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Abstract
Adults and children who require extracorporeal membrane oxygenation for respiratory failure remain at risk for ongoing lung injury if ventilator management is not optimized. This review serves as a guide to assist the bedside clinician in ventilator titration for patients on extracorporeal membrane oxygenation, with a focus on lung-protective strategies. Existing data and guidelines for extracorporeal membrane oxygenation ventilator management are reviewed, including non-conventional ventilation modes and adjunct therapies.
- Mechanical ventilation
- extracorporeal membrane oxygenation
- ventilator induced lung injury
- acute respiratory distress syndrome
Footnotes
- Correspondence: Kyle J Rehder MD, Division of Pediatric Critical Care, Duke Children's Hospital, DUMC Box 3046, Erwin Rd, Durham, NC 27710. E-mail: kyle.rehder{at}duke.edu
The authors have disclosed no conflicts of interest.
A version of this paper was presented by Dr Rehder at the New Horizons Symposium: Changing Concepts in Mechanical Ventilation at AARC Congress 2022, held November 9–12, 2022, in New Orleans, Louisiana.
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