TY - JOUR AU - Peek, Giles J. AU - Clemens, Felicity AU - Elbourne, Diana AU - Firmin, Richard AU - Hardy, Pollyanna AU - Hibbert, Clare AU - Killer, Hilliary AU - Mugford, Miranda AU - Thalanany, Mariamma AU - Tiruvoipati, Ravin AU - Truesdale, Ann AU - Wilson, Andrew PY - 2006 DA - 2006/12/23 TI - CESAR: conventional ventilatory support vs extracorporeal membrane oxygenation for severe adult respiratory failure JO - BMC Health Services Research SP - 163 VL - 6 IS - 1 AB - An estimated 350 adults develop severe, but potentially reversible respiratory failure in the UK annually. Current management uses intermittent positive pressure ventilation, but barotrauma, volutrauma and oxygen toxicity can prevent lung recovery. An alternative treatment, extracorporeal membrane oxygenation, uses cardio-pulmonary bypass technology to temporarily provide gas exchange, allowing ventilator settings to be reduced. While extracorporeal membrane oxygenation is proven to result in improved outcome when compared to conventional ventilation in neonates with severe respiratory failure, there is currently no good evidence from randomised controlled trials to compare these managements for important clinical outcomes in adults, although evidence from case series is promising. SN - 1472-6963 UR - https://doi.org/10.1186/1472-6963-6-163 DO - 10.1186/1472-6963-6-163 ID - Peek2006 ER -