Prolonged VV ECMO (265 Days) for ARDS without Technical Complications

作者：Wiktor Arek J; Haft Jonathan W; Bartlett Robert H; Park Pauline K; Raghavendran Krishnan; Napolitano Lena M^*

来源：ASAIO Journal, 2015, 61(2): 205-206.

DOI：10.1097/MAT.0000000000000181

• extracorporeal membrane oxygenation
• acute respiratory distress syndrome
• circuit exchange
• futility
• prolonged
• lung recovery

The usual duration of extracorporeal membrane oxygenation (ECMO) in patients with severe acute respiratory distress syndrome is 7-10 days. Prolonged duration ECMO (defined as greater than 14 days) is increasingly being documented with native lung recovery or as a bridge to lung transplantation. We report a case of prolonged duration ECMO (6,364 hours, 265 days) requiring no complete circuit exchange. As critical care improves, prolonged ECMO will continue to pose unique technological and ethical challenges that test our expectations of this treatment modality. There is a critical need for diagnostic modalities to provide objective assessment of native lung recovery in patients requiring prolonged duration ECMO.

• 出版日期2015-4