Effects on membrane lung gas exchange of an intermittent high gas flow recruitment maneuver: preliminary data in veno-venous ECMO patients

Journal of Artificial Organs

Volumn 18, Issue 3, 2015, Pages 213-219

  Castagna, Luigi ^a   Zanella, Alberto ^a   Scaravilli, Vittorio ^a   Magni, Federico ^a   Deab, Salua Abd El Aziz El Sayed ^a   Introna, Michele ^a   Mojoli, Francesco ^b,c   Grasselli, Giacomo ^d   Pesenti, Antonio ^a,d   Patroniti, Nicolò ^a,d  

^a UNIVERSITY OF MILANO BICOCCA   (Italy)

^b FONDAZIONE IRCCS POLICLINICO SAN MATTEO   (Italy)

^c UNIVERSITY OF PAVIA   (Italy)

^d SAN GERARDO HOSPITAL   (Italy)

Author keywords

Extracorporeal membrane oxygenation; Insensible; Oxygenators; Respiratory dead space; Water loss

Indexed keywords

BICARBONATE; CARBON DIOXIDE; HEMOGLOBIN; OXYGEN; POLYMER; POLYMETHYLPENTENE; UNCLASSIFIED DRUG;

ACUTE RESPIRATORY FAILURE; ADULT; AIRWAY PRESSURE; ARTICLE; BLOOD PH; CARBON DIOXIDE TENSION; CENTRIFUGAL PUMP; CLINICAL ARTICLE; EXTRACORPOREAL MEMBRANE OXYGENATION DEVICE; EXTRACORPOREAL OXYGENATION; FEMALE; GAS FLOW; HOLLOW FIBER MEMBRANE; HUMAN; LUNG COMPLIANCE; LUNG DEAD SPACE; LUNG GAS EXCHANGE; LUNG MINUTE VOLUME; MALE; MEMBRANE OXYGENATOR; OXYGEN TRANSPORT; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; TIDAL VOLUME; TIME; COHORT ANALYSIS; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; PROCEDURES; RESPIRATORY INSUFFICIENCY; TIME FACTOR; TREATMENT OUTCOME;

ADULT; COHORT STUDIES; EXTRACORPOREAL MEMBRANE OXYGENATION; FEMALE; HUMANS; MALE; MIDDLE AGED; PULMONARY GAS EXCHANGE; RESPIRATORY INSUFFICIENCY; TIDAL VOLUME; TIME FACTORS; TREATMENT OUTCOME;

EID: 84940722499     PISSN: 14347229     EISSN: 16190904     Source Type: Journal    
DOI: 10.1007/s10047-015-0831-3     Document Type: Article

References (21)

1. Hirshberg E, Miller RR, Morris AH. Extracorporeal membrane oxygenation in adults with acute respiratory distress syndrome. Curr Opin Crit Care. 2013;19:38–43.
2. Sauer CM, Yuh DD, Bonde P. Extracorporeal membrane oxygenation (ECMO) use has increased by 433% in adults in the United States from 2006 to 2011. ASAIO J. 2014;61:31–6.
3. Toomasian JM, Schreiner RJ, Meyer DE, Schmidt ME, Hagan SE, Griffith GW, et al. A polymethylpentene fiber gas exchanger for long-term extracorporeal life support. ASAIO J. 2005;51:390–7.
4. Lubnow M, Philipp A, Dornia C, Schroll S, Bein T, Creutzenberg M, et al. D-dimers as an early marker for oxygenator exchange in extracorporeal membrane oxygenation. J Crit Care. 2014;29(473):e1–5.
5. Dornia C, Philipp A, Bauer S, Hoffstetter P, Lehle K, Schmid C, et al. Visualization of thrombotic deposits in extracorporeal membrane oxygenation devices using multidetector computed tomography: a feasibility study. ASAIO J. 2013;59:439–41.
6. Lehle K, Philipp A, Gleich O, Holzamer A, Müller T, Bein T, et al. Efficiency in extracorporeal membrane oxygenation-cellular deposits on polymethylpentene membranes increase resistance to blood flow and reduce gas exchange capacity. ASAIO J. 2008;54:612–7.
7. Lawson DS, Holt D. Insensible water loss from the Jostra Quadrox D oxygenator: an in vitro study. Perfusion. 2007;22:407–10.
8. Li Li C, Oi Yan T, Ming Chit Arthur K, Hoi Ping S, King Chung Kenny C, Wing Wa Y. Insensible water loss through adult extracorporeal membrane oxygenation circuit: an in vitro study. ASAIO J. 2014;60:508–12.
9. Yang M, Deng X, Laroche G, Hahn C, King MW, Guidoin RG. A capillary method to measure water transmission through polyurethane membranes. ASAIO J. 1997;43:890–6.
10. Gill M, O’Shaughnessy K. Insensible water loss from the Hilite 2400LT oxygenator: an in vitro study. Perfusion. 2013;28:70–5.
11. Extracorporeal Life Support Organization (ELSO) General Guidelines for all ECLS Cases. 2009. http://www.elso.med.umich.edu/WordForms/ELSO%20Guidelines%20General%20All%20ECLS%20Version1.1.pdf.
12. Zanella A, Mangili P, Redaelli S, Scaravilli V, Giani M, Ferlicca D, et al. Regional blood acidification enhances extracorporeal carbon dioxide removal: a 48 h animal study. Anesthesiology. 2014;120:416–24.
13. Scaravilli V, Kreyer S, Linden K, Belenkiy S, Jordan B, Pesenti A, et al. Modular extracorporeal life support: effects of ultrafiltrate recirculation on the performance of an extracorporeal carbon dioxide removal device. ASAIO J. 2014;60:335–41.
14. Riley RL, Cournand A. Ideal alveolar air and the analysis of ventilation-perfusion relationships in the lungs. J Appl Physiol. 1949;1:825–47.
15. Bartlett R, Zwischenberger JB. Management of blood flow and gas exchange during ECLS. In: Annich G, Lynch W, MacLaren G, Wilson J, Bartlett R, editors. ECMO cardiopulmonary support in critical care. 4th ed. 2012. p. 149–56.
16. Jegger D, Tevaearai HT, Mallabiabarrena I, Horisberger J, Seigneul I, von Segesser LK. Comparing oxygen transfer performance between three membrane oxygenators: effect of temperature changes during cardiopulmonary bypass. Artif Organs. 2007;31:290–300.
17. Segers PA, Heida JF, de Vries I, Maas C, Boogaart AJ, Eilander S. Clinical evaluation of nine hollow-fibre membrane oxygenators. Perfusion. 2001;16:95–106.
18. Wendel HP, Philipp A, Weber N, Birnbaum DE, Ziemer G. Oxygenator thrombosis: worst case after development of an abnormal pressure gradient–incidence and pathway. Perfusion. 2001;16:271–8.
19. Isgrò S, Patroniti N, Bombino M, Marcolin R, Zanella A, Milan M, et al. Extracorporeal membrane oxygenation for interhospital transfer of severe acute respiratory distress syndrome patients: 5 year experience. Int J Artif Organs. 2011;34:1052–60.
20. Camacho T, Totapally BR, Hultquist K, Nelson G, Eawaz D, Sussmane JB, et al. Insensible water loss during extracorporeal membrane oxygenation: an in vitro study. ASAIO J. 2000;46:620–4.
21. Batchinsky AI, Jordan BS, Regn D, Necsoiu C, Federspiel WJ, Morris MJ, et al. Respiratory dialysis: reduction in dependence on mechanical ventilation by venovenous extracorporeal CO2 removal. Crit Care Med. 2011;39:1382–7.