Intermittent extracorporeal CO2 removal in chronic obstructive pulmonary disease patients: A fiction or an option

Autor: Luciana Mascia, Marco Ranieri, Francesco Alessandri, Francesco Pugliese
Přispěvatelé: Alessandri, F., Pugliese, F., Mascia, L., Ranieri, M.V.
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Acute exacerbation of chronic obstructive pulmonary disease
breathing mechanic
Extracorporeal Circulation
evidence based medicine
medicine.medical_treatment
Review
Critical Care and Intensive Care Medicine
Extracorporeal carbon dioxide removal
Hypercapnia
lung gas exchange
Pulmonary Disease
Chronic Obstructive
0302 clinical medicine
procedures
carbon dioxide
Carbon Dioxide
Medicine
pathophysiology
COPD
Evidence-Based Medicine
Chronic obstructive pulmonary disease
artificial ventilation
extracorporeal carbon dioxide removal
ventilator weaning
medicine.medical_specialty
Chronic Obstructive
Carbon Dioxide
blood
Extracorporeal Circulation
methods
Extracorporeal Membrane Oxygenation*
methods
Hypercapnia
physiopathology
Hypercapnia
therapy
Noninvasive Ventilation
Pulmonary Disease
Chronic Obstructive
blood
Pulmonary Disease
Chronic Obstructive
physiopathology
Pulmonary Disease
Chronic Obstructive
therapy
Respiratory Mechanics
physiology
methods
Pulmonary disease
chronic lung disease
Extracorporeal
Pulmonary Disease
03 medical and health sciences
Extracorporeal Membrane Oxygenation
blood
Co2 removal
Humans
In patient
human
Intensive care medicine
Mechanical ventilation
extracorporeal oxygenation
Respiratory Mechanic
business.industry
therapy
respiratory failure
030208 emergency & critical care medicine
Carbon Dioxide
medicine.disease
030228 respiratory system
disease exacerbation
physiology
Respiratory Mechanics
physiopathology
business
chronic obstructive lung disease
Popis: Aim of this article is to review evidence recently generated on the application of extracorporeal carbon dioxide removal (ECCO2R) in patients with acute exacerbation of chronic obstructive pulmonary disease (COPD) requiring mechanical ventilation (invasive and non invasive) for hypercapnic respiratory failure. Recent findings To date, the paucity of evidences on ECCO2R to decrease the rate of noninvasive ventilation (NIV) failure and to wean hypercapnic patients from invasive mechanical ventilation (IMV) precludes to systematically apply this technology to COPD patients. Summary Although several efforts have been made to reduce invasiveness and to improve the efficiency of extracorporeal systems, further randomized studies are needed to assess the effects of this technique on both short-term and long-term clinical outcomes. © 2018 Wolters Kluwer Health, Inc.
Databáze: OpenAIRE
Externí odkaz: