Literature DB >> 27896375

[Extracorporeal CO2 removal as an alternative to tracheotomy in a patient with extubation failure].

A Redel1, M Ritzka2, S Kraus3, A Philipp4, H-J Schlitt2, B Graf3, T Bein3.   

Abstract

We report a patient with chest trauma who was admitted to the ICU after surgery. As he fulfilled protocol-based criteria, he was extubated 7 days after admission. However, despite intermittent non-invasive ventilation, the patient had to be re-intubated on day 10 owing to progressive hypercapnia. We decided to support the patient with a mid-flow veno-venous extracorporeal carbon dioxide removal (ECCO2‑R) system instead of a tracheotomy. Sufficient CO2 removal was established with a blood flow of 1.5 l/min and the patient was successfully extubated within a few hours. After 5 days of ECCO2‑R the patient could be weaned and transferred to a general ward in a stable condition.

Entities:  

Keywords:  Extracorporeal CO2 removal; Hypercapnia; Intensive care medicine; Tracheotomy; Veno-venous ECMO

Mesh：

Substances：

Year:  2016        PMID： 27896375     DOI： 10.1007/s00101-016-0244-6

Source DB:  PubMed          Journal:  Anaesthesist        ISSN： 0003-2417            Impact factor:   1.041


  14 in total

1.  Effects of Extracorporeal CO2 Removal on Inspiratory Effort and Respiratory Pattern in Patients Who Fail Weaning from Mechanical Ventilation.

Authors:  Lara Pisani; Luca Fasano; Nadia Corcione; Vittoria Comellini; Aldo Guerrieri; Marco V Ranieri; Stefano Nava
Journal:  Am J Respir Crit Care Med       Date:  2015-12-01       Impact factor: 21.405

2.  Successful extubation of an "unweanable" patient with severe ankylosing spondylitis (Bechterew's disease) using a pumpless extracorporeal lung assist.

Authors:  Thomas Bein; Sigrid Wittmann; Alois Philipp; Michael Nerlich; Thomas Kuehnel; Hans Juergen Schlitt
Journal:  Intensive Care Med       Date:  2008-07-26       Impact factor: 17.440

Review 3.  Long-term survival of critically ill patients treated with prolonged mechanical ventilation: a systematic review and meta-analysis.

Authors:  Emily Damuth; Jessica A Mitchell; Jason L Bartock; Brian W Roberts; Stephen Trzeciak
Journal:  Lancet Respir Med       Date:  2015-05-20       Impact factor: 30.700

Review 4.  Discontinuation of ventilatory support: new solutions to old dilemmas.

Authors:  Óscar Peñuelas; Arnaud W Thille; Andrés Esteban
Journal:  Curr Opin Crit Care       Date:  2015-02       Impact factor: 3.687

5.  Weaning from mechanical ventilation.

Authors:  J-M Boles; J Bion; A Connors; M Herridge; B Marsh; C Melot; R Pearl; H Silverman; M Stanchina; A Vieillard-Baron; T Welte
Journal:  Eur Respir J       Date:  2007-05       Impact factor: 16.671

6.  First experience with a new miniaturized pump-driven venovenous extracorporeal CO2 removal system (iLA Activve): a retrospective data analysis.

Authors:  Alexander Hermann; Thomas Staudinger; Andja Bojic; Katharina Riss; Philipp Wohlfarth; Oliver Robak; Wolfgang R Sperr; Peter Schellongowski
Journal:  ASAIO J       Date:  2014 May-Jun       Impact factor: 2.872

Review 7.  Non-invasive ventilation in the weaning process.

Authors:  M Ferrer
Journal:  Minerva Anestesiol       Date:  2008-06       Impact factor: 3.051

8.  Post tracheostomy and post intubation tracheal stenosis: report of 31 cases and review of the literature.

Authors:  Nikolaos Zias; Alexandra Chroneou; Maher K Tabba; Anne V Gonzalez; Anthony W Gray; Carla R Lamb; David R Riker; John F Beamis
Journal:  BMC Pulm Med       Date:  2008-09-21       Impact factor: 3.317

9.  Effect of early vs late tracheostomy placement on survival in patients receiving mechanical ventilation: the TracMan randomized trial.

Authors:  Duncan Young; David A Harrison; Brian H Cuthbertson; Kathy Rowan
Journal:  JAMA       Date:  2013-05-22       Impact factor: 56.272

10.  Lower tidal volume strategy (≈3 ml/kg) combined with extracorporeal CO2 removal versus 'conventional' protective ventilation (6 ml/kg) in severe ARDS: the prospective randomized Xtravent-study.

Authors:  Thomas Bein; Steffen Weber-Carstens; Anton Goldmann; Thomas Müller; Thomas Staudinger; Jörg Brederlau; Ralf Muellenbach; Rolf Dembinski; Bernhard M Graf; Marlene Wewalka; Alois Philipp; Klaus-Dieter Wernecke; Matthias Lubnow; Arthur S Slutsky
Journal:  Intensive Care Med       Date:  2013-01-10       Impact factor: 17.440
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  1 in total

1.  Prevention of Severe Respiratory Tract Infection and Prognosis in Neurosurgical Patients with Severe Tracheotomy Based on 5E Rehabilitation Nursing Model.

Authors:  Qing Zhang; Lei Wan; Qin Chen; Chen Li; Ningning Wang; Yang Wang; Yuanyuan Li; Jingjing Huang; Qin Hu
Journal:  Comput Math Methods Med       Date:  2022-07-05       Impact factor: 2.809
  1 in total

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