TY - JOUR
T1 - ECLS in Trauma
T2 - Practical Application and a Review of Current Status
AU - Zonies, David
N1 - Publisher Copyright:
© 2016, Société Internationale de Chirurgie.
PY - 2017/5/1
Y1 - 2017/5/1
N2 - Extracorporeal life support has evolved considerably over the past two decades. Once considered as salvage or experimental therapy in adults, extracorporeal membrane oxygenation (ECMO) is evolving into a mainstream treatment for adult critical care. This is especially true in trauma and high-risk surgical patients, who have traditionally been excluded from consideration. Several technological advances have made this possible. This includes anticoagulant-bonded circuits, device miniaturization, servo-regulated centrifugal systems, and more efficient oxygenators. Adult ECMO may now be rapidly deployed for severe acute respiratory distress syndrome (ARDS) and cardiogenic shock. Trauma and surgical patients with severe ARDS should be considered for ECMO early in their clinical course to provide optimal lung rest.
AB - Extracorporeal life support has evolved considerably over the past two decades. Once considered as salvage or experimental therapy in adults, extracorporeal membrane oxygenation (ECMO) is evolving into a mainstream treatment for adult critical care. This is especially true in trauma and high-risk surgical patients, who have traditionally been excluded from consideration. Several technological advances have made this possible. This includes anticoagulant-bonded circuits, device miniaturization, servo-regulated centrifugal systems, and more efficient oxygenators. Adult ECMO may now be rapidly deployed for severe acute respiratory distress syndrome (ARDS) and cardiogenic shock. Trauma and surgical patients with severe ARDS should be considered for ECMO early in their clinical course to provide optimal lung rest.
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U2 - 10.1007/s00268-016-3586-y
DO - 10.1007/s00268-016-3586-y
M3 - Article
C2 - 27283190
AN - SCOPUS:84973637682
SN - 0364-2313
VL - 41
SP - 1159
EP - 1164
JO - World journal of surgery
JF - World journal of surgery
IS - 5
ER -