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ECMO for Respiratory Failure

Critical Matters

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Evolution and Impact of ECMO in Severe ARDS Cases

The chapter traces the historical development of ECMO for ARDS, from its origins in cardiopulmonary bypass technology to the pivotal Cesar and EOLIA trials that demonstrated improved outcomes. It discusses the use of ECMO during the H1N1 and COVID pandemics, highlighting survival benefits and management strategies. The chapter also covers criteria, contraindications, and decision-making processes for ECMO in severe ARDS cases, emphasizing the importance of patient selection and timing.

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