Update on the role of extracorporeal CO2 removal as an adjunct to mechanical ventilation in ARDS
نویسندگان
چکیده
This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2015 and co-published as a series in Critical Care. Other articles in the series can be found online at http://ccforum.com/series/annualupdate2015. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http://www.springer.com/series/8901.
منابع مشابه
Randomized clinical trial of pressure-controlled inverse ratio ventilation and extracorporeal CO2 removal for adult respiratory distress syndrome.
The impact of a new therapy that includes pressure-controlled inverse ratio ventilation followed by extracorporeal CO2 removal on the survival of patients with severe ARDS was evaluated in a randomized controlled clinical trial. Computerized protocols generated around-the-clock instructions for management of arterial oxygenation to assure equivalent intensity of care for patients randomized to ...
متن کاملVeno-venous extracorporeal CO2 removal improves pulmonary hemodynamics in a porcine ARDS model.
BACKGROUND Protective lung ventilation is recommended in patients with acute respiratory distress syndrome (ARDS) to minimize additional injuries to the lung. However, hypercapnic acidosis resulting from ventilation at lower tidal volume enhances pulmonary hypertension and might induce right ventricular (RV) failure. We investigated if extracorporeal veno-venous CO2 removal therapy could have b...
متن کاملRelative Low Flow Extra Corporeal Co2-Removal in Ards Patients: A Pilot Study
Introduction Mechanical ventilation (MV) of patients with Acute Respiratory Distress Syndrome (ARDS) should be performed with a lung protective strategy, since this is associated with better clinical outcomes. Lung protective MV contains the lowering of the plateau pressure (PPLAT) and the tidal volume (VT). Physician’s choice for lung protective MV can be hindered by the consequence of decreas...
متن کاملRespiratory dialysis: reduction in dependence on mechanical ventilation by venovenous extracorporeal CO2 removal.
OBJECTIVES Mechanical ventilation is injurious to the lung. Use of lung-protective strategies may complicate patient management, motivating a search for better lung-replacement approaches. We investigated the ability of a novel extracorporeal venovenous CO2 removal device to reduce minute ventilation while maintaining normocarbia. DESIGN Prospective animal study. SETTING Government laborato...
متن کاملECCO2R, a french national survey
Introduction ECCO2R (extracorporeal dioxide carbon removal) is an extracorporeal decarboxylation technology described in 1978. Physiological studies showed that 50% of produced CO2 were eliminated. Potential indications are: ultra-protective mechanical ventilation (MV) for acute respiratory distress syndrome (ARDS) and hypercapnic patients at risk of failure of noninvasive ventilation (NIV). Be...
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عنوان ژورنال:
دوره 19 شماره
صفحات -
تاریخ انتشار 2015