Aleksandra Leligdowicz1, Eddy Fan. 1. aInterdepartmental Division of Critical Care Medicine, University of Toronto bThe University Health Network, Toronto, Ontario, Canada.
Abstract
PURPOSE OF REVIEW: To provide a summary of the recent literature on extracorporeal membrane oxygenation (ECMO) in adults with severe acute respiratory distress syndrome (ARDS), focusing on advances in equipment, current conventional and unconventional indications, complications, and future applications. RECENT FINDINGS: ECMO use has increased during the past 5 years. Advances in cannulation, circuit design, and patient selection have made it a safer therapeutic option in severe ARDS, and its use has become more widespread for nonconventional indications. SUMMARY: High-quality evidence for the routine use of ECMO for management of adult patients with severe ARDS is still lacking. An ongoing randomized controlled trial (ECMO to rescue lung injury in severe ARDS) will contribute valuable data to guide clinical decisions to opt for this supportive therapy.
PURPOSE OF REVIEW: To provide a summary of the recent literature on extracorporeal membrane oxygenation (ECMO) in adults with severe acute respiratory distress syndrome (ARDS), focusing on advances in equipment, current conventional and unconventional indications, complications, and future applications. RECENT FINDINGS: ECMO use has increased during the past 5 years. Advances in cannulation, circuit design, and patient selection have made it a safer therapeutic option in severe ARDS, and its use has become more widespread for nonconventional indications. SUMMARY: High-quality evidence for the routine use of ECMO for management of adult patients with severe ARDS is still lacking. An ongoing randomized controlled trial (ECMO to rescue lung injury in severe ARDS) will contribute valuable data to guide clinical decisions to opt for this supportive therapy.
Authors: Matthew S Mosca; David L Narotsky; Ming Liao; Heidi Mochari-Greenberger; James Beck; Linda Mongero; Matthew Bacchetta Journal: J Extra Corpor Technol Date: 2015-12
Authors: Ary Serpa Neto; Matthieu Schmidt; Luciano C P Azevedo; Thomas Bein; Laurent Brochard; Gernot Beutel; Alain Combes; Eduardo L V Costa; Carol Hodgson; Christian Lindskov; Matthias Lubnow; Catherina Lueck; Andrew J Michaels; Jose-Artur Paiva; Marcelo Park; Antonio Pesenti; Tài Pham; Michael Quintel; V Marco Ranieri; Michael Ried; Roberto Roncon-Albuquerque; Arthur S Slutsky; Shinhiro Takeda; Pier Paolo Terragni; Marie Vejen; Steffen Weber-Carstens; Tobias Welte; Marcelo Gama de Abreu; Paolo Pelosi; Marcus J Schultz Journal: Intensive Care Med Date: 2016-09-01 Impact factor: 17.440