Place de l’assistance extracorporelle en pathologie respiratoire
Identifieur interne : 000E74 ( Pmc/Curation ); précédent : 000E73; suivant : 000E75Place de l’assistance extracorporelle en pathologie respiratoire
Auteurs : M. Le Guen [France] ; F. Parquin [France]Source :
- Revue Des Maladies Respiratoires [ 0761-8425 ] ; 2014.
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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<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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</back>
</TEI>
<pmc article-type="review-article" xml:lang="fr"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Rev Mal Respir</journal-id>
<journal-id journal-id-type="iso-abbrev">Rev Mal Respir</journal-id>
<journal-title-group><journal-title>Revue Des Maladies Respiratoires</journal-title>
</journal-title-group>
<issn pub-type="ppub">0761-8425</issn>
<issn pub-type="epub">1776-2588</issn>
<publisher><publisher-name>SPLF. Published by Elsevier Masson SAS</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25957015</article-id>
<article-id pub-id-type="pmc">7125747</article-id>
<article-id pub-id-type="publisher-id">S0761-8425(14)00376-3</article-id>
<article-id pub-id-type="doi">10.1016/j.rmr.2014.09.006</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Place de l’assistance extracorporelle en pathologie respiratoire</article-title>
<trans-title-group xml:lang="en"><trans-title>The place of extra-corporeal oxygenation in pulmonary diseases</trans-title>
</trans-title-group>
</title-group>
<contrib-group><contrib contrib-type="author" id="aut0005"><name><surname>Le Guen</surname>
<given-names>M.</given-names>
</name>
<email>m.leguen@hopital-foch.org</email>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="cor0005" ref-type="corresp">⁎</xref>
</contrib>
<contrib contrib-type="author" id="aut0010"><name><surname>Parquin</surname>
<given-names>F.</given-names>
</name>
<xref rid="aff0010" ref-type="aff">b</xref>
</contrib>
</contrib-group>
<aff id="aff0005"><label>a</label>
Service anesthésie, département d’anesthésie-réanimation, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92151 Suresnes, France</aff>
<aff id="aff0010"><label>b</label>
Unité de soins intensifs respiratoires, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, Suresnes, France</aff>
<author-notes><corresp id="cor0005"><label>⁎</label>
Auteur correspondant. <email>m.leguen@hopital-foch.org</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release"><day>30</day>
<month>10</month>
<year>2014</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>4</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>30</day>
<month>10</month>
<year>2014</year>
</pub-date>
<volume>32</volume>
<issue>4</issue>
<fpage>358</fpage>
<lpage>369</lpage>
<history><date date-type="received"><day>20</day>
<month>12</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>25</day>
<month>8</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 SPLF. Published by Elsevier Masson SAS All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>SPLF</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="abs0010"><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>
</abstract>
<trans-abstract xml:lang="en"><title>Summary</title>
<p>Extra-corporeal membrane oxygenation (ECMO) effectively replaces the lung in providing oxygenation and carbon dioxide (CO<sub>2</sub>
) 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 CO<sub>2</sub>
during hypercapnic respiratory failure and assistance during lung transplantation from the preoperative to the early postoperative period.</p>
</trans-abstract>
<kwd-group id="kwd0005"><title>Mots clés</title>
<kwd>Oxygénation extracorporelle</kwd>
<kwd>Oxygénateur à membrane</kwd>
<kwd>Insuffisance respiratoire aiguë</kwd>
<kwd>Décarboxylation</kwd>
<kwd>Transplantation cœur-poumon</kwd>
</kwd-group>
<kwd-group xml:lang="en" id="kwd0010"><title>Keywords</title>
<kwd>Extracorporeal oxygenation</kwd>
<kwd>Membrane oxygenation</kwd>
<kwd>Respiratory failure</kwd>
<kwd>Carbon dioxide removal</kwd>
<kwd>Heart-lung transplantation</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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