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dc.contributor.authorShah, Aakash
dc.contributor.authorAwad, Morcos A.
dc.contributor.authorWu, Zhongjun J.
dc.contributor.authorGriffith, Bartley P.
dc.date.accessioned2022-01-19T16:23:35Z
dc.date.available2022-01-19T16:23:35Z
dc.date.issued2021
dc.identifier.urihttp://hdl.handle.net/10713/17609
dc.description.abstractExtracorporeal 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.en_US
dc.description.urihttps://doi.org/10.31083/j.rcm2204145en_US
dc.language.isoenen_US
dc.publisherIMR Pressen_US
dc.relation.ispartofReviews in Cardiovascular Medicineen_US
dc.subjectAcute respiratory distress syndromeen_US
dc.subjectAmbulatory devicesen_US
dc.subjectEnd-stage lung diseaseen_US
dc.subjectExtracorporeal life supporten_US
dc.subjectExtracorporeal membrane oxygenationen_US
dc.subjectRespiratory failureen_US
dc.titleAmbulatory home wearable lung: progress and future directionsen_US
dc.typeArticleen_US
dc.identifier.doi10.31083/j.rcm2204145
dc.identifier.pmid34957780
dc.source.journaltitleReviews in Cardiovascular Medicine
dc.source.volume22
dc.source.issue4
dc.source.beginpage1405


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