Division of Pulmonary, Allergy and Critical Care, Columbia University College of Physicians and Surgeons, 622 W168th Street, PH 8E, 101, New York, NY 10032, USA.
Division of Pulmonary, Allergy and Critical Care, Columbia University College of Physicians and Surgeons, 622 W168th Street, PH 8E, 101, New York, NY 10032, USA.
Clin Chest Med. 2024 Dec;45(4):905-916. doi: 10.1016/j.ccm.2024.08.012. Epub 2024 Sep 20.
Extracorporeal life support (ECLS) has a long history in the management of the acute respiratory distress syndrome (ARDS). The objectives of this review are to summarize the rationale and evidence for ECLS in ARDS including its role in reducing ventilator-induced lung injury (VILI), suggest best practice management strategies during ECLS, and identify areas that require additional research to better inform patient care.
体外生命支持(ECLS)在急性呼吸窘迫综合征(ARDS)的治疗中有悠久的历史。本文的目的是总结 ECLS 在 ARDS 中的应用原理和证据,包括其在减轻呼吸机相关性肺损伤(VILI)中的作用,提出 ECLS 期间的最佳实践管理策略,并确定需要进一步研究以更好地为患者提供护理的领域。