Extended Use of Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome: A Retrospective Multicenter Study

Autor: Won-Young Kim, M.D., Ph.D., SeungYong Park, M.D., Ph.D., Hwa Jung Kim, M.D., Ph.D., Moon Seong Baek, M.D., Chi Ryang Chung, M.D., Ph.D., So Hee Park, M.D., Byung Ju Kang, M.D., Jin Young Oh, M.D., Ph.D., Woo Hyun Cho, M.D., Ph.D., Yun Su Sim, M.D., Ph.D., Young-Jae Cho, M.D., Ph.D., Sunghoon Park, M.D., Ph.D., Jung-Hyun Kim, M.D., Ph.D., Sang-Bum Hong, M.D., Ph.D.
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Tuberculosis and Respiratory Diseases, Vol 82, Iss 3, Pp 251-260 (2019)
Druh dokumentu: article
ISSN: 1738-3536
2005-6184
DOI: 10.4046/trd.2018.0061&code=0003TRD&vmode=FULL
Popis: Background Beyond its current function as a rescue therapy in acute respiratory distress syndrome (ARDS), extracorporeal membrane oxygenation (ECMO) may be applied in ARDS patients with less severe hypoxemia to facilitate lung protective ventilation. The purpose of this study was to evaluate the efficacy of extended ECMO use in ARDS patients. Methods This study reviewed 223 adult patients who had been admitted to the intensive care units of 11 hospitals in Korea and subsequently treated using ECMO. Among them, the 62 who required ECMO for ARDS were analyzed. The patients were divided into two groups according to pre-ECMO arterial blood gas: an extended group (n=14) and a conventional group (n=48). Results Baseline characteristics were not different between the groups. The median arterial carbon dioxide tension/fraction of inspired oxygen (FiO2) ratio was higher (97 vs. 61, p
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