Place de l’assistance extracorporelle en pathologie respiratoire
Identifieur interne : 001A27 ( Ncbi/Merge ); précédent : 001A26; suivant : 001A28Place de l’assistance extracorporelle en pathologie respiratoire
Auteurs : M. Le Guen [France] ; F. Parquin [France]Source :
- Revue Des Maladies Respiratoires [ 0761-8425 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Extracorporeal Membrane Oxygenation.
- therapy : Lung Diseases.
- Humans.
Abstract
L’oxygénation extracorporelle ou
Url:
DOI: 10.1016/j.rmr.2014.09.006
PubMed: 25957015
PubMed Central: 7125747
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PMC:7125747Le document en format XML
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<series><title level="j">Revue Des Maladies Respiratoires</title>
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<front><div type="abstract" xml:lang="en"><title>Résumé</title>
<p>L’oxygénation extracorporelle ou <italic>extra-corporeal membrane oxygenation</italic>
(ECMO) constitue une suppléance de l’échangeur respiratoire (oxygénation et décarboxylation) pour laquelle un regain d’intérêt survient depuis quelques années. Cet intérêt a été amplifié par la pandémie grippale H1N1 mais est également suscité par des améliorations technologiques significatives qui autorisent aujourd’hui la mise en œuvre chez des patients éveillés et mobiles. Mais c’est essentiellement l’émergence d’études randomisées comme dans le syndrome de détresse respiratoire de l’adulte avec des résultats encourageants qui valorisent cette thérapeutique. Connaître la terminologie et les principes généraux de cette technique ainsi que les situations et perspectives futures auxquelles le pneumologue et le réanimateur peuvent être confrontés fait l’objet de cette revue générale. Deux points seront en particulier évoqués tels que les perspectives d’épuration extracorporelle du CO<sub>2</sub>
dans le cadre des décompensations respiratoires hypercapniques et les situations de suppléances au cours de la transplantation pulmonaire depuis la période préopératoire, jusqu’à la phase postopératoire.</p>
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<double pmid="25957015"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Place de l’assistance extracorporelle en pathologie respiratoire</title>
<author><name sortKey="Le Guen, M" sort="Le Guen, M" uniqKey="Le Guen M" first="M." last="Le Guen">M. Le Guen</name>
<affiliation wicri:level="4"><nlm:aff id="aff0005">Service anesthésie, département d’anesthésie-réanimation, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92151 Suresnes, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service anesthésie, département d’anesthésie-réanimation, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92151 Suresnes</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Suresnes</settlement>
</placeName>
<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
</affiliation>
</author>
<author><name sortKey="Parquin, F" sort="Parquin, F" uniqKey="Parquin F" first="F." last="Parquin">F. Parquin</name>
<affiliation wicri:level="4"><nlm:aff id="aff0010">Unité de soins intensifs respiratoires, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, Suresnes, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Unité de soins intensifs respiratoires, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, Suresnes</wicri:regionArea>
<wicri:noRegion>Suresnes</wicri:noRegion>
<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
<placeName><settlement type="city">Versailles</settlement>
<region type="region" nuts="2">Île-de-France</region>
</placeName>
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<idno type="pmid">25957015</idno>
<idno type="pmc">7125747</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7125747</idno>
<idno type="RBID">PMC:7125747</idno>
<idno type="doi">10.1016/j.rmr.2014.09.006</idno>
<date when="2014">2014</date>
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<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000447</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Place de l’assistance extracorporelle en pathologie respiratoire</title>
<author><name sortKey="Le Guen, M" sort="Le Guen, M" uniqKey="Le Guen M" first="M." last="Le Guen">M. Le Guen</name>
<affiliation wicri:level="4"><nlm:aff id="aff0005">Service anesthésie, département d’anesthésie-réanimation, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92151 Suresnes, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service anesthésie, département d’anesthésie-réanimation, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92151 Suresnes</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Suresnes</settlement>
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<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
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<author><name sortKey="Parquin, F" sort="Parquin, F" uniqKey="Parquin F" first="F." last="Parquin">F. Parquin</name>
<affiliation wicri:level="4"><nlm:aff id="aff0010">Unité de soins intensifs respiratoires, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, Suresnes, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Unité de soins intensifs respiratoires, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, Suresnes</wicri:regionArea>
<wicri:noRegion>Suresnes</wicri:noRegion>
<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
<placeName><settlement type="city">Versailles</settlement>
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<series><title level="j">Revue Des Maladies Respiratoires</title>
<idno type="ISSN">0761-8425</idno>
<idno type="eISSN">1776-2588</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><title>Résumé</title>
<p>L’oxygénation extracorporelle ou <italic>extra-corporeal membrane oxygenation</italic>
(ECMO) constitue une suppléance de l’échangeur respiratoire (oxygénation et décarboxylation) pour laquelle un regain d’intérêt survient depuis quelques années. Cet intérêt a été amplifié par la pandémie grippale H1N1 mais est également suscité par des améliorations technologiques significatives qui autorisent aujourd’hui la mise en œuvre chez des patients éveillés et mobiles. Mais c’est essentiellement l’émergence d’études randomisées comme dans le syndrome de détresse respiratoire de l’adulte avec des résultats encourageants qui valorisent cette thérapeutique. Connaître la terminologie et les principes généraux de cette technique ainsi que les situations et perspectives futures auxquelles le pneumologue et le réanimateur peuvent être confrontés fait l’objet de cette revue générale. Deux points seront en particulier évoqués tels que les perspectives d’épuration extracorporelle du CO<sub>2</sub>
dans le cadre des décompensations respiratoires hypercapniques et les situations de suppléances au cours de la transplantation pulmonaire depuis la période préopératoire, jusqu’à la phase postopératoire.</p>
</div>
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<pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[The place of extra-corporeal oxygenation in pulmonary diseases].</title>
<author><name sortKey="Le Guen, M" sort="Le Guen, M" uniqKey="Le Guen M" first="M" last="Le Guen">M. Le Guen</name>
<affiliation wicri:level="4"><nlm:affiliation>Service anesthésie, département d'anesthésie-réanimation, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92151 Suresnes, France. Electronic address: m.leguen@hopital-foch.org.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service anesthésie, département d'anesthésie-réanimation, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92151 Suresnes</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Suresnes</settlement>
</placeName>
<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
</affiliation>
</author>
<author><name sortKey="Parquin, F" sort="Parquin, F" uniqKey="Parquin F" first="F" last="Parquin">F. Parquin</name>
<affiliation wicri:level="4"><nlm:affiliation>Unité de soins intensifs respiratoires, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, Suresnes, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Unité de soins intensifs respiratoires, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, Suresnes</wicri:regionArea>
<wicri:noRegion>Suresnes</wicri:noRegion>
<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
<placeName><settlement type="city">Versailles</settlement>
<region type="region" nuts="2">Île-de-France</region>
</placeName>
</affiliation>
</author>
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<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2015">2015</date>
<idno type="RBID">pubmed:25957015</idno>
<idno type="pmid">25957015</idno>
<idno type="doi">10.1016/j.rmr.2014.09.006</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[The place of extra-corporeal oxygenation in pulmonary diseases].</title>
<author><name sortKey="Le Guen, M" sort="Le Guen, M" uniqKey="Le Guen M" first="M" last="Le Guen">M. Le Guen</name>
<affiliation wicri:level="4"><nlm:affiliation>Service anesthésie, département d'anesthésie-réanimation, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92151 Suresnes, France. Electronic address: m.leguen@hopital-foch.org.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Service anesthésie, département d'anesthésie-réanimation, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92151 Suresnes</wicri:regionArea>
<placeName><region type="region" nuts="2">Île-de-France</region>
<settlement type="city">Suresnes</settlement>
</placeName>
<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
</affiliation>
</author>
<author><name sortKey="Parquin, F" sort="Parquin, F" uniqKey="Parquin F" first="F" last="Parquin">F. Parquin</name>
<affiliation wicri:level="4"><nlm:affiliation>Unité de soins intensifs respiratoires, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, Suresnes, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Unité de soins intensifs respiratoires, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, Suresnes</wicri:regionArea>
<wicri:noRegion>Suresnes</wicri:noRegion>
<orgName type="university">Université de Versailles-Saint-Quentin-en-Yvelines</orgName>
<placeName><settlement type="city">Versailles</settlement>
<region type="region" nuts="2">Île-de-France</region>
</placeName>
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</author>
</analytic>
<series><title level="j">Revue des maladies respiratoires</title>
<idno type="eISSN">1776-2588</idno>
<imprint><date when="2015" type="published">2015</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Extracorporeal Membrane Oxygenation (methods)</term>
<term>Humans</term>
<term>Lung Diseases (therapy)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term>
<term>Maladies pulmonaires ()</term>
<term>Oxygénation extracorporelle sur oxygénateur à membrane ()</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Extracorporeal Membrane Oxygenation</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lung Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Humains</term>
<term>Maladies pulmonaires</term>
<term>Oxygénation extracorporelle sur oxygénateur à membrane</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Extra-corporeal membrane oxygenation (ECMO) effectively replaces the lung in providing oxygenation and carbon dioxide (CO2) removal. For some years, and in parallel to the H1N1 influenza pandemic, this technique has gained interest in relation to significant technological improvements, leading to new concepts of "awake and mobile ECMO" or rehabilitation with ECMO. Finally, the publication of randomized controlled trials giving encouraging results in the adult respiratory distress syndrome (ARDS) has helped to validate this technique and further studies are warranted. This general review aims to outline the definition, classification and principles of ECMO and to give some current information about the indications and possibilities of the technique to the pulmonologist and intensivist. Further possible uses for this technique include extra-corporeal removal of CO2 during hypercapnic respiratory failure and assistance during lung transplantation from the preoperative to the early postoperative period. </div>
</front>
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