Extracorporeal membrane oxygenation in adult acute respiratory distress syndrome

Pauline K Park; Lena M Napolitano; Robert H Bartlett

doi:10.1016/j.ccc.2011.05.009

Extracorporeal membrane oxygenation in adult acute respiratory distress syndrome

Crit Care Clin. 2011 Jul;27(3):627-46. doi: 10.1016/j.ccc.2011.05.009.

Authors

Pauline K Park¹, Lena M Napolitano, Robert H Bartlett

Affiliation

¹ Division of Acute Care Surgery, Department of Surgery, University of Michigan Health System, 1500 East Medical Center Drive, 1C340A-UH, SPC 5033, Ann Arbor, MI 48109-5033, USA. parkpk@umich.edu

PMID: 21742220
DOI: 10.1016/j.ccc.2011.05.009

Abstract

The role of extracorporeal membrane oxygenation (ECMO) in supporting adult refractory respiratory failure continues to evolve. Technical advances and the clinical challenges of H1N1 associated severe ARDS have spurred a resurgence of interest in ECMO. Published systematic review and pooled analyses point out the limitations of available studies, however, a growing body of evidence suggest potential for benefit. Referral to a specialized center with ECMO experience should be considered early after the initiation of high-level ventilator support in adult patients with severe ARDS.

Publication types

Review
Systematic Review

MeSH terms

Extracorporeal Membrane Oxygenation / adverse effects
Extracorporeal Membrane Oxygenation / methods*
Humans
Life Support Care
Randomized Controlled Trials as Topic
Respiratory Distress Syndrome / therapy*
Respiratory Insufficiency / therapy*
Transportation of Patients