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Extracorporeal membrane oxygenation for acute respiratory distress syndrome in burn patients:a case series and literature update

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Burns & Trauma 2019年第1期7卷 261-268页

作者： Mehran Dadras Johannes M.Wagner Christoph Wallner Julika Huber dirk buchwald Justus Strauch Kamran Harati Nicolai Kapalschinski Björn Behr Marcus Lehnhardt Department of Plastic Surgery BG University Hospital BergmannsheilBürkle de la Camp-Platz 144789 BochumGermany Department of Cardiothoracic Surgery BG University Hospital BergmannsheilBürkle de la Camp-Platz 144789 BochumGermany

Background:Acute respiratory distress syndrome(ARDS)has a reported incidence of 34–43%in ventilated burn patients and is associated with a mortality of 59%in the severe *** use and experience with extracorporeal membrane oxygenation(ECMO)in burn patients developing ARDS are still *** present our results and discuss the significance of ECMO in treating burn ***:A retrospective analysis of burn patients treated with ECMO for ARDS between January 2017 and January 2019 was ***,clinical,and outcome data were collected and ***:Eight burn patients were treated at our institution with ECMO in the designated time *** these,all but one patient had inhalation injury,burn percentage of TBSA was 37±23%,ABSI score was 8.4±2,and R-Bauxscore was 98±*** patients developed severe ARDS and one patient moderate ARDS according to the Berlin classification with a PaO_(2)/FiO_(2) ratio upon initiation of ECMO therapy of 62±22 *** duration was 388±283 *** patients died from severe sepsis while five patients survived to hospital ***:ECMO is a viable therapy option in burn patients developing severe ARDS and can contribute to survival rates similar to ECMO therapy in non-burn-associated severe ***,patients with severe respiratory insufficiency with unsuccessful conventional treatment and suspected worsening should be transferred to burn units with the possibility of ECMO treatment to improve outcome.

关键词： Extracorporeal membrane oxygenation Acute respiratory distress syndrome Burns Inhalation injury ECMO ARDS

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