High survival rate in 122 ARDS patients managed according to a clinical algorithm including extracorporeal membrane oxygenation

Intensive Care Medicine

Volumn 23, Issue 8, 1997, Pages 819-835

  Lewandowski, K ^a   Rossaint, R ^a   Pappert, D ^a   Gerlach, H ^a   Slama, K J ^b   Weidemann, H ^a   Frey, D J M ^c   Hoffmann, O ^a   Keske, U ^a   Falke, K J ^a  

^a HUMBOLDT UNIVERSITY   (Germany)

^b Vivantes Klinikum Spandau   (Germany)

^c MARTIN LUTHER KRANKENHAUS   (Germany)

Author keywords

Acute respiratory distress syndrome (ARDS); Clinical algorithm; Extracorporeal membrane oxygenation (ECMO); Mechanical ventilation; Survival rates

Indexed keywords

ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; ALGORITHM; ARTERIAL CARBON DIOXIDE TENSION; ARTICLE; ARTIFICIAL VENTILATION; BLOOD PH; EXTRACORPOREAL OXYGENATION; FEMALE; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; SCORING SYSTEM; SURVIVAL RATE;

ADULT; ALGORITHMS; CAUSE OF DEATH; EXTRACORPOREAL MEMBRANE OXYGENATION; FEMALE; GERMANY; HUMANS; MALE; PROSPECTIVE STUDIES; RESEARCH DESIGN; RESPIRATORY DISTRESS SYNDROME, ADULT; RISK FACTORS; STATISTICS, NONPARAMETRIC; SURVIVAL ANALYSIS;

EID: 9844227903     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s001340050418     Document Type: Article

References (93)

1. Krafft P, Fridrich P, Pernerstorfer T, Fitzgerald RD, Koc D, Schneider B, Hammerle AF, Steltzer H (1996) The acute respiratory distress syndrome: definitions, severity and clinical outcome. An analysis of 101 clinical investigations. Intensive Care Med 22: 519-529
2. Webb HH, Tierney DF (1974) Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures: protection by positive end-expiratory pressure. Am Rev Respir Dis 110: 556-565
3. Dreyfuss D, Soler P, Basset G, Saumon G (1988) High inflation pressure pulmonary edema. Respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis 137: 1159-1164
4. Nash G, Blennerhassett JB, Pontoppidan H (1967) Pulmonary lesions associated with oxygen therapy and artificial ventilation. N Engl J Med 276: 368-374
5. Gillbe CE, Salt JC, Branthwaite MA (1980) Pulmonary function after prolonged mechanical ventilation with high concentrations of oxygen. Thorax 35: 907-913
6. Risberg B, Smith L, Örtenwall P (1991) Oxygen radicals and lung injury. Acta Anaesthesiol Scand 35 (Suppl 95): 106-118
7. Reynolds EOR (1971) Effect of alterations in mechanical ventilator settings on pulmonary gas exchange in hyaline membrane disease. Arch Dis Child 46: 152-159
8. Tharratt RS, Allen RP, Albertson TE (1988) Pressure controlled inverse ratio ventilation. Chest 94: 755-762
9. Abraham E, Yoshihara G (1989) Cardiorespiratory effects of pressure controlled inverse ratio ventilation in severe respiratory failure. Chest 96: 1356-1359
10. Hickling KG, Henderson SJ, Jackson R (1990) Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med 16: 372-377
11. Langer M, Mascheroni D, Marcolin R, Gattinoni L (1988) The prone position in ARDS patients. A clinical study. Chest 94: 103-107
12. Wickerts CJ, Blomqvist H, Baehrendtz S, Klingstedt C, Hedenstierna G, Frostell C (1995) Clinical application of differential ventilation with selective positive end-expiratory pressure in adult respiratory distress syndrome. Acta Anaesthesiol Scand 39: 307-311
13. Bone RC (1978) Treatment of adult respiratory distress syndrome with diuretics, dialysis, and positive end-expiratory pressure. Crit Care Med 6: 136-139
14. Rossaint R, Falke KJ, López F, Slama K, Pison U, Zapol WM (1993) Inhaled nitric oxide for the adult respiratory distress syndrome. N Engl J Med 328: 399-405
15. 2 removal in severe acute respiratory failure. JAMA 256: 881-886
16. Lewis FR, Elings VB, Hill SL, Christensen JM (1982) The measurement of extravascular lung water by thermal-green dye indicator dilution. Ann NY Acad Sci 384: 394-410
17. Stoutenbeek CP, Van Saene HKF, Miranda DR, Zandstra DF (1983) A new technique of infection prevention in the intensive care unit by selective decontamination of the digestive tract. Acta Anaesthesiol Belg 3: 209-221
18. Gattinoni L, Pesenti A, Avalli L, Rossi F, Bombino M (1987) Pressure-volume curve of total respiratory system in acute respiratory failure. Computed tomography scan study. Am Rev Respir Dis 136: 730-736
19. Pepe PE, Marini JJ (1982) Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction: The auto-PEEP effect. Am Rev Respir Dis 126: 166-170
20. Gerlach H, Pappert D, Lewandowski K, Rossaint R, Falke KJ (1993) Long-term inhalation with evaluated low doses of nitric oxide for selective improvement of oxygenation in patients with adult respiratory distress syndrome. Intensive Care Med 19: 443-449
21. Gerlach H, Rossaint R, Pappert D, Falke KJ (1993) Time-course and dose-response of nitric oxide inhalation for systemic oxygenation and pulmonary hypertension in patients with adult respiratory distress syndrome. Eur J Clin Invest 23: 499-502
22. Knaus WA, Draper EA, Wagner DP, Zimmerman JE (1985) APACHE II: A severity of disease classification system. Crit Care Med 13: 818-829
23. Murray JF, Matthay MA, Luce JM, Flick MR (1988) An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 138: 720-723
24. Goris RJA, te Boekhorst TPA. Nuytinck JKS, Gimbrère JSF (1985) Multiple-organ failure. Generalized autodestructive inflammation? Arch Surg 120: 1109-1115
25. 2 removal for adult respiratory distress syndrome. Am J Respir Crit Care Med 149: 295-305
26. Brunet F, Mira JP, Belgith M, Monchi M, Renaud B, Fierobe L, Hamy I, Dhainaut JF, Dall'Ava-Santucci J (1994) Extracorporeal carbon dioxide removal technique improves oxygenation without causing overinflation. Am J Respir Crit Care Med 149: 1557-1562
27. Wagner P, Knoch M, Sangmeister C, Müller E, Lennartz H (1990) Extracorporeal gas exchange in adult respiratory distress syndrome: associated morbidity and its surgical treatment. Br J Surg 77: 1395-1398
28. Zapol WM, Snider MT, Hill JD, Fallat RJ, Bartlett RH, Edmunds LH, Morris AH, Peirce EC, Thomas AN, Proctor HJ, Drinker PA, Pratt PC, Bagniewski A, Miller RG (1979) Extracorporeal membrane oxygenation in severe acute respiratory failure. A randomized prospective study. JAMA 242: 2193-2196
29. Artigas A, Carlet J, Chaslang C, LeGall JR, Blanch L, Fernandez R (1992) Adult respiratory distress syndrome. Clinical presentation, prognostic factors and outcome. In: Artigas A, Lemaire F, Suter PM, Zapol WM (eds) Adult Respiratory Distress Syndrome, 1st ed. Churchill Livingstone, Edinburgh London Madrid Melbourne New York Tokyo, pp 509-525
30. Anderson H, Steimle C, Shapiro M, Delius R, Chapman R, Hirschl R, Bartlett R (1993) Extracorporeal life support for adult cardiorespiratory failure. Surgery 114: 161-173
31. Suchyta MR, Clemmer TP, Elliott CG, Orme JF, Weaver LK (1992) The ARDS: a report of survival and modifying factors. Chest 101: 1074-1079
32. Milberg JA, Davis DR, Steinberg KP, Hudson LD (1995) Improved survival of patients with acute respiratory distress syndrome (ARDS): 1983-1993. JAMA 273: 306-309
33. Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, LeGall JR, Morris A, Spragg R, and the Consensus Committee (1994) The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes and clinical trial coordination. Am J Respir Crit Care Med 149: 818-824
34. Bartlett RH, Morris AH, Fairley BF, Hirsch R, O'Connor N, Pontoppidan H (1986) A prospective study of acute hypoxic respiratory failure. Chest 89: 684-689
35. Vasilyev S, Schaap RN, Mortensen JD (1995) Hospital survival rates of patients with acute respiratory failure in modern respiratory intensive care units: an international multicenter prospective survey. Chest 107: 1083-1088
36. Lewandowski K, Metz J, Deutschmann C, Preiß H, Kuhlen R, Artigas A, Falke KJ (1995) Incidence, severity, and mortality of acute respiratory failure in Berlin, Germany. Am J Respir Crit Care Med 151: 1121-1125
37. Montgomery AB, Stager MA, Carrico CJ, Hudson LD (1985) Causes of mortality in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 132: 485-489
38. Petty TL, Ashbaugh DG (1971) The adult respiratory distress syndrome: clinical features, factors influencing prognosis, and principles of management. Chest 60: 233-239
39. Gee MH, Gottlieb JE, Albertine KH, Kubis JM, Peters SP, Fish JE (1990) Physiology of aging related to outcome in the adult respiratory distress syndrome. J Appl Physiol 69: 822-829
40. Brunet F, Belghith M, Mira J-P, Lanore JJ, Vaxelaire JF, Dall'Ava-Santucci J, Dhainaut JF (1993) Extracorporeal carbon dioxide removal and low-frequency positive-pressure ventilation. Improvement in arterial oxygenation with reduction of risk of pulmonary barotrauma in patients with adult respiratory distress syndrome. Chest 104: 889-898
41. Pepe PE, Potkin RT, Reus DH, Hudson LD, Carrico CJ (1982) Clinical predictors of the adult respiratory distress syndrome. Am J Surg 144: 124-129
42. Schwartz DB, Bone RC, Balk RA, Szidon JP (1989) Hepatic dysfunction in the adult respiratory distress syndrome. Chest 95: 871-875
43. Knaus WA, Sun X, Hakim RB, Wagner DP (1994) Evaluation of definition for ARDS. Am J Respir Crit Care Med 150: 311-317
44. Bell RC, Coalson JJ, Smith JD, Johanson WG (1983) Multiple organ system failure and infection in ARDS. Ann Intern Med 99: 293-298
45. Lachmann B, Jonson B, Lindroth M, Robertson B (1982) Modes of artificial ventilation in severe respiratory distress syndrome. Lung function and morphology in rabbits after wash-out of alveolar surfactant. Crit Care Med 10: 724-732
46. Al-Saady N, Bennett ED (1985) Decelerating inspiratory flow waveform improves lung mechanics and gas exchange in patients on intermittent positive-pressure ventilation. Intensive Care Med 11: 68-75
47. Abraham E, Yoshihara G (1990) Cardiorespiratory effects of pressure controlled ventilation in severe respiratory failure. Chest 98: 1445-1449
48. Modell HI, Cheney FW (1979) Effects of inspiratory flow pattern on gas exchange in normal and abnormal lungs. J Appl Physiol 46: 1103-1107
49. Lain DC, DiBenedetto R, Morris SL, Van Nguyen A, Saulters R, Causey D (1989) Pressure control inverse ratio ventilation as a method to reduce peak inspiratory pressure and provide adequate ventilation and oxygenation. Chest 95: 1081-1088
50. Amato MBP, Barbas CSV, Medeiros DM, Schettino GDPP, Filho GL, Kairalla RA, Deheinzelin D, Morais C, Fernandes EDO, Takagaki TY, De Carvalho CRB (1995) Beneficial effects of the "open lung approach" with low distending pressures in acute respiratory distress syndrome. A prospective randomized study on mechanical ventilation. Am J Respir Crit Care Med 152: 1835-1846
51. Marini JJ (1994) Pressure-controlled ventilation. In: Tobin MJ (ed) Principles and practice of mechanical ventilation, 1st ed. McGraw-Hill, New York St. Louis London Paris Toronto, pp 305-317
52. Slutsky AS (1994) Consensus conference on mechanical ventilation - January 28-30, 1993 at Northbrook, Illinois, USA. Part II. Intensive Care Med 20: 150-162
53. Armstrong BW, MacIntyre NR (1995) Pressure-controlled, inverse ratio ventilation that avoids air trapping in the adult respiratory distress syndrome. Crit Care Med 23: 279-285
54. Kumar A, Falke KJ, Geffin B, Aldredge CF, Laver MB, Lowenstein E, Pontoppidan H (1970) Continuous positive-pressure ventilation in acute respiratory failure. Effects on hemodynamics and lung function. N Engl J Med 283: 1430-1436
55. Zwillich CW, Pierson DJ, Creagh CE, Sutton FD, Schatz, E, Petty TL (1974) Complications of assisted ventilation. Am J Med 57: 161-170
56. Rohlfing BM, Webb WR, Schlobohn RM (1976) Ventilator-related extra-alveolar air in adults. Radiology 121: 25-31
57. De Latorre F, Tomasa A, Klamburg J, Leon C, Soler M, Rius J (1977) Incidence of pneumothorax and pneumomediastinum in patients with aspiration pneumonia requiring ventilatory support. Chest 72: 141-144
58. Petersen GW, Baier H (1983) Incidence of pulmonary barotrauma in a medical ICU. Crit Care Med 11: 67-69
59. Schnapp LM, Chin DP, Szaflarski N, Matthay MA (1995) Frequency and importance of barotrauma in 100 patients with acute lung injury. Crit Care Med 23: 272-278
60. Slutsky AS (1994) Consensus conference on mechanical ventilation - January 28-30, 1993 at Northbrook, Illinois, USA. Part I. Intensive Care Med 20: 64-79
61. Gammon RB, Shin MS, Buchalter SE (1992) Pulmonary barotrauma in ARDS. Chest 102: 568-572
62. 2 removal. In: Giles JP (ed) Neonatal and adult respiratory failure. Mechanisms and treatments, 1st ed. Editions Scientifiques Eisevier, Paris, pp 123-136
63. Roupie E, Dambrosio M, Servillo G, Mentee H, El Atrous S, Beydon L, Brun-Buisson C, Lemaire F, Brochard L (1995) Titration of tidal volume and induced hypercapnia in acute respiratory distress syndrome. Am J Respir Crit Care Med 152: 121-128
64. Hickling KG, Walsh J, Henderson S, Jackson R (1994) Low mortality rate in adult respiratory distress syndrome using low-volume, pressure-limited ventilation with permissive hypercapnia: a prospective study. Crit Care Med 22: 1568-1578
65. Barckow D, Schirop T (1983) Isolierte Ultrafiltration beim akuten Lungenversagen. Intensivmed 20: 213-216 (English abstract)
66. DiCarlo JV, Dudley TE, Sherbotie JR, Kaplan BS, Costarino AT (1990) Continuous arteriovenous hemofiltration/ dialysis improves pulmonary gas exchange in children with multiple organ system failure. Crit Care Med 18: 822-826
67. Eisenberg PR, Hansbrough JR, Anderson DD, Schuster DP (1987) A prospective study of lung water measurements during patient management in an intensive care unit. Am Rev Respir Dis 136: 662-668
68. Petty TL (1990) Acute respiratory distress syndrome (ARDS). Disease-a-Month 36: 8-58
69. Piehl MA, Brown RS (1976) Use of extreme position changes in acute respiratory failure. Crit Care Med 4: 13-14
70. Douglas WW, Rheder K, Beynen FM, Sessler AD, Marsh HM (1977) Improved oxygenation in patients with acute respiratory failure: the prone position. Am Rev Respir Dis 115: 559-566
71. Albert RK (1993) New ideas in treatment of ARDS. In: Vincent JL (ed) Update in intensive care and emergency medicine, 1st ed. Springer, Berlin Heidelberg New York Tokyo, pp 135-147
72. Walz M, Muhr G (1992) Continuously alternating prone and supine positioning in acute lung failure. Chirurg 63: 931-937
73. Koeniger R, Landauer B (1995) Die Bauchlagerung - integraler Bestandteil einer wirksamen Beatmungstherapie beim ARDS. Intensiv- und Notfallbehandlung 20: 156-162 (English abstract)
74. Gattinoni L, Pelosi P, Vitale G, Pesenti A, D'Andrea L, Mascheroni D (1991) Body position changes redistribute lung computed tomographic density in patients with acute respiratory failure. Anesthesiology 74: 15-23
75. Pappert D, Rossaint R, Slama K, Grüning T, Falke KJ (1994) Influence of positioning on ventilation-perfusion relationships in severe adult respiratory distress syndrome. Chest 106: 1511-1516
76. Bigatello LM, Hurford WE, Kacmarek RM, Roberts JD, Zapol WM (1994) Prolonged inhalation of low concentrations of nitric oxide in patients with severe adult respiratory distress syndrome. Anesthesiology 80: 761-770
77. National Heart, Lung and Blood Institute, Division of Lung Diseases (1979) Extracorporeal support for respiratory insufficiency. A collaborative study in response to RFP-NHLI-73-20, pp 1-390
78. Uziel L, Cugno M, Fabrizi I, Pesenti A, Gattinoni L, Agostoni A (1990) Physiopathology and management of coagulation during long-term extracorporeal respiratory assistance. Int J Artif Organs 13: 280-287
79. Wetterberg T, Steen S (1991) Total extracorporeal lung assist - a new clinical approach. Intensive Care Med 17: 73-77
80. Fjalldal O, Torfason B, Önundarson PT, Thorsteinsson A, Vigfusson G, Stefansson T, Magnusson V (1993) Prolonged total extracorporeal lung assistance without systemic heparinization. Acta Anaesthesiol Scand 37: 115-120
81. Gattinoni L, Pesenti A, Bombino M, Pelosi P, Brazzi L (1993) Role of extra-corporeal circulation in adult respiratory distress syndrome management. New Horizons 1: 603-612
82. Gattinoni L, Pesenti A, Marcolin R, Mascheroni D, Fumagalli R, Rossi F, Avalli L, Giuffrida A, Baglioni S, Coffano B (1992) Extracorporeal support in acute respiratory failure. In: Artigas A, Lemaire F, Suter PM, Zapol WM (eds) Adult respiratory distress syndrome. 1st ed. Churchill Livingstone, Edinburgh London Madrid Melbourne New York Tokyo, pp 469-475
83. 2 removal. Intensive Care Med 18: 364-367
84. McCoy-Pardington D, Judd WJ, Knafl P, Abruzzo LV, Coombes KR, Butch SH, Oberman HA (1990) Blood use during extracorporeal membrane oxygenation. Transfusion 30: 307-309
85. Palder SB, Shaheen KW, Whittlesey GC, Nowlen TT, Kundu SK, Klein MD (1988) Prolonged extracorporeal membrane oxygenation in sheep with a hollow-fiber oxygenator and a centrifugal pump. ASAIO Trans 34: 820-822
86. Mottaghy K, Oedekoven B, Poppel K, Bruchmüller K, Kovacs B, Spahn A, Geisen C (1989) Heparin-free long-term extracorporeal circulation using bioactive surfaces. ASAIO Trans 35: 635-637
87. Knoch M, Kollen B, Dietrich G, Müller E, Mottaghy K, Lennartz H (1992) Progress in veno-venous long-term bypass techniques for the treatment of ARDS. Controlled clinical trial with the heparin-coated bypass circuit. Int J Artif Organs 15: 103-108
88. Koul B, Wetterberg T, Öhqvist G, Olsson P (1991) Veno-venous extracorporeal membrane oxygenation with a heparin-coated system in adult respiratory distress syndrome. Scand J Thorac Cardiovasc Surg 25: 199-206
89. Bindslev L, Böhm C, Jolin A, Hambraeus-Jonzon K, Olsson P, Ryniak S (1991) Extracorporeal carbon dioxide removal performed with surface-heparinized equipment in patients with ARDS. Acta Anaesthesiol Scand 95 (Suppl): 125-130
90. Truog RD (1992) Randomized controlled trials: lessons from ECMO. Clin Res 40: 519-527
91. Royall R (1991) Ethics and statistics in randomized clinical trials. Stat Sci 6: 52-62
92. Berry DA (1989) Comment: ethics and ECMO. Stat Sci 4: 306-316
93. American College of Chest Physicians/ Society of Critical Care Medicine Consensus Conference (1992) Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Crit Care Med 20: 864-874