title: Extracorporeal life support for patients with acute respiratory distress syndrome: report of a Consensus Conference.
abstract: The influenza H1N1 epidemics in 2009 led a substantial number of people to develop severe acute respiratory distress syndrome and refractory hypoxemia. In these patients, extracorporeal membrane oxygenation was used as rescue oxygenation therapy. Several randomized clinical trials and observational studies suggested that extracorporeal membrane oxygenation associated with protective mechanical ventilation could improve outcome, but its efficacy remains uncertain. Organized by the Société de Réanimation de Langue Française (SRLF) in conjunction with the Société Française d'Anesthésie et de Réanimation (SFAR), the Société de Pneumologie de Langue Française (SPLF), the Groupe Francophone de Réanimation et d'Urgences Pédiatriques (GFRUP), the Société Française de Perfusion (SOFRAPERF), the Société Française de Chirurgie Thoracique et Cardiovasculaire (SFCTV) et the Sociedad Española de Medecina Intensiva Critica y Unidades Coronarias (SEMICYUC), a Consensus Conference was held in December 2013 and a jury of 13 members wrote 65 recommendations to answer the five following questions regarding the place of extracorporeal life support for patients with acute respiratory distress syndrome: 1) What are the available techniques?; 2) Which patients could benefit from extracorporeal life support?; 3) How to perform extracorporeal life support?; 4) How and when to stop extracorporeal life support?; 5) Which organization should be recommended? To write the recommendations, evidence-based medicine (GRADE method), expert panel opinions, and shared decisions taken by all the thirteen members of the jury of the Consensus Conference were taken into account.
authors.affiliation: Hôpitaux Universitaires Paris-Sud, Hôpital de Bicêtre, Service de Réanimation Médicale, EA 4533, Université Paris-Sud, F- 94270 Le Kremlin-Bicêtre, France.
authors.forename: Christian
authors.initials: C
authors.lastname: Richard
authors.affiliation: Hospices Civils de Lyon, Groupement Hospitalier Edouard Herriot, Service de Réanimation Médicale, 69437 Lyon, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Argaud
authors.affiliation: Département d'Anesthésie-Réanimation, Centre de Traitement des Brulés, Hôpitaux Universitaires Saint Louis, Lariboisière, Fernand-Widal, Hôpital Saint Louis, 75010 Paris, France.
authors.forename: Alice
authors.initials: A
authors.lastname: Blet
authors.affiliation: CHR Orléans, Hôpital de La Source, Service de Réanimation Polyvalente, 45067 Orléans, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Boulain
authors.affiliation: CHRU Tours, Hôpital Bretonneau, Service de Réanimation Polyvalente, 37000 Tours, France.
authors.forename: Laetitia
authors.initials: L
authors.lastname: Contentin
authors.affiliation: Centre de Recherche Epidémiologie et Biostatistique, INSERM U1153, Equipe Méthodes en Évaluation Thérapeutique des Maladies Chroniques, Centre Cochrane Français, Hôtel-Dieu, 75004 Paris, France.
authors.forename: Agnès
authors.initials: A
authors.lastname: Dechartres
authors.affiliation: CHU de Nantes, Hôpital Mère-Enfant, Réanimation Pédiatrique, 40000 Nantes, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Dejode
authors.affiliation: CH Le Raincy-Montfermeil, Service de Réanimation, 93370 Montfermeil, France.
authors.forename: Laurence
authors.initials: L
authors.lastname: Donetti
authors.affiliation: Hôpitaux Universitaire Est Parisien, Hôpital Tenon, Unité de Réanimation Médicochirurgicale, 75020 Paris, France.
authors.forename: Muriel
authors.initials: M
authors.lastname: Fartoukh
authors.affiliation: Département d'Anesthésie, Hôpitaux Universitaires Paris Ile-de-France Ouest, Hôpital Raymond Poincaré, 92380 Garches, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Fletcher
authors.affiliation: Hôpital Emile Muller, Service de Réanimation Médicale, 68070 Mulhouse, France.
authors.forename: Khaldoun
authors.initials: K
authors.lastname: Kuteifan
authors.affiliation: CHU Angers, LUNAM Université, Université d'Angers, Pole d'Anesthésie-Réanimation, 49000 Angers, France.
authors.forename: Sigismond
authors.initials: S
authors.lastname: Lasocki
authors.affiliation: CHU de Nantes, Hôpital Mère-Enfant, Réanimation Pédiatrique, 40000 Nantes, France.
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Liet
authors.affiliation: Département d'Anesthésie Réanimation - Réanimation Chirurgicale et Postopératoire, Groupe Hospitalier Saint-Louis Lariboisière Fernand-Widal, Hôpital Lariboisière, 75010 Paris, France.
authors.forename: Anne-Claire
authors.initials: AC
authors.lastname: Lukaszewicz
authors.affiliation: Hôpitaux Universitaires Paris Nord Val de Seine, Hôpital Bichat, Service de Pneumologie, 75018 Paris, France.
authors.forename: Hervé
authors.initials: H
authors.lastname: Mal
authors.affiliation: Hôpitaux Universitaire Est Parisien, Hôpital Saint Antoine, Service de Réanimation Médicale, 75020 Paris, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Maury
authors.affiliation: Hôpitaux Universitaires Paris-Sud, Hôpital de Bicêtre, Service de Réanimation Médicale, 94270 Le Kremlin-Bicêtre, France.
authors.forename: David
authors.initials: D
authors.lastname: Osman
authors.affiliation: Centre Hospitalier Intercommunal de Poissy Saint-Germain-en-Laye, Service de Réanimation Médico-chirurgicale, 78300 Poissy, France.
authors.forename: Hervé
authors.initials: H
authors.lastname: Outin
authors.affiliation: Hospices Civils de Lyon, Hôpital de la Croix-Rousse, Service de Réanimation Médicale, 69004 Lyon, France.
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Richard
authors.affiliation: Hôpitaux Universitaires de Strasbourg et Faculté de Médecine, Université de Strasbourg, Hôpital de Hautepierre, Service de Réanimation Médicale, Lyon, France.
authors.forename: Francis
authors.initials: F
authors.lastname: Schneider
authors.affiliation: CHU Charles Nicolle, Service de Réanimation Médicale, Inserm U1096, IRIB, Université de Rouen, 76031 Rouen, France.
authors.forename: Fabienne
authors.initials: F
authors.lastname: Tamion
keywords: Acute respiratory distress syndrome; Extracorporeal CO2 removal; Extracorporeal life support; Extracorporeal membrane oxygenation; Protective ventilation