[Techniques of extracorporeal lung support].
For patients with severe acute respiratory distress syndrome techniques of extracorporeal lung support have been established thirty years ago. In the beginning of such a strategy a roller-pump-driven veno-venous extracorporeal membrane oxygenation (ECMO) was used, which was characterized by high complication rate. Meanwhile the development of a miniaturized ECMO using centrifugal pumps might have improved the safety of use. Recently a pumpless arterio-venous interventional lung assist (iLA) was introduced. While ECMO enables a complete extrapulmonary gas exchange, iLA provides effective CO(2)-elimination. In this review, technical basements, results from clinical studies, incidence of complications and algorithms for clinical use of extracorporeal lung support systems are discussed.
Bein
Thomas
T
Klinik für Anästhesiologie, Universitätsklinikum Regensburg. thomas.bein@klinik.uni-regensburg.de
Weber-Carstens
Steffen
S
D000465:Algorithms; D002245:Carbon Dioxide / Q000378:metabolism; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D011659:Pulmonary Gas Exchange / Q000502:physiology; D012128:Respiratory Distress Syndrome / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000628:therapy*
D002245:Carbon Dioxide