Mechanical Ventilation during ECMO: Best Practices

Adults and children who require extracorporeal membrane oxygenation for respiratory failure remain at risk for ongoing lung injury if ventilator management is not optimized. This review serves as a guide to assist the bedside clinician in ventilator titration for patients on extracorporeal membrane...

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Bibliographic Details
Published in:Respiratory care 2023-06, Vol.68 (6), p.838-845
Main Authors: Rehder, Kyle J, Alibrahim, Omar S
Format: Article
Language:English
Subjects:
Acute respiratory distress syndrome
Adult
Artificial respiration
Blood oxygenation, Extracorporeal
Care and treatment
Child
Extracorporeal Membrane Oxygenation
Humans
Lung Injury
Methods
Respiration, Artificial
Thorax
Ventilators, Mechanical
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Summary:Adults and children who require extracorporeal membrane oxygenation for respiratory failure remain at risk for ongoing lung injury if ventilator management is not optimized. This review serves as a guide to assist the bedside clinician in ventilator titration for patients on extracorporeal membrane oxygenation, with a focus on lung-protective strategies. Existing data and guidelines for extracorporeal membrane oxygenation ventilator management are reviewed, including non-conventional ventilation modes and adjunct therapies.
ISSN:0020-1324
1943-3654
DOI:10.4187/respcare.10908