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Extracorporeal CO(2) removal in ARDS
Authors:Lynch James E  Hayes Don  Zwischenberger Joseph B
Affiliation:aDivision 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;bDepartment of Pediatrics, University of Kentucky College of Medicine, University of Kentucky Medical Center, 800 Rose Street, C-424, Lexington, KY 40536, USA;cDepartment of Surgery, University of Kentucky College of Medicine, University of Kentucky Medical Center, 800 Rose Street, MN-264, Lexington, KY 40536-0298, USA
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.
Keywords:Acute respiratory distress syndrome   Carbon dioxide removal   Mechanical ventilation   Gas exchange
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