| Literature DB >> 28432405 |
Abstract
There are a large number of extracorporeal membrane oxygenation (ECMO) systems and configurations. Thorough planning and evaluation of specific therapeutic needs are necessary to tailor ECMO therapy to the individual patient situation. Indications tend towards lowering the threshold towards respiratory ECMO. Patients with severe acute respiratory distress syndrome (ARDS) not improving to optimization of ventilation and supportive therapeutic measures potentially qualify for ECMO. Contraindications are relative and have to be considered in the light of the individual risk-benefit ratio. The same is true for decisions to stop ECMO therapy in case of futility for which reliable evidence does not exist.Entities:
Keywords: Acute respiratory distress syndrome; Extracorporeal circulation; Futility; Respiration, artificial; Respiratory failure
Mesh:
Year: 2017 PMID: 28432405 DOI: 10.1007/s00063-017-0279-8
Source DB: PubMed Journal: Med Klin Intensivmed Notfmed ISSN: 2193-6218 Impact factor: 0.840