title: Extracorporeal membrane oxygenation in adult acute respiratory distress syndrome.
abstract: The role of extracorporeal membrane oxygenation (ECMO) in supporting adult refractory respiratory failure continues to evolve. Technical advances and the clinical challenges of H1N1 associated severe ARDS have spurred a resurgence of interest in ECMO. Published systematic review and pooled analyses point out the limitations of available studies, however, a growing body of evidence suggest potential for benefit. Referral to a specialized center with ECMO experience should be considered early after the initiation of high-level ventilator support in adult patients with severe ARDS.
authors: Division of Acute Care Surgery, Department of Surgery, University of Michigan Health System, 1500 East Medical Center Drive, 1C340A-UH, SPC 5033, Ann Arbor, MI 48109-5033, USA. parkpk@umich.edu
authors: Pauline K
authors: PK
authors: Park
authors: Lena M
authors: LM
authors: Napolitano
authors: Robert H
authors: RH
authors: Bartlett
mesh_terms: D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008020:Life Support Care; D016032:Randomized Controlled Trials as Topic; D012128:Respiratory Distress Syndrome / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000628:therapy*; D014187:Transportation of Patients