Mechanical Ventilation Symposium | Open Access
W Demajo, "Update on Extracorporeal Oxygenation in Adults", Canadian Respiratory Journal, vol. 3, Article ID 903797, 3 pages, 1996. https://doi.org/10.1155/1996/903797
Update on Extracorporeal Oxygenation in Adults
The usefulness of managing adult patients with severe acute respiratory distress syndrome and hypoxemia by means of systems using extracorporeal oxygenation has been questioned. A National Institutes of Health multicentre study, published in 1979, reported survival rates of 9.5% and 8.3% in extracorporeally and ventilator managed patients, respectively. Another recent study reports survival rates of 33% and 42% in ventilator and extracorporealy managed patients, respectively. None of these differences was statistically significant. Indications for extracorporeal oxygenation may need to be re-evaluated to clarify those cases that would not be manageable with current ventilation strategies and, hence, would merit extracorporeal support.
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