Extracorporeal respiratory support in adult patients

Detalhes bibliográficos
Autor(a) principal: Romano,Thiago Gomes
Data de Publicação: 2017
Outros Autores: Mendes,Pedro Vitale, Park,Marcelo, Costa,Eduardo Leite Vieira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Pneumologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000100060
Resumo: ABSTRACT In patients with severe respiratory failure, either hypoxemic or hypercapnic, life support with mechanical ventilation alone can be insufficient to meet their needs, especially if one tries to avoid ventilator settings that can cause injury to the lungs. In those patients, extracorporeal membrane oxygenation (ECMO), which is also very effective in removing carbon dioxide from the blood, can provide life support, allowing the application of protective lung ventilation. In this review article, we aim to explore some of the most relevant aspects of using ECMO for respiratory support. We discuss the history of respiratory support using ECMO in adults, as well as the clinical evidence; costs; indications; installation of the equipment; ventilator settings; daily care of the patient and the system; common troubleshooting; weaning; and discontinuation.
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spelling Extracorporeal respiratory support in adult patientsExtracorporeal membrane oxygenationRespiratory distress syndrome, adultHypoxiaHypercapniaABSTRACT In patients with severe respiratory failure, either hypoxemic or hypercapnic, life support with mechanical ventilation alone can be insufficient to meet their needs, especially if one tries to avoid ventilator settings that can cause injury to the lungs. In those patients, extracorporeal membrane oxygenation (ECMO), which is also very effective in removing carbon dioxide from the blood, can provide life support, allowing the application of protective lung ventilation. In this review article, we aim to explore some of the most relevant aspects of using ECMO for respiratory support. We discuss the history of respiratory support using ECMO in adults, as well as the clinical evidence; costs; indications; installation of the equipment; ventilator settings; daily care of the patient and the system; common troubleshooting; weaning; and discontinuation.Sociedade Brasileira de Pneumologia e Tisiologia2017-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000100060Jornal Brasileiro de Pneumologia v.43 n.1 2017reponame:Jornal Brasileiro de Pneumologia (Online)instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)instacron:SBPT10.1590/s1806-37562016000000299info:eu-repo/semantics/openAccessRomano,Thiago GomesMendes,Pedro VitalePark,MarceloCosta,Eduardo Leite Vieiraeng2017-08-16T00:00:00Zoai:scielo:S1806-37132017000100060Revistahttp://www.jornaldepneumologia.com.br/default.aspONGhttps://old.scielo.br/oai/scielo-oai.php||jbp@jbp.org.br|| jpneumo@jornaldepneumologia.com.br1806-37561806-3713opendoar:2017-08-16T00:00Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)false
dc.title.none.fl_str_mv Extracorporeal respiratory support in adult patients
title Extracorporeal respiratory support in adult patients
spellingShingle Extracorporeal respiratory support in adult patients
Romano,Thiago Gomes
Extracorporeal membrane oxygenation
Respiratory distress syndrome, adult
Hypoxia
Hypercapnia
title_short Extracorporeal respiratory support in adult patients
title_full Extracorporeal respiratory support in adult patients
title_fullStr Extracorporeal respiratory support in adult patients
title_full_unstemmed Extracorporeal respiratory support in adult patients
title_sort Extracorporeal respiratory support in adult patients
author Romano,Thiago Gomes
author_facet Romano,Thiago Gomes
Mendes,Pedro Vitale
Park,Marcelo
Costa,Eduardo Leite Vieira
author_role author
author2 Mendes,Pedro Vitale
Park,Marcelo
Costa,Eduardo Leite Vieira
author2_role author
author
author
dc.contributor.author.fl_str_mv Romano,Thiago Gomes
Mendes,Pedro Vitale
Park,Marcelo
Costa,Eduardo Leite Vieira
dc.subject.por.fl_str_mv Extracorporeal membrane oxygenation
Respiratory distress syndrome, adult
Hypoxia
Hypercapnia
topic Extracorporeal membrane oxygenation
Respiratory distress syndrome, adult
Hypoxia
Hypercapnia
description ABSTRACT In patients with severe respiratory failure, either hypoxemic or hypercapnic, life support with mechanical ventilation alone can be insufficient to meet their needs, especially if one tries to avoid ventilator settings that can cause injury to the lungs. In those patients, extracorporeal membrane oxygenation (ECMO), which is also very effective in removing carbon dioxide from the blood, can provide life support, allowing the application of protective lung ventilation. In this review article, we aim to explore some of the most relevant aspects of using ECMO for respiratory support. We discuss the history of respiratory support using ECMO in adults, as well as the clinical evidence; costs; indications; installation of the equipment; ventilator settings; daily care of the patient and the system; common troubleshooting; weaning; and discontinuation.
publishDate 2017
dc.date.none.fl_str_mv 2017-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000100060
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/s1806-37562016000000299
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
publisher.none.fl_str_mv Sociedade Brasileira de Pneumologia e Tisiologia
dc.source.none.fl_str_mv Jornal Brasileiro de Pneumologia v.43 n.1 2017
reponame:Jornal Brasileiro de Pneumologia (Online)
instname:Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
instacron:SBPT
instname_str Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
instacron_str SBPT
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reponame_str Jornal Brasileiro de Pneumologia (Online)
collection Jornal Brasileiro de Pneumologia (Online)
repository.name.fl_str_mv Jornal Brasileiro de Pneumologia (Online) - Sociedade Brasileira de Pneumologia e Tisiologia (SBPT)
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