体外 CO2 去除在 ARDS 中的应用。

Extracorporeal CO(2) removal in ARDS.

机构信息

Division of General Surgery, Department of Surgery, University of Kentucky College of Medicine, University of Kentucky Medical Center, 800 Rose Street, C-226, Lexington, KY 40517, USA.

出版信息

Crit Care Clin. 2011 Jul;27(3):609-25. doi: 10.1016/j.ccc.2011.05.002.

DOI:10.1016/j.ccc.2011.05.002

PMID:21742219

Abstract

Acute respiratory distress syndrome remains one of the most clinically vexing problems in critical care. As technology continues to evolve, it is likely that extracorporeal CO(2) removal devices will become smaller, more efficient, and safer. As the risk of extracorporeal support decreases, devices' role in acute respiratory distress syndrome patients remains to be defined. This article discusses the functional properties and management techniques of CO(2) removal and intracorporeal membrane oxygenation and provides a glimpse into the future of long-term gas-exchange devices.

摘要

急性呼吸窘迫综合征仍然是重症监护中最具临床挑战性的问题之一。随着技术的不断发展，体外 CO(2)去除设备可能会变得更小、更高效、更安全。随着体外支持的风险降低，设备在急性呼吸窘迫综合征患者中的作用仍有待确定。本文讨论了 CO(2)去除和体内膜氧合的功能特性和管理技术，并展望了长期气体交换设备的未来。