Impact of sweep gas flow on extracorporeal CO2 removal (ECCO2R)

Intensive Care Medicine Experimental

Volumn 7, Issue , 2019, Pages 1-10

  Strassmann, Stephan ^a   Merten, Michaela ^a   Schäfer, Simone ^a   de Moll, Jonas ^a   Brodie, Daniel ^b   Larsson, Anders ^c   Windisch, Wolfram ^a   Karagiannidis, Christian ^a  

^a UNIVERSITY OF WITTEN HERDECKE   (Germany)

^b Columbia University College of Physicians and Surgeons/New York Presbyterian Hospital ^*  (United States)

^c UPPSALA UNIVERSITY   (Sweden)

Author keywords

ARDS; COPD; ECCO2R; ECMO; Extracorporeal carbon dioxide removal

Indexed keywords

EID: 85074696385     PISSN: None     EISSN: 2197425X     Source Type: Journal    
DOI: 10.1186/s40635-019-0244-3     Document Type: Article

References (29)

1. Karagiannidis C, Brodie D, Strassmann S, Stoelben E, Philipp A, Bein T, Muller T, Windisch W (2016) Extracorporeal membrane oxygenation: evolving epidemiology and mortality. Intensive Care Med 42:889–896
2. Boyle AJ, Sklar MC, McNamee JJ, Brodie D, Slutsky AS, Brochard L, McAuley DF, International EN (2018) Extracorporeal carbon dioxide removal for lowering the risk of mechanical ventilation: research questions and clinical potential for the future. Lancet Respir Med 6:874–884
3. Fanelli V, Ranieri MV, Mancebo J, Moerer O, Quintel M, Morley S, Moran I, Parrilla F, Costamagna A, Gaudiosi M, Combes A (2016) Feasibility and safety of low-flow extracorporeal carbon dioxide removal to facilitate ultra-protective ventilation in patients with moderate acute respiratory distress syndrome. Crit Care 20:36
4. Forster C, Schriewer J, John S, Eckardt KU, Willam C (2013) Low-flow CO(2) removal integrated into a renal-replacement circuit can reduce acidosis and decrease vasopressor requirements. Crit Care 17:R154
5. Morelli A, Del Sorbo L, Pesenti A, Ranieri VM, Fan E (2017) Extracorporeal carbon dioxide removal (ECCO2R) in patients with acute respiratory failure. Intensive Care Med 43:519–530
6. Morimont P, Guiot J, Desaive T, Tchana-Sato V, Janssen N, Cagnina A, Hella D, Blaffart F, Defraigne JO, Lambermont B (2015) Veno-venous extracorporeal CO2 removal improves pulmonary hemodynamics in a porcine ARDS model. Acta Anaesthesiol Scand 59:448–456
7. Terragni PP, Del Sorbo L, Mascia L, Urbino R, Martin EL, Birocco A, Faggiano C, Quintel M, Gattinoni L, Ranieri VM (2009) Tidal volume lower than 6 ml/kg enhances lung protection: role of extracorporeal carbon dioxide removal. Anesthesiology 111:826–835
8. Del Sorbo L, Fan E, Nava S, Ranieri VM (2016) ECCO2R in COPD exacerbation only for the right patients and with the right strategy. Intensive Care Med 42:1830–1831
9. Fitzgerald M, Millar J, Blackwood B, Davies A, Brett SJ, McAuley DF, McNamee JJ (2014) Extracorporeal carbon dioxide removal for patients with acute respiratory failure secondary to the acute respiratory distress syndrome: a systematic review. Crit Care 18:222
10. Abrams D, Roncon-Albuquerque R Jr, Brodie D (2015) What’s new in extracorporeal carbon dioxide removal for COPD? Intensive Care Med 41:906–908
11. Tiruvoipati R, Buscher H, Winearls J, Breeding J, Ghosh D, Chaterjee S, Braun G, Paul E, Fraser JF, Botha J (2016) Early experience of a new extracorporeal carbon dioxide removal device for acute hypercapnic respiratory failure. Crit Care Resusc 18:261–269
12. Batchinsky AI, Jordan BS, Regn D, Necsoiu C, Federspiel WJ, Morris MJ, Cancio LC (2011) Respiratory dialysis: reduction in dependence on mechanical ventilation by venovenous extracorporeal CO2 removal. Crit Care Med 39:1382–1387
13. Zanella A, Castagna L, Salerno D, Scaravilli V, Abd El Aziz El Sayed Deab S, Magni F, Giani M, Mazzola S, Albertini M, Patroniti N, Mantegazza F, Pesenti A, (2015) Respiratory electrodialysis. A novel, highly efficient extracorporeal CO2 removal technique. Am J Respir Crit Care Med 192: 719–726
14. Schmidt M, Jaber S, Zogheib E, Godet T, Capellier G, Combes A (2018) Feasibility and 7safety of low-flow extracorporeal CO2 removal managed with a renal replacement platform to enhance lung-protective ventilation of patients with mild-to-moderate ARDS. Crit Care 22:122
15. Allardet-Servent J, Castanier M, Signouret T, Soundaravelou R, Lepidi A, Seghboyan JM (2015) Safety and efficacy of combined extracorporeal CO2 removal and renal replacement therapy in patients with acute respiratory distress syndrome and acute kidney injury: the pulmonary and renal support in acute respiratory distress syndrome study. Crit Care Med 43:2570–2581
16. Karagiannidis C, Kampe KA, Sipmann FS, Larsson A, Hedenstierna G, Windisch W, Mueller T (2014) Veno-venous extracorporeal CO2 removal for the treatment of severe respiratory acidosis: pathophysiological and technical considerations. Crit Care 18:R124
17. Lehle K, Philipp A, Hiller KA, Zeman F, Buchwald D, Schmid C, Dornia C, Lunz D, Muller T, Lubnow M (2014) Efficiency of gas transfer in venovenous extracorporeal membrane oxygenation: analysis of 317 cases with four different ECMO systems. Intensive Care Med 40:1870–1877
18. Karagiannidis C, Strassmann S, Brodie D, Ritter P, Larsson A, Borchardt R, Windisch W (2017) Impact of membrane lung surface area and blood flow on extracorporeal CO2 removal during severe respiratory acidosis. Intensive Care Med Exp 5:34
19. Lumb AB (2017) Nunn's applied respiratory physiology. Elsevier, Edinburgh; New York
20. Poyart CF, Bursaux E, Freminet A (1975) The bone CO2 compartment: evidence for a bicarbonate pool. Respir Physiol 25:89–99
21. Wearden PD, Federspiel WJ, Morley SW, Rosenberg M, Bieniek PD, Lund LW, Ochs BD (2012) Respiratory dialysis with an active-mixing extracorporeal carbon dioxide removal system in a chronic sheep study. Intensive Care Med 38:1705–1711
22. van Milgen J, Noblet J, Dubois S, Bernier JF (1997) Dynamic aspects of oxygen consumption and carbon dioxide production in swine. Br J Nutr 78:397–410
23. Zanella A, Giani M, Redaelli S, Mangili P, Scaravilli V, Ormas V, Costanzi M, Albertini M, Bellani G, Patroniti N, Pesenti A (2013) Infusion of 2.5 meq/min of lactic acid minimally increases CO2 production compared to an isocaloric glucose infusion in healthy anesthetized, mechanically ventilated pigs. Crit Care 17:R268
24. Mendes PV, Park M, Maciel AT, DP ES, Friedrich N, Barbosa EV, Hirota AS, Schettino GP, Azevedo LC, Costa EL (2016) Kinetics of arterial carbon dioxide during veno-venous extracorporeal membrane oxygenation support in an apnoeic porcine model. Intensive Care Med Exp 4:1
25. Joyce CJ, Shekar K, Cook DA (2018) A mathematical model of CO2, O2 and N2 exchange during venovenous extracorporeal membrane oxygenation. Intensive Care Med Exp 6:25
26. Jeffries RG, Lund L, Frankowski B, Federspiel WJ (2017) An extracorporeal carbon dioxide removal (ECCO2R) device operating at hemodialysis blood flow rates. Intensive Care Med Exp 5:41
27. Means JH, Bock AV, Woodwell MN (1921) Studies of the acid-base equilibrium in disease from the point of view of blood gases. J Exp Med 33:201–222
28. Parsons TR, Parsons W (1923) Observations on the transport of carbon dioxide in the blood of some marine invertebrates. J Gen Physiol 6:153–166
29. Miyamura M, Honda Y (1978) CO2 dissociation curves of oxygenated whole blood obtained at rest and in exercise. Eur J Appl Physiol Occup Physiol 39:37–45