Combes, Alain and Brodie, Daniel and Bartlett, Robert and Brochard, Laurent and Brower, Roy and Conrad, Steve and De Backer, Daniel and Fan, Eddy and Ferguson, Niall and Fortenberry, James and Fraser, John and Gatiinoni, Luciano and Lynch, William and MacLaren, Graeme and Mercat, Alain and Mueller, Thomas and Ogino, Mark and Peek, Giles and Pellegrino, Vince and Pesenti, Antonio and Ranieri, Marco and Slutsky, Arthur and Vuylsteke, Alain (2014) Position Paper for the Organization of Extracorporeal Membrane Oxygenation Programs for Acute Respiratory Failure in Adult Patients. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 190 (5). pp. 488-496. ISSN 1073-449X, 1535-4970
Full text not available from this repository. (Request a copy)Abstract
The use of extracorporeal membrane oxygenation (ECMO) for severe acute respiratory failure (ARF) in adults is growing rapidly given recent advances in technology, even though there is controversy regarding the evidence justifying its use. Because ECMO is a complex, high-risk, and costly modality, at present it should be conducted in centers with sufficient experience, volume, and expertise to ensure it is used safely. This position paper represents the consensus opinion of an international group of physicians and associated health-care workers who have expertise in therapeutic modalities used in the treatment of patients with severe ARF, with a focus on ECMO. The aim of this paper is to provide physicians, ECMO center directors and coordinators, hospital directors, health-care organizations, and regional, national, and international policy makers A description of the optimal approach to organizing ECMO programs for ARF in adult patients. Importantly, this will help ensure that ECMO is delivered safely and proficiently, such that future observational and randomized clinical trials assessing this technique may be performed by experienced centers under homogeneous and optimal conditions. Given the need for further evidence, we encourage restraint in the widespread use of ECMO until we have a better appreciation for both the potential clinical applications and the optimal techniques for performing ECMO.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | 2009 INFLUENZA A(H1N1); POSTCARDIOTOMY CARDIOGENIC-SHOCK; DISTRESS-SYNDROME; LIFE-SUPPORT; MECHANICAL VENTILATION; CIRCULATORY SUPPORT; CARDIAC-RESCUE; HIGH SURVIVAL; 6 ML/KG; VOLUME; extracorporeal membrane oxygenation; acute respiratory distress syndrome; hospital organization; critical care networks; position article |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin II |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 28 Aug 2019 09:03 |
| Last Modified: | 28 Aug 2019 09:03 |
| URI: | https://pred.uni-regensburg.de/id/eprint/9659 |
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