Low-flow CO2 removal integrated into a renal-replacement circuit can reduce acidosis and decrease vasopressor requirements

Critical Care

Volumn 17, Issue 4, 2013, Pages

  Forster, Christian ^a   Schriewer, Jens ^a   John, Stefan ^a   Eckardt, Kai Uwe ^a   Willam, Carsten ^a  

^a UNIVERSITY OF ERLANGEN NUREMBERG   (Germany)

Author keywords

AKI; ARDS; Low flow CO2 removal; Lung protective ventilation; Renal replacement therapy

Indexed keywords

CATECHOLAMINE; HYPERTENSIVE FACTOR; CARBON DIOXIDE; VASOCONSTRICTOR AGENT;

ACIDOSIS; ACUTE KIDNEY FAILURE; ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; ARTERIAL PH; ARTICLE; BLOOD FLOW; CARBON DIOXIDE EXCRETION; CLINICAL ARTICLE; CONTINUOUS RENAL REPLACEMENT THERAPY; CRITICALLY ILL PATIENT; FEMALE; HEMODYNAMICS; HUMAN; LUNG GAS EXCHANGE; MALE; MULTIPLE ORGAN FAILURE; OBSERVATIONAL STUDY; OLIGURIA; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RENAL REPLACEMENT THERAPY; RESPIRATORY ACIDOSIS; AGED; BLOOD; BLOOD GAS ANALYSIS; DEVICES; MIDDLE AGED; PROCEDURES;

ACIDOSIS; AGED; BLOOD GAS ANALYSIS; CARBON DIOXIDE; FEMALE; HUMANS; MALE; MIDDLE AGED; RENAL DIALYSIS; RENAL REPLACEMENT THERAPY; VASOCONSTRICTOR AGENTS;

EID: 84880941391     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/cc12833     Document Type: Article

References (24)

1. Malhotra A. Low-tidal-volume ventilation in the acute respiratory distress syndrome. N Engl J Med 2007, 357:1113-1120. 10.1056/NEJMct074213, 2287190, 17855672.
2. Walkey AJ, Summer R, Ho V, Alkana P. Acute respiratory distress syndrome: epidemiology and management approaches. J Clin Epidemiol 2012, 4:159-169.
3. Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, Kairalla RA, Deheinzelin D, Munoz C, Oliveira R, Takagaki TY, Carvalho CR. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998, 338(6):347-354. 10.1056/NEJM199802053380602, 9449727.
4. O'Croinin D, Ni Chonghaile M, Higgins B, Laffey JG. Bench-to-bedside review: permissive hypercapnia. Crit Care 2005, 9:51-59. 1065087, 15693984.
5. Curley G, Contreras MM, Nichol AD, Higgins BD, Laffey JG. Hypercapnia and acidosis in sepsis: a double-edged sword?. Anesthesiology 2010, 112:462-472. 10.1097/ALN.0b013e3181ca361f, 20068449.
6. Ijland MM, Heunks LM, van der Hoeven JG. Bench-to-bedside review: hypercapnic acidosis in lung injury-from " permissive" to" therapeutic. Crit Care 2010, 14:237. 3220022, 21067531.
7. Ismaiel NM, Henzler D. Effects of hypercapnia and hypercapnic acidosis on attenuation of ventilator-associated lung injury. Minerva Anestesiol 2011, 77:723-733.
8. Sidebotham D, McGeorge A, McGuinness S, Edwards M, Willcox T, Beca J. Extracorporeal membrane oxygenation for treating severe cardiac and respiratory failure in adults: part 2, technical considerations. J Cardiothorac Vasc Anesth 2010, 24:164-172. 10.1053/j.jvca.2009.08.002, 19875307.
9. Allen S, Holena D, McCunn M, Kohl B, Sarani B. A review of the fundamental principles and evidence base in the use of extracorporeal membrane oxygenation (ECMO) in critically ill adult patients. J Intensive Care Med 2011, 26:13-26. 10.1177/0885066610384061, 21262750.
10. Peek GJ, Mugford M, Tiruvoipati R, Wilson A, Allen E, Thalanany MM, Hibbert CL, Truesdale A, Clemens F, Cooper N, et al. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet 2009, 374:1351-1363. 10.1016/S0140-6736(09)61069-2, 19762075.
11. Bein T, Zimmermann M, Hergeth K, Ramming M, Rupprecht L, Schlitt HJ, Slutsky AS. Pumpless extracorporeal removal of carbon dioxide combined with ventilation using low tidal volume and high positive end-expiratory pressure in a patient with severe acute respiratory distress syndrome. Anaesthesia 2009, 64:195-198. 10.1111/j.1365-2044.2008.05735.x, 19143699.
12. Zimmermann M, Bein T, Arlt M, Philipp A, Rupprecht L, Mueller T, Lubnow M, Graf BM, Schlitt HJ. Pumpless extracorporeal interventional lung assist in patients with acute respiratory distress syndrome: a prospective pilot study. Crit Care 2009, 13:R10. 10.1186/cc7703, 2688123, 19183475.
13. Bein T, Weber-Carstens S, Goldmann A, Muller T, Staudinger T, Brederlau J, Muellenbach R, Dembinski R, Graf BM, Wewalka M, et al. Lower tidal volume strategy (approximately 3 ml/kg) combined with extracorporeal CO2 removal versus" conventional" protective ventilation (6 ml/kg) in severe ARDS: the prospective randomized Xtravent study. Intensive Care Med 2013, 39:847-856. 10.1007/s00134-012-2787-6, 3625408, 23306584.
14. Esteban A, Alia I, Gordo F, de Pablo R, Suarez J, Gonzalez G, Blanco J. Prospective randomized trial comparing pressure-controlled ventilation and volume-controlled ventilation in ARDS, for the Spanish Lung Failure Collaborative Group. Chest 2000, 117:1690-1696. 10.1378/chest.117.6.1690, 10858404.
15. Liu KD, Matthay MA. Advances in critical care for the nephrologist: acute lung injury/ARDS. Clin J Am Soc Nephrol 2008, 3:578-586. 10.2215/CJN.01630407, 18199848.
16. Gattinoni L, Kolobow T, Tomlinson T, Iapichino G, Samaja M, White D, Pierce J. Low-frequency positive pressure ventilation with extracorporeal carbon dioxide removal (LFPPV-ECCO2R): an experimental study. Anesth Analg 1978, 57:470-477.
17. Young JD, Dorrington KL, Blake GJ, Ryder WA. Femoral arteriovenous extracorporeal carbon dioxide elimination using low blood flow. Crit Care Med 1992, 20:805-809. 10.1097/00003246-199206000-00018, 1597035.
18. Livigni S, Maio M, Ferretti E, Longobardo A, Potenza R, Rivalta L, Selvaggi P, Vergano M, Bertolini G. Efficacy and safety of a low-flow veno-venous carbon dioxide removal device: results of an experimental study in adult sheep. Crit Care 2006, 10:R151. 10.1186/cc5082, 1751056, 17069660.
19. Batchinsky AI, Jordan BS, Regn D, Necsoiu C, Federspiel WJ, Morris MJ, Cancio LC. Respiratory dialysis: reduction in dependence on mechanical ventilation by venovenous extracorporeal CO2 removal. Crit Care Med 2011, 39:1382-1387. 10.1097/CCM.0b013e31820eda45, 21317644.
20. Ruberto F, Pugliese F, D'Alio A, Perrella S, D'Auria B, Ianni S, Anile M, Venuta F, Coloni GF, Pietropaoli P. Extracorporeal removal CO2 using a venovenous, low-flow system (Decapsmart) in a lung transplanted patient: a case report. Transplant Proc 2009, 41:1412-1414. 10.1016/j.transproceed.2009.03.048, 19460574.
21. Iacovazzi M, Oreste N, Sardelli P, Barrettara B, Grasso S. Extracorporeal carbon dioxide removal for additional pulmonary resection after pneumonectomy. Minerva Anestesiol 2012, 78:381-384.
22. Moscatelli A, Ottonello G, Nahum L, Lampugnani E, Puncuh F, Simonini A, Tumolo M, Tuo P. Noninvasive ventilation and low-flow veno-venous extracorporeal carbon dioxide removal as a bridge to lung transplantation in a child with refractory hypercapnic respiratory failure due to bronchiolitis obliterans. Pediatr Crit Care Med 2010, 11:e8-e12. 10.1097/PCC.0b013e3181b0123b, 20051789.
23. Gramaticopolo S, Chronopoulos A, Piccinni P, Nalesso F, Brendolan A, Zanella M, Cruz DN, Ronco C. Extracorporeal CO2 removal: a way to achieve ultraprotective mechanical ventilation and lung support: the missing piece of multiple organ support therapy. Contrib Nephrol 2010, 165:174-184.
24. Terragni PP, Del Sorbo L, Mascia L, Urbino R, Martin EL, Birocco A, Faggiano C, Quintel M, Gattinoni L, Ranieri VM. Tidal volume lower than 6 ml/kg enhances lung protection: role of extracorporeal carbon dioxide removal. Anesthesiology 2009, 111:826-835. 10.1097/ALN.0b013e3181b764d2, 19741487.