ARDS outcomes: a marker of critical care quality in the UK? | Thorax

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Article Text

PostScript

Letter

ARDS outcomes: a marker of critical care quality in the UK?

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Matt P Wise1,
Nick Hart2,
Paul J Frost1

¹Adult Critical Care, University Hospital of Wales, Cardiff, UK
²Lane Fox Respiratory Unit, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust and King's College, London

Correspondence to Dr Matt P Wise, Adult Critical Care, University Hospital of Wales, Cardiff CF14 4XW, UK; mattwise{at}doctors.org.uk

https://doi.org/10.1136/thx.2010.140541

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Finney and colleagues'1 recent editorial discussed the results of the UK-based CESAR trial,2 which investigated extracorporeal membrane oxygenation (ECMO) in severe hypoxic respiratory failure. The editorialists concluded that this trial provided powerful support for the centralisation of care for severe acute respiratory failure (ARF) in a limited number of hospitals, with appropriate expertise and resources, including ECMO. Whilst this may be true, we suggest that CESAR also supports the contention that the …