• Critical care clinics · Oct 2017

    Review

    Management Strategies for Severe Respiratory Failure: As Extracorporeal Membrane Oxygenation Is Being Considered.

    • Bharat Awsare, Justin Herman, and Michael Baram.
    • Division of Pulmonary and Critical Care Medicine, Department of Medicine, Thomas Jefferson University, 834 Walnut Street, Suite 650, Philadelphia, PA 19107, USA.
    • Crit Care Clin. 2017 Oct 1; 33 (4): 795-811.

    AbstractPulmonary and critical care physicians must be facile in recognition and management of patients with acute respiratory distress syndrome (ARDS). Part of the current critical care knowledge base must include an understanding of how extracorporeal membrane oxygenation fits into the paradigm of ARDS management without using it as a "salvage therapy." This article provides a basic understanding of the evolution of ARDS to multiple organ dysfunction syndrome, recognizing benefits and limits of rescue therapies, indications and contraindications of extracorporeal membrane oxygenation, and coordination of care for severe respiratory failure.Copyright © 2017 Elsevier Inc. All rights reserved.

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