Extracorporeal carbon dioxide removal (ECCO2R) in patients with acute respiratory failure.

Autor:	Morelli, Andrea, Sorbo, Lorenzo, Pesenti, Antonio, Ranieri, V., Fan, Eddy, Del Sorbo, Lorenzo, Ranieri, V Marco
Předmět:	EXTRACORPOREAL carbon dioxide removal ADULT respiratory distress syndrome treatment CRITICAL care medicine INTENSIVE care units OXYGENATORS OBSTRUCTIVE lung disease treatment LUNG injuries ARTIFICIAL respiration ARTIFICIAL blood circulation CARBON dioxide HYPERCAPNIA OBSTRUCTIVE lung diseases ADULT respiratory distress syndrome MECHANICAL ventilators DISEASE complications PREVENTION
Zdroj:	Intensive Care Medicine; Apr2017, Vol. 43 Issue 4, p519-530, 12p
Abstrakt:	Purpose: To review the available knowledge related to the use of ECCO2R as adjuvant strategy to mechanical ventilation (MV) in various clinical settings of acute respiratory failure (ARF).Methods: Expert opinion and review of the literature.Results: ECCO2R may be a promising adjuvant therapeutic strategy for the management of patients with severe exacerbations of COPD and for the achievement of protective or ultra-protective ventilation in patients with ARDS without life-threatening hypoxemia. Given the observational nature of most of the available clinical data and differences in technical features and performances of current devices, the balance of risks and benefits for or against ECCO2R in such patient populations remains unclear CONCLUSIONS: ECCO2R is currently an experimental technique rather than an accepted therapeutic strategy in ARF-its safety and efficacy require confirmation in clinical trials. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
Externí odkaz:	Zobrazit plný text záznamu Full text from SpringerLink