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Erschienen in: Intensive Care Medicine 4/2017

28.01.2017 | Review

Extracorporeal carbon dioxide removal (ECCO2R) in patients with acute respiratory failure

verfasst von: Andrea Morelli, Lorenzo Del Sorbo, Antonio Pesenti, V. Marco Ranieri, Eddy Fan

Erschienen in: Intensive Care Medicine | Ausgabe 4/2017

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Purpose

To review the available knowledge related to the use of ECCO2R as adjuvant strategy to mechanical ventilation (MV) in various clinical settings of acute respiratory failure (ARF).

Methods

Expert opinion and review of the literature.

Results

ECCO2R may be a promising adjuvant therapeutic strategy for the management of patients with severe exacerbations of COPD and for the achievement of protective or ultra-protective ventilation in patients with ARDS without life-threatening hypoxemia. Given the observational nature of most of the available clinical data and differences in technical features and performances of current devices, the balance of risks and benefits for or against ECCO2R in such patient populations remains unclear

Conclusions

ECCO2R is currently an experimental technique rather than an accepted therapeutic strategy in ARF—its safety and efficacy require confirmation in clinical trials.
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Metadaten
Titel
Extracorporeal carbon dioxide removal (ECCO2R) in patients with acute respiratory failure
verfasst von
Andrea Morelli
Lorenzo Del Sorbo
Antonio Pesenti
V. Marco Ranieri
Eddy Fan
Publikationsdatum
28.01.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 4/2017
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-016-4673-0

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