[Extracorporeal membrane oxygenation and CO2 elimination].
The mortality in patients with ARDS stage IV is 90% according to the classification of Morel (1985) since all experiments as treatment with prostaglandine antagonists and application of antioxidants have to improve the outcome of such patients, we treated 87 patients, aged 5-51 years, between 1985-1990, with a veno-venous extra-corporeal bypass for CO2-elimination and with low frequency positive pressure ventilation according to the method of Kolobow et al. Forty-six of 87 patients survived, i.e. the mortality was reduced to 47%. This is striking evidence that this method is superior to other treatments of patients with ARDS.
Lennartz
H
H
Univ.-Klinik, Marburg.
Wagner
P
P
D000293:Adolescent; D000328:Adult; D002245:Carbon Dioxide / Q000097:blood*; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008170:Lung Compliance / Q000502:physiology; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D011183:Postoperative Complications / Q000097:blood* / Q000401:mortality / Q000628:therapy*; D011659:Pulmonary Gas Exchange / Q000502:physiology; D011669:Pulmonary Wedge Pressure / Q000502:physiology; D012128:Respiratory Distress Syndrome / Q000097:blood* / Q000401:mortality / Q000628:therapy*; D015996:Survival Rate
D002245:Carbon Dioxide; D010100:Oxygen