• Critical care clinics · Jul 2011

    Review

    Extracorporeal membrane oxygenation in adult acute respiratory distress syndrome.

    • Pauline K Park, Lena M Napolitano, and Robert H Bartlett.
    • 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
    • Crit Care Clin. 2011 Jul 1;27(3):627-46.

    AbstractThe 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.Copyright © 2011 Elsevier Inc. All rights reserved.

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