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Published on: October 24, 2018
Extracorporeal Gas Exchange: The Expanding Role of Extracorporeal Support in Respiratory Failure
1Department of Pulmonary Critical Care Medicine, Walter Reed National Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA; Uniformed Services University of Health Sciences, 4103 Jones Bridge Road, Bethesda, MD 20814, USA.
Abstract:
The use of extracorporeal support is expanding quickly in adult respiratory failure. Extracorporeal gas exchange is an accepted rescue therapy for severe acute respiratory distress syndrome (ARDS) in select patients. Extracorporeal carbon dioxide removal is also being investigated as a preventative, preemptive, and management platform in patients with respiratory failure other than severe ARDS. The non-ARDS patient population is much larger, so the potential for rapid growth is high. This article hopes to inform decisions about the use of extracorporeal support by increasing understanding concerning the past and present practice of extracorporeal gas exchange.
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