Extracorporeal life support for adult patients with ARDS.

IF 21.2 1区医学 Q1 CRITICAL CARE MEDICINE

Intensive Care Medicine Pub Date : 2025-08-06 DOI:10.1007/s00134-025-08070-1

Alain Combes,Alexander Supady,Darryl Abrams,Cara Agerstrand,Jenelle Badulak,Luigi Camporota,Eddy Fan,Niall D Ferguson,John F Fraser,Carol Hodgson,Samir Jaber,Graeme MacLaren,Brijesh V Patel,Giles J Peek,Matthieu Schmidt,Kiran Shekar,Arthur S Slutsky,Daniel Brodie

引用次数: 0

Abstract

Extracorporeal Life Support (ECLS), including venovenous (VV) extracorporeal membrane oxygenation (ECMO) and extracorporeal carbon dioxide removal (ECCO2R) is a temporary support option for patients with severe respiratory failure. Current data and recent guidelines support the use of VV ECMO for select patients with very severe respiratory failure as this technique might improve survival in appropriately selected patients. Patient selection criteria, timing of ECMO initiation and optimal management of mechanical ventilation and anticoagulation, and other adjunctive treatment options are a matter of ongoing research.

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成人ARDS患者体外生命支持。

体外生命支持（ECLS），包括静脉静脉（VV）体外膜氧合（ECMO）和体外二氧化碳去除（ECCO2R）是严重呼吸衰竭患者的临时支持选择。目前的数据和最近的指南支持使用VV ECMO来选择非常严重的呼吸衰竭患者，因为这种技术可能提高适当选择患者的生存率。患者选择标准、ECMO启动时间、机械通气和抗凝治疗的最佳管理以及其他辅助治疗方案仍在研究中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Intensive Care Medicine 医学-危重病医学

CiteScore

51.50

自引率

2.80%

发文量

326

审稿时长

1 months

期刊介绍： Intensive Care Medicine is the premier publication platform fostering the communication and exchange of cutting-edge research and ideas within the field of intensive care medicine on a comprehensive scale. Catering to professionals involved in intensive medical care, including intensivists, medical specialists, nurses, and other healthcare professionals, ICM stands as the official journal of The European Society of Intensive Care Medicine. ICM is dedicated to advancing the understanding and practice of intensive care medicine among professionals in Europe and beyond. The journal provides a robust platform for disseminating current research findings and innovative ideas in intensive care medicine. Content published in Intensive Care Medicine encompasses a wide range, including review articles, original research papers, letters, reviews, debates, and more.