作者
Jonathan D Marhong, Laveena Munshi, Michael Detsky, Teagan Telesnicki, Eddy Fan
发表日期
2015/6
来源
Intensive care medicine
卷号
41
页码范围
994-1003
出版商
Springer Berlin Heidelberg
简介
Purpose
In patients with acute respiratory distress syndrome (ARDS), extracorporeal life support (ECLS) has been utilized to support gas exchange and mitigate ventilator-induced lung injury (VILI). The optimal ventilation settings while on ECLS are unknown. The purpose of this systematic review is to describe the ventilation practices in patients with ARDS who require ECLS.
Methods
We electronically searched MEDLINE, EMBASE, CENTRAL, AMED, and HAPI (inception to January 2015). Studies included were randomized controlled trials, observational studies, or case series (≥4 patients) of ARDS patients undergoing ECLS. Our review focused on studies describing ventilation practices employed during ECLS for ARDS.
Results
Forty-nine studies (2,042 patients) met our inclusion criteria. Prior to initiation of ECLS …
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