• Login
    View Item 
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    •   UMB Digital Archive
    • UMB Open Access Articles
    • UMB Open Access Articles
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Ambulatory home wearable lung: progress and future directions

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Author
    Shah, Aakash
    Awad, Morcos A.
    Wu, Zhongjun J.
    Griffith, Bartley P.
    Date
    2021
    Journal
    Reviews in Cardiovascular Medicine
    Publisher
    IMR Press
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.31083/j.rcm2204145
    Abstract
    Extracorporeal life support (ECLS) was first implemented as an extension of cardiopulmonary bypass technology. The early use of ECLS in patients with acute respiratory distress syndrome (ARDS) was discouraging, likely due to limitations of technology and understanding of the disease process. However, over the last decade, there has been a rapid expansion in ECLS use. This ”rebirth” in 2009 was largely driven by the need for ECLS during the Influenza A subtype H1N1 pandemic and the results of the conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR) trial showing improved outcomes in patients with ARDS on ECLS compared to traditional management. Along with the increase in overall use of ECLS, there has been an increase in the number of patients with lung failure who are on long-term support, either awaiting lung recovery or transplantation. Many of these patients are awake, participating in physical rehabilitation, and even ambulating while supported with ECLS. Given the recent advances in patient care, and improvements in ECLS technology, the movement towards home for stable patients supported with ECLS may be on the horizon. Patients supported with ventricular assist devices (VAD) underwent a similar transition towards home in the 1990s, before which they were hospital bound. The road to an ambulatory home wearable lung will likely mirror that pathway. This review will give a brief overview of the transition of VAD patients out of the hospital, the history of ECLS, the current state of ECLS for lung failure, new and upcoming ECLS technology, and hurdles on the road home for ECLS patients.
    Keyword
    Acute respiratory distress syndrome
    Ambulatory devices
    End-stage lung disease
    Extracorporeal life support
    Extracorporeal membrane oxygenation
    Respiratory failure
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/17609
    ae974a485f413a2113503eed53cd6c53
    10.31083/j.rcm2204145
    Scopus Count
    Collections
    UMB Open Access Articles

    entitlement

    Related articles

    • Extracorporeal lung support for patients who had severe respiratory failure secondary to influenza A (H1N1) 2009 infection in Canada.
    • Authors: Freed DH, Henzler D, White CW, Fowler R, Zarychanski R, Hutchison J, Arora RC, Manji RA, Legare JF, Drews T, Veroukis S, Kesselman M, Guerguerian AM, Kumar A, Canadian Critical Care Trials Group
    • Issue date: 2010 Mar
    • Use of extracorporeal life support to support patients with acute respiratory distress syndrome due to H1N1/2009 influenza and other respiratory infections.
    • Authors: Wong I, Vuylsteke A
    • Issue date: 2011 Jan
    • Extracorporeal Life Support in Respiratory Failure.
    • Authors: Short B, Burkart KM
    • Issue date: 2022 Sep
    • Extracorporeal life support during pregnancy.
    • Authors: Moore SA, Dietl CA, Coleman DM
    • Issue date: 2016 Apr
    • Extracorporeal life support in critically ill adults.
    • Authors: Ventetuolo CE, Muratore CS
    • Issue date: 2014 Sep 1
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.