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

Redel, A. and Ritzka, M. and Kraus, S. and Philipp, A. and Schlitt, H. -J. and Graf, B. and Bein, T. (2016) Extracorporeal CO2 removal as an alternative to tracheotomy in a patient with extubation failure. ANAESTHESIST, 65 (12). pp. 925-928. ISSN 0003-2417, 1432-055X

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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 (ECCO(2)aEuroR) 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 ECCO(2)aEuroR the patient could be weaned and transferred to a general ward in a stable condition.

Item Type: Article
Uncontrolled Keywords: MECHANICAL VENTILATION; TRACHEOSTOMY; METAANALYSIS; SURVIVAL;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 08 Apr 2019 12:06
Last Modified: 08 Apr 2019 12:06
URI: https://pred.uni-regensburg.de/id/eprint/3857

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