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Curr Opin Crit Care · Feb 2016
ReviewCurrent and future status of extracorporeal life support for respiratory failure in adults.
- Robert H Bartlett and Kristopher B Deatrick.
- Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA.
- Curr Opin Crit Care. 2016 Feb 1; 22 (1): 80-5.
Purpose Of ReviewThe purpose is to review the development and current application of extracorporeal life support [ECLS, extracorporeal membrane oxygenation (ECMO)] in acute severe respiratory failure.Recent FindingsExtracorporeal support (ECMO) is used for acute severe respiratory failure in advanced ICUs. The current survival rate is 60-70%. Three controlled trials all demonstrated 20-30% improvement in survival compared to conventional care. Patients may now be maintained awake and ambulatory with spontaneous breathing.SummaryECMO is the next step in the algorithm for management of severe respiratory failure unresponsive to conventional care.
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