Skip to main content

Extracorporeal Support in Acute Respiratory Failure

  • Chapter
Shock and the Adult Respiratory Distress Syndrome

Part of the book series: Current Concepts in Critical Care ((CRITICAL CARE))

Abstract

Following the introduction of the membrane lung into clinical practice it was appealing to use this device as a substitute for alveolar capillary function in severe acute respiratory failure (ARF). Conventional treatment by positive pressure ventilation does not, in fact, substitute for respiratory function, but maximally exploits the residual gas-exchanging regions of the diseased lungs. Hill et al. (dy1972) reported the first successful clinical application of the membrane lung in the treatment of ARF but, from 1966 to 1975, only a 10% survival rate was obtained in 233 cases treated worldwide (Gille and Bagniewski 1976).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Berman LS, Downs JB, Van Feden A et al. (1981) Inspiration-expiration ratio. Is mean airways pressure the difference? Crit Care Med 9:775–777.

    Article  PubMed  CAS  Google Scholar 

  • Boros SJ (1979) Variations in inspiratory-expiratory ratio and airway pressure wave form during mechanical ventilation: the significance of mean airway pressure. J Pediatr 94:114–117.

    Article  PubMed  CAS  Google Scholar 

  • Brismar B, Hedenstierna G, Lundquist H et al. (1985) Pulmonary densities during anesthesia with muscular relaxation. A proposal of atelectasis. Anesthesiology 62:422–428.

    CAS  Google Scholar 

  • Dantzker DR, Brook JC, Dehart P et al. (1979) Ventilation-perfusion distributions in the adult respiratory distress syndrome. Am Rev Respir Dis 120:1039–1042.

    PubMed  CAS  Google Scholar 

  • Deneke SM, Fanburg BL (1982) Oxygen toxicity of the lung: an update. Br J Anaesthesiol 54:737–749.

    Article  CAS  Google Scholar 

  • Dreyfuss D, Basset G, Soler P et al. (1985) Intermittent positive pressure hyperventilation with high inflation pressures produces pulmonary microvascular injury in rats. Am Rev Respir Dis 132:880–884.

    PubMed  CAS  Google Scholar 

  • Gattinoni L, Agostoni A, Pesenti A et al. (1980) Treatment of acute respiratory failure with low frequency positive pressure ventilation and extracorporeal CO2 removal. Lancet II 292–294.

    Article  Google Scholar 

  • Gattinoni L et al. (1982) La compliance toraco-polmonare: metodi di misura, significato clinico, implicazioni terapeutiche. In: Atti Corso Agg. Spec. in Rianimazione e Terapia Intensiva, Pavia, pp 89–104.

    Google Scholar 

  • Gattinoni L, Pesenti A, Kolobow T et al. (1983) A new look at therapy of the adult respiratory distress syndrome: motionless lungs. Int Anaesthesiol Clin 21(2):97–117.

    Article  Google Scholar 

  • Gattinoni L, Pesenti A, Caspani ML et al. (1984) The role of total static lung compliance in the management of severe ARDS unresponsive to conventional treatment. Intensive Care Med 10:121–126.

    Article  PubMed  CAS  Google Scholar 

  • Gattinoni L, Marcolin R, Caspani ML et al. (1985) Constant mean airway pressure with different patterns of positive pressure breathing during the adult respiratory distress syndrome. Clin Respir Physiol 21:275–279.

    CAS  Google Scholar 

  • Gattinoni L, Mascheroni D, Torresin A, Marcolin R et al. (1986) Morphological response to positive end expiratory pressure in acute respiratory failure: computerized tomography study. Intensive Care Med 12:137–142.

    Article  PubMed  CAS  Google Scholar 

  • Gille JP, Bagniewski A (1976) Ten years of use of extracorporeal membrane oxygenation (ECMO) in treatment of acute respiratory insufficiency. Trans Am Soc Artif Intern Organs 22:102–108.

    PubMed  CAS  Google Scholar 

  • Hill JD, O’Brien TG, Murray JT (1972) Prolonged extracorporeal oxygenation for acute post traumatic respiratory failure (shock-lung syndrome). N Engl J Med 286:629–634.

    Article  PubMed  CAS  Google Scholar 

  • Kolobow T, Spragg R, Pierce J (1981) Massive pulmonary infarction during total cardiopulmonary bypass in unanesthetized spontaneously breathing lambs. Int J Artif Organs 4:76–81.

    PubMed  CAS  Google Scholar 

  • Kolobow T, Moretti M, Fumagalli R et al. (1985) Adult respiratory distress syndrome following mechanical pulmonary ventilation at high peak airway pressures. Am Rev Respir Dis 131S:137A.

    Google Scholar 

  • Lemaire F et al. (1984) Total respiratory pressure-volume curve in the Adult Respiratory Distress Syndrome. Chest 86:58–66.

    Article  PubMed  Google Scholar 

  • Mascheroni D, Kolobow T, Fumagalli R et al. (1985) Respiratory failure following induced hyperventilation. An experimental study. Crit Care Med 13:330.

    Google Scholar 

  • NHLI (1974) Protocol for extracorporeal support for respiratory insufficiency. Collaborative Program, National Heart and Lung Institutes, Division of Lung Diseases, 15 May 1974.

    Google Scholar 

  • Pesenti A, Pelizzola A, Mascheroni D et al. (1981) Low frequency positive pressure ventilation with extracorporeal CO2 removal (LFPPV-ECCO2R) in acute respiratory failure (ARF): technique. Trans Am Soc Artif Intern Organs 27:263–266.

    PubMed  CAS  Google Scholar 

  • Ratliff JL, Hill JD, Fallat RJ et al. (1975) Complications associated with membrane lung support by venoarterial perfusion. Ann Thorac Surg 19:537–539.

    Article  PubMed  CAS  Google Scholar 

  • Suter MP, Fairley HB, Isemberg MD (1978) Effect of tidal volume and positive end-expiratory pressure on compliance during mechanical ventilation. Chest 73:158–162.

    Article  PubMed  CAS  Google Scholar 

  • Webb H, Tierney DF (1974) Experimental pulmonary oedema due to intermittent positive pressure ventilation with high inflation pressures. Protection by positive end-expiratory pressure. Am Rev Respir Dis 110:556–565.

    PubMed  CAS  Google Scholar 

  • Woodring JH (1985) Pulmonary interstitial emphysema in the adult respiratory distress syndrome. Crit Care Med 13:786–791.

    Article  PubMed  CAS  Google Scholar 

  • Wyszogrodsky I, Kyei-Aboagye K, Taensch HWJR et al. (1975) Surfactant inactivation by hyperventilation: conservation by end-expiratory pressure. J Appl Physiol 38:461–466.

    Google Scholar 

  • Zapol WM, Snider MT, Hill JD et al. (1979) Extracorporeal membrane lung oxygenation in severe acute respiratory failure. JAMA 242:2193–2196.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Gattinoni, L. et al. (1988). Extracorporeal Support in Acute Respiratory Failure. In: Kox, W., Bihari, D. (eds) Shock and the Adult Respiratory Distress Syndrome. Current Concepts in Critical Care. Springer, London. https://doi.org/10.1007/978-1-4471-1443-7_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-1443-7_12

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1445-1

  • Online ISBN: 978-1-4471-1443-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics