Intensive Care Med (2017) 43:1424–1426 DOI 10.1007/s00134-017-4882-1 FOCUS EDITORIAL Focus on ECMO and ECCO R in ARDS patients 1 2 3* Thomas Bein , Cécile Aubron and Laurent Papazian © 2017 Springer-Verlag GmbH Germany and ESICM The technical aspects of veno-venous extracorporeal higher blood flows (>1.0 l/min) and a moderate increase membrane oxygenation (vv-ECMO) are still improving, in oxygenation were found. However, very high sweep gas permitting the treatment of ARDS patients with very flows (higher than 10 l/min) were associated with a dete - severe hypoxaemia. A recent German survey showed that rioration in O and CO transfer. Based on these study 2 2 the incidence of vv-ECMO in the population increased results, it is recommended to use ECCO -R settings that from 1.0:100,000 inhabitants/year in 2007 to a maximum combine moderate blood flow (1–1.5 l/min) and sweep of 3.0:100,000 in 2012, and then stabilised at 2.4:100,000 gas flow (2–8 l/min) to achieve the best clinical effect and in 2014 . The in-hospital mortality slightly decreased to avoid adverse effects. The combination of ECCO -R over time but remained high, at 58.1% in 2014. This and renal replacement therapy was investigated in 11 real-life mortality rates in an unselected population of patients with
Intensive Care Medicine – Springer Journals
Published: Jul 17, 2017
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