[Update: acute hypercapnic respiratory failure].

Update: akute hyperkapnische respiratorische Insuffizienz.
Carbon Dioxide / blood Extracorporeal Circulation / methods Humans Hypercapnia Noninvasive Ventilation / methods Pulmonary Disease, Chronic Obstructive / therapy Respiration, Artificial / methods Respiratory Distress Syndrome / therapy Respiratory Insufficiency
ARDS ECCO2R ECMO Hypercapnic respiratory failure Hypoxemic respiratory failure

Journal

Medizinische Klinik, Intensivmedizin und Notfallmedizin
ISSN: 2193-6226
Titre abrégé: Med Klin Intensivmed Notfmed
Pays: Germany
ID NLM: 101575086

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 29 03 2017
accepted: 04 06 2017
revised: 17 05 2017
pubmed: 15 7 2017
medline: 16 7 2019
entrez: 15 7 2017
Statut: ppublish

Résumé

Hypercapnic respiratory failure is a frequent problem in critical care and mainly affects patients with acute exacerbation of COPD (AECOPD) and acute respiratory distress syndrome (ARDS). In recent years, the usage of extracorporeal CO Summarizing the state of the art in the management of hypercapnic respiratory failure with special regard to the role of ECCO Review based on a selective literature search and the clinical and scientific experience of the authors. Noninvasive ventilation (NIV) is the therapy of choice in hypercapnic respiratory failure due to AECOPD, enabling stabilization in the majority of cases and generally improving prognosis. Patients in whom NIV fails have an increased mortality. In these patients, ECCO Optimized use of NIV and lung-protective ventilation remains standard of care in the management of hypercapnic respiratory failure. Currently, ECCO

Sections du résumé

BACKGROUND BACKGROUND
Hypercapnic respiratory failure is a frequent problem in critical care and mainly affects patients with acute exacerbation of COPD (AECOPD) and acute respiratory distress syndrome (ARDS). In recent years, the usage of extracorporeal CO
OBJECTIVE OBJECTIVE
Summarizing the state of the art in the management of hypercapnic respiratory failure with special regard to the role of ECCO
METHODS METHODS
Review based on a selective literature search and the clinical and scientific experience of the authors.
RESULTS RESULTS
Noninvasive ventilation (NIV) is the therapy of choice in hypercapnic respiratory failure due to AECOPD, enabling stabilization in the majority of cases and generally improving prognosis. Patients in whom NIV fails have an increased mortality. In these patients, ECCO
CONCLUSION CONCLUSIONS
Optimized use of NIV and lung-protective ventilation remains standard of care in the management of hypercapnic respiratory failure. Currently, ECCO

Identifiants

DOI: 10.1007/s00063-017-0318-5 PMID: 28707030
pubmed: 28707030
doi: 10.1007/s00063-017-0318-5
pii: 10.1007/s00063-017-0318-5
doi:

Substances chimiques

Carbon Dioxide 142M471B3J

Types de publication

Journal Article Review

Langues

ger

Sous-ensembles de citation

IM

Pagination

234-239

Références

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Auteurs

F Seiler (F)

Klinik für Innere Medizin V - Pneumologie, Allergologie, Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Str. 100, 66421, Homburg/Saar, Deutschland. frederik.seiler@uks.eu.
ECLS Center Saar, 66421, Homburg, Deutschland. frederik.seiler@uks.eu.

F C Trudzinski (FC)

Klinik für Innere Medizin V - Pneumologie, Allergologie, Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Str. 100, 66421, Homburg/Saar, Deutschland.
ECLS Center Saar, 66421, Homburg, Deutschland.

M Kredel (M)

Universitätsklinikum Würzburg, Klinik und Poliklinik für Anästhesiologie, 97080, Würzburg, Deutschland.

C Lotz (C)

Universitätsklinikum Würzburg, Klinik und Poliklinik für Anästhesiologie, 97080, Würzburg, Deutschland.

P M Lepper (PM)

Klinik für Innere Medizin V - Pneumologie, Allergologie, Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Str. 100, 66421, Homburg/Saar, Deutschland.
ECLS Center Saar, 66421, Homburg, Deutschland.

R M Muellenbach (RM)

Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum Kassel GmbH, 34125, Kassel, Deutschland.

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Classifications MeSH

questionsmedicales.fr › Produits chimiques inorganiques › Composés de l'oxygène › Oxydes › Dioxyde de carbone › [Update: acute hypercapnic respiratory failure].
questionsmedicales.fr › Procédures de chirurgie opératoire › Circulation extracorporelle › [Update: acute hypercapnic respiratory failure].
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › [Update: acute hypercapnic respiratory failure].
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Signes et symptômes respiratoires › Hypercapnie › [Update: acute hypercapnic respiratory failure].
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation non effractive › [Update: acute hypercapnic respiratory failure].
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › Broncho-pneumopathie chronique obstructive › [Update: acute hypercapnic respiratory failure].
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › [Update: acute hypercapnic respiratory failure].
questionsmedicales.fr › Maladies de l'appareil respiratoire › Troubles respiratoires › Syndrome de détresse respiratoire de l'adulte › [Update: acute hypercapnic respiratory failure].
questionsmedicales.fr › Maladies de l'appareil respiratoire › Troubles respiratoires › Insuffisance respiratoire › [Update: acute hypercapnic respiratory failure].