Abstract
The membrane lung is an extracorporeal device for directly exchanging respiratory gases in blood (1). By preventing hypoxia and hypercapnea in some patients for days or weeks the membrane lung can sustain life while otherwise intolerable pulmonary damage heals. Lung repair will be made possible since bypass with the artificial lung relieves the patient’s lungs of their primary burden of respiratory gas exchange and the handicaps of conventional ventilator therapy, high ventilator pressures and inspired oxygen tensions. Temporary circulatory assistance can also be delivered to assist the heart. In newborns with congenital diaphragmatic hernia after surgical repair or meconium aspiration and an unstable pulmonary circulation (pulmonary vasoconstriction and ductal shunting) partial venoarterial perfusion appears to improve survival rates (Fig.l)
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References
Zapol WM and Qvist J eds. Artificial Lungs for Acute Respiratory Failure: Theory and Practice. New York: Academic Press, 1976.
Zapol WM, Snider MT, Hill JR, Fallat RJ, Bartlett RH, Edmunds LH, Morris AH, Peirce II, PC, Bagniewski A, and Miller, Jr, RG. Extracorporeal membrane oxygenation in severe acute respiratory failure: A randomized prospective study. J Am Med Assoc 1979; 242: 2193–2196.
Bartlett RH, Roloff DW, Cornell RG, Andrews AF, Dillon PW, Zwischenberger JB. Extracorporeal circulation in neonatal respiratory failure: A prospective randomized study. Pediatrics 76: 479–487, 1985.
Gattinoni L, Pesenti A, Mascheroni D, Marcolin R, Gumagali R, Rossi F, Iapichino G, Romagnoli G, Uziel L, Agostoni A, Kolobow T, Damia C. Low-frequency positive-pressure ventilation with extracorporeal CO2 removal in severe acute respiratory failure. JAMA 256: 881–886, 1986.
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© 1989 Kluwer Academic Publisher
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Zapol, W.M. (1989). ECMO: A View from the East. In: Stanley, T.H., Sperry, R.J. (eds) Anesthesia and the Lung. Developments in Critical Care Medicine and Anaesthesiology, vol 19. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0899-4_31
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DOI: https://doi.org/10.1007/978-94-009-0899-4_31
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-6893-2
Online ISBN: 978-94-009-0899-4
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