Individualized Multimodal Physiologic Approach to Mechanical Ventilation in Patients With Obesity and Severe Acute Respiratory Distress Syndrome Reduced Venovenous Extracorporeal Membrane Oxygenation Utilization.

ABSTRACT:

Objective

To investigate whether individualized optimization of mechanical ventilation through the implementation of a lung rescue team could reduce the need for venovenous extracorporeal membrane oxygenation in patients with obesity and acute respiratory distress syndrome and decrease ICU and hospital length of stay and mortality.

Design

Single-center, retrospective study at the Massachusetts General Hospital from June 2015 to June 2019.

Patients

All patients with obesity and acute respiratory distress syndrome who were referred for venovenous extracorporeal membrane oxygenation evaluation due to hypoxemic respiratory failure.

Intervention

Evaluation and individualized optimization of mechanical ventilation by the lung rescue team before the decision to procee

SUBMITTER: Zadek F 

PROVIDER: S-EPMC8245114 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature