Extracorporeal membrane oxygenation for prevention of barotrauma in patients with respiratory failure: A scoping review
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View abstract on PubMed
Summary
This summary is machine-generated.Extracorporeal membrane oxygenation (ECMO) can limit barotrauma in severe respiratory failure patients. This review found ECMO is feasible, with barotrauma progression in less than 10% of patients.
Area Of Science
- Critical Care Medicine
- Respiratory Medicine
- Cardiopulmonary Support
Background
- Barotrauma is a common complication in severe respiratory failure, linked to adverse outcomes.
- Extracorporeal membrane oxygenation (ECMO) offers lung-protective ventilation but data are limited.
- This scoping review synthesizes current knowledge on ECMO for barotrauma prevention.
Purpose Of The Study
- To conduct a scoping review on the use of ECMO to prevent or limit barotrauma progression.
- To summarize existing data on ECMO's role in managing respiratory failure and associated barotrauma.
Main Methods
- Systematic search of PubMed/MEDLINE, EMBASE, and Cochrane Central Register.
- Inclusion of studies on ECMO for barotrauma prevention in respiratory failure (excluding pediatric and perioperative cases).
- Primary outcome: rate of barotrauma development or progression.
Main Results
- 21 manuscripts analyzed, data from 45 veno-venous ECMO patients.
- ECMO enabled lung-protective strategies in most cases, including avoiding invasive ventilation.
- Barotrauma progression occurred in <10% of patients; overall mortality was 17.8%.
Conclusions
- ECMO implantation is a feasible strategy for preventing barotrauma.
- ECMO shows promise as a supportive option for patients with severe respiratory failure at risk of barotrauma.
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