tetano
Editor, Senior Moderator
Ann Intensive Care. 2014 May 24;4:15. eCollection 2014.
Extracorporeal life support for patients with acute respiratory distress syndrome: report of a Consensus Conference.
Richard C1, Argaud L2, Blet A3, Boulain T4, Contentin L5, Dechartres A6, Dejode JM7, Donetti L8, Fartoukh M9, Fletcher D10, Kuteifan K11, Lasocki S12, Liet JM7, Lukaszewicz AC13, Mal H14, Maury E15, Osman D16, Outin H17, Richard JC18, Schneider F19, Tamion F20.
Author information
Abstract
The influenza H1N1 epidemics in 2009 led a substantial number of people to develop severe acute respiratory distress syndrome and refractory hypoxemia. In these patients, extracorporeal membrane oxygenation was used as rescue oxygenation therapy. Several randomized clinical trials and observational studies suggested that extracorporeal membrane oxygenation associated with protective mechanical ventilation could improve outcome, but its efficacy remains uncertain. Organized by the Soci?t? de R?animation de Langue Fran?aise (SRLF) in conjunction with the Soci?t? Fran?aise d'Anesth?sie et de R?animation (SFAR), the Soci?t? de Pneumologie de Langue Fran?aise (SPLF), the Groupe Francophone de R?animation et d'Urgences P?diatriques (GFRUP), the Soci?t? Fran?aise de Perfusion (SOFRAPERF), the Soci?t? Fran?aise de Chirurgie Thoracique et Cardiovasculaire (SFCTV) et the Sociedad Espa?ola de Medecina Intensiva Critica y Unidades Coronarias (SEMICYUC), a Consensus Conference was held in December 2013 and a jury of 13 members wrote 65 recommendations to answer the five following questions regarding the place of extracorporeal life support for patients with acute respiratory distress syndrome: 1) What are the available techniques?; 2) Which patients could benefit from extracorporeal life support?; 3) How to perform extracorporeal life support?; 4) How and when to stop extracorporeal life support?; 5) Which organization should be recommended? To write the recommendations, evidence-based medicine (GRADE method), expert panel opinions, and shared decisions taken by all the thirteen members of the jury of the Consensus Conference were taken into account.
KEYWORDS:
Acute respiratory distress syndrome; Extracorporeal CO2 removal; Extracorporeal life support; Extracorporeal membrane oxygenation; Protective ventilation
PMID:
24936342
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/24936342
Extracorporeal life support for patients with acute respiratory distress syndrome: report of a Consensus Conference.
Richard C1, Argaud L2, Blet A3, Boulain T4, Contentin L5, Dechartres A6, Dejode JM7, Donetti L8, Fartoukh M9, Fletcher D10, Kuteifan K11, Lasocki S12, Liet JM7, Lukaszewicz AC13, Mal H14, Maury E15, Osman D16, Outin H17, Richard JC18, Schneider F19, Tamion F20.
Author information
Abstract
The influenza H1N1 epidemics in 2009 led a substantial number of people to develop severe acute respiratory distress syndrome and refractory hypoxemia. In these patients, extracorporeal membrane oxygenation was used as rescue oxygenation therapy. Several randomized clinical trials and observational studies suggested that extracorporeal membrane oxygenation associated with protective mechanical ventilation could improve outcome, but its efficacy remains uncertain. Organized by the Soci?t? de R?animation de Langue Fran?aise (SRLF) in conjunction with the Soci?t? Fran?aise d'Anesth?sie et de R?animation (SFAR), the Soci?t? de Pneumologie de Langue Fran?aise (SPLF), the Groupe Francophone de R?animation et d'Urgences P?diatriques (GFRUP), the Soci?t? Fran?aise de Perfusion (SOFRAPERF), the Soci?t? Fran?aise de Chirurgie Thoracique et Cardiovasculaire (SFCTV) et the Sociedad Espa?ola de Medecina Intensiva Critica y Unidades Coronarias (SEMICYUC), a Consensus Conference was held in December 2013 and a jury of 13 members wrote 65 recommendations to answer the five following questions regarding the place of extracorporeal life support for patients with acute respiratory distress syndrome: 1) What are the available techniques?; 2) Which patients could benefit from extracorporeal life support?; 3) How to perform extracorporeal life support?; 4) How and when to stop extracorporeal life support?; 5) Which organization should be recommended? To write the recommendations, evidence-based medicine (GRADE method), expert panel opinions, and shared decisions taken by all the thirteen members of the jury of the Consensus Conference were taken into account.
KEYWORDS:
Acute respiratory distress syndrome; Extracorporeal CO2 removal; Extracorporeal life support; Extracorporeal membrane oxygenation; Protective ventilation
PMID:
24936342
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/24936342