicine.com/medline/citation/23097209/[If_the_extracorporeal_lung_assist_comes_to_its_limit:_use_and_management_of_extracorporeal_membrane_oxygenation_in_severe_acute_respiratory_distress_syndrome]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-0032-1329402 DB - PRIME DP - Unbound Medicine ER -