[Extracorporeal gas exchange procedures. Differentiated therapy when conventional ventilation reaches the limits]. / Extrakorporale Gasaustauschverfahren. Differenzierte Therapie, wenn die konventionelle Beatmung ihre Grenzen erreicht.
Med Klin Intensivmed Notfmed
; 107(8): 607-12, 2012 Nov.
Article
en De
| MEDLINE
| ID: mdl-23076391
In recent years the range of products for extracorporeal lung support has substantially expanded. In principle systems generating high blood flow and thus enabling oxygenation and decarboxylation, corresponding to classical extracorporeal membrane oxygenation (ECMO), can be distinguished from low-flow systems, enabling decarboxylation only. Technical progress and new data have led to a novel insight into the role of ECMO as an invasive, ultimate therapy in refractory life-threatening lung failure towards a broader range of applications even in spontaneously breathing and awake patients. Indications for extracorporeal decarboxylation, initially thought to enable most protective ventilator settings, have been extended to forms of hypercapnic lung failure and towards avoidance of intubation and mechanical ventilation itself in patients with isolated hypercapnia and failure of non-invasive ventilation. It has to be emphasized however, that due to a still sparse amount of literature and potentially deleterious complications associated with extracorporeal lung support, these kinds of therapies should be reserved for specialized and experienced centers.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Insuficiencia Respiratoria
/
Oxigenación por Membrana Extracorpórea
/
Cuidados Críticos
/
Apoyo Vital Cardíaco Avanzado
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
De
Revista:
Med Klin Intensivmed Notfmed
Año:
2012
Tipo del documento:
Article
País de afiliación:
Austria
Pais de publicación:
Alemania