tailieunhanh - Báo cáo y học: "Pumpless extracorporeal interventional lung assist in patients with acute respiratory distress syndrome: a prospective pilot study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Pumpless extracorporeal interventional lung assist in patients with acute respiratory distress syndrome: a prospective pilot study. | Available online http content 13 1 R10 Open Access Research Pumpless extracorporeal interventional lung assist in patients with acute respiratory distress syndrome a prospective pilot study Markus Zimmermann1 Thomas Bein1 Matthias Arlt1 Alois Philipp2 Leopold Rupprecht2 Thomas Mueller3 Matthias Lubnow3 Bernhard M Graf1 and Hans J Schlitt4 1 Department of Anesthesiology University of Regensburg Medical Center Franz-Josef-StrauB-Allee 11 Regensburg 93053 Germany 2Department of Cardiothoracic and Vascular Surgery University of Regensburg Medical Center Franz-Josef-StrauB-Allee 11 Regensburg 93053 Germany 3Department of Internal Medicine II University of Regensburg Medical Center Franz-Josef-StrauB-Allee 11 Regensburg 93053 Germany 4Department of General Surgery University of Regensburg Medical Center Franz-Josef-StrauB-Allee 11 Regensburg 93053 Germany Corresponding author Markus Zimmermann Received 2 Sep 2008 Revisions requested 20 Oct 2008 Revisions received 23 Dec 2008 Accepted 30 Jan 2009 Published 30 Jan 2009 Critical Care 2009 13 R10 doi cc7703 This article is online at http content 13 1 R10 2009 Zimmermann et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Pumpless interventional lung assist iLA is used in patients with acute respiratory distress syndrome ARDS aimed at improving extracorporeal gas exchange with a membrane integrated in a passive arteriovenous shunt. In previous studies feasibility and safety of the iLA system was demonstrated but no survival benefit was observed. In the present pilot study we tested the hypothesis that timely initiation of iLA using clear algorithms and an improved cannulation technique