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Curr Opin Crit Care · Feb 2013
ReviewExtracorporeal membrane oxygenation in adults with acute respiratory distress syndrome.
- Eliotte Hirshberg, Russell R Miller, and Alan H Morris.
- Pulmonary and Critical Care Divisions, Departments of Medicine, Intermountain Healthcare Urban Central, Murray, Utah 84157-7000, USA. ellie.hirshberg@imail.org
- Curr Opin Crit Care. 2013 Feb 1; 19 (1): 38-43.
Purpose Of ReviewTo evaluate the last 2 years' publications for evidence supporting use of extracorporeal membrane oxygenation (ECMO) for critically ill adults with acute respiratory distress syndrome (ARDS).Recent FindingsFirst, there are no new prospective studies comparing ECMO and other therapy in adults with ARDS. Second, the number of review articles and case descriptions published in the last 2 years suggests increased interest in ECMO. Third, recently published retrospective cohort studies analyzing patients from the H1N1 epidemic report conflicting conclusions.SummaryIntensivists may have increased their utilization of ECMO. Credible evidence for mortality benefit of ECMO is lacking. A prospective randomized controlled trial designed to evaluate the efficacy of ECMO for ARDS is overdue.
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