Extracorporeal Membrane Oxygenation for ARDS: Optimization of Lung Protective Ventilation

Respir Care. 2018 Sep;63(9):1180-1188. doi: 10.4187/respcare.06262.

Abstract

The use of extracorporeal membrane oxygenation in the management of ARDS has grown considerably in the past decade, largely as a consequence of improvements in extracorporeal technology and management techniques. Recently published data has helped clarify the use of ECMO in ARDS, and its role in optimizing lung-protective ventilation and minimizing ventilator-induced lung injury has the potential to have a substantial impact on ARDS management and outcomes. In the future, novel extracorporeal management strategies may lead to a new paradigm in our approach to patients with ARDS.

Keywords: ARDS; extracorporeal life support; extracorporeal membrane oxygenation (ECMO); respiratory failure.

MeSH terms

  • Adult
  • Extracorporeal Membrane Oxygenation / methods*
  • Female
  • Humans
  • Male
  • Respiration, Artificial / methods*
  • Respiratory Distress Syndrome / physiopathology
  • Respiratory Distress Syndrome / therapy*