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Extracorporeal Membrane Oxygenation (ECMO) for Lung Injury in Severe Acute Respiratory Distress Syndrome (ARDS): Review of the Literature.
Clin Nurs Res. 2017 12; 26(6):747-762.CN

Abstract

Despite advances in mechanical ventilation, severe acute respiratory distress syndrome (ARDS) is associated with high morbidity and mortality rates ranging from 26% to 58%. Extracorporeal membrane oxygenation (ECMO) is a modified cardiopulmonary bypass circuit that serves as an artificial membrane lung and blood pump to provide gas exchange and systemic perfusion for patients when their own heart and lungs are unable to function adequately. ECMO is a complex network that provides oxygenation and ventilation and allows the lungs to rest and recover from respiratory failure while minimizing iatrogenic ventilator-induced lung injury. In critical care settings, ECMO is proven to improve survival rates and outcomes in patients with severe ARDS. This review defines severe ARDS; describes the ECMO circuit; and discusses recent research, optimal use of the ECMO circuit, limitations of therapy including potential complications, economic impact, and logistical factors; and discusses future research considerations.

Authors+Show Affiliations

1 Thomas Jefferson University, Philadelphia, PA, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27836935

Citation

Paolone, Summer. "Extracorporeal Membrane Oxygenation (ECMO) for Lung Injury in Severe Acute Respiratory Distress Syndrome (ARDS): Review of the Literature." Clinical Nursing Research, vol. 26, no. 6, 2017, pp. 747-762.
Paolone S. Extracorporeal Membrane Oxygenation (ECMO) for Lung Injury in Severe Acute Respiratory Distress Syndrome (ARDS): Review of the Literature. Clin Nurs Res. 2017;26(6):747-762.
Paolone, S. (2017). Extracorporeal Membrane Oxygenation (ECMO) for Lung Injury in Severe Acute Respiratory Distress Syndrome (ARDS): Review of the Literature. Clinical Nursing Research, 26(6), 747-762. https://doi.org/10.1177/1054773816677808
Paolone S. Extracorporeal Membrane Oxygenation (ECMO) for Lung Injury in Severe Acute Respiratory Distress Syndrome (ARDS): Review of the Literature. Clin Nurs Res. 2017;26(6):747-762. PubMed PMID: 27836935.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extracorporeal Membrane Oxygenation (ECMO) for Lung Injury in Severe Acute Respiratory Distress Syndrome (ARDS): Review of the Literature. A1 - Paolone,Summer, Y1 - 2016/11/11/ PY - 2016/11/12/pubmed PY - 2018/1/9/medline PY - 2016/11/13/entrez KW - critical care KW - extracorporeal life support KW - extracorporeal membrane oxygenation (ECMO) KW - lung injury KW - respiratory failure KW - severe acute respiratory distress syndrome (ARDS) SP - 747 EP - 762 JF - Clinical nursing research JO - Clin Nurs Res VL - 26 IS - 6 N2 - Despite advances in mechanical ventilation, severe acute respiratory distress syndrome (ARDS) is associated with high morbidity and mortality rates ranging from 26% to 58%. Extracorporeal membrane oxygenation (ECMO) is a modified cardiopulmonary bypass circuit that serves as an artificial membrane lung and blood pump to provide gas exchange and systemic perfusion for patients when their own heart and lungs are unable to function adequately. ECMO is a complex network that provides oxygenation and ventilation and allows the lungs to rest and recover from respiratory failure while minimizing iatrogenic ventilator-induced lung injury. In critical care settings, ECMO is proven to improve survival rates and outcomes in patients with severe ARDS. This review defines severe ARDS; describes the ECMO circuit; and discusses recent research, optimal use of the ECMO circuit, limitations of therapy including potential complications, economic impact, and logistical factors; and discusses future research considerations. SN - 1552-3799 UR - https://www.unboundmedicine.com/medline/citation/27836935/Extracorporeal_Membrane_Oxygenation__ECMO__for_Lung_Injury_in_Severe_Acute_Respiratory_Distress_Syndrome__ARDS_:_Review_of_the_Literature_ L2 - https://journals.sagepub.com/doi/10.1177/1054773816677808?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -