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

Autor: Antonio Pesenti, Lorenzo Del Sorbo, Andrea Morelli, Eddy Fan, V. Marco Ranieri
Přispěvatelé: Morelli, A., Del Sorbo, L., Pesenti, A., Ranieri, V.M., Fan, E.
Jazyk: angličtina
Rok vydání: 2017
Předmět:
ARDS
procedure
Extracorporeal Circulation
medicine.medical_treatment
Ventilator-Induced Lung Injury
Review
Respiratory failure
Critical Care and Intensive Care Medicine
Severity of Illness Index
Hypoxemia
Hypercapnia
Pulmonary Disease
Chronic Obstructive
0302 clinical medicine
controlled clinical trial (topic)
randomized controlled trial (topic)
pathophysiology
COPD
artificial ventilation
clinical trial (topic)
Extracorporeal CO2 removal
adult respiratory distress syndrome
Artificial
Breathing
multicenter study (topic)
ventilator weaning
Ventilator-Induced Lung Injury
Carbon Dioxide
medicine.symptom
systematic review (topic)
Adult
medicine.medical_specialty
Respiratory distress syndrome
adult
artificial
critical care
extracorporeal CO2 removal
intensive care units
respiratory distress syndrome
respiratory failure
review
ventilation
carbon dioxide
extracorporeal circulation
humans
hypercapnia
pulmonary disease
chronic obstructive
respiration artificial
respiratory distress syndrome adult
severity of illness Index
ventilator-induced lung Injury
critical care and intensive care medicine
complication
carbon dioxide
acute respiratory failure
03 medical and health sciences
blood
adverse effect
medicine
lung transplantation
Intensive care unit
human
Intensive care medicine
clinical indicator
Mechanical ventilation
nonhuman
extracorporeal oxygenation
business.industry
Respiratory Distress Syndrome
Adult
030208 emergency & critical care medicine
medicine.disease
Respiration
Artificial
Ventilation
Clinical trial
Critical care
030228 respiratory system
disease exacerbation
Observational study
business
chronic obstructive lung disease
Popis: 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. © 2017, Springer-Verlag Berlin Heidelberg and ESICM.
Databáze: OpenAIRE
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