The Use of CO2 Removal Devices in Patients Awaiting Lung Transplantation: An Initial Experience

Abstract

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Contemporary extracorporeal membrane oxygenation for adult respiratory failure: life support in the new era

“…Nonetheless, the improvements in ECMO technology have allowed some centres to use ambulatory ECMO or other extracorporeal devices to liberate patients from mechanical ventilation and successfully bridge them to lung transplantation [58,[71][72][73][74]. Whether it will ever be feasible to safely use fully implantable, miniaturized respiratory devices as destination therapy remains an open question at present [75].…”

Extracorporeal Carbon Dioxide Removal (ECCO2R) in Respiratory Failure: An Overview, and where Next?

“…Hence the complication rates in Table 2 are from the most recent prospective study of AV-ECCO 2 R. 14 The complication rates for VV-ECCO 2 R in this table are compiled from the 18 cases of its use that are reported in the literature. 9,10,11,12,34 The other complications of AV-ECCO 2 R that have been reported in the literature are: plasma leakage, heparin-induced thrombocytopenia, 24 and haemolysis. 18 There has also been a report of critical hypotension when AV-ECCO 2 R was initiated in a patient who had severe hypoxia and septic shock.…”

Extracorporeal Life Support for Patients with Acute Respiratory Distress Syndrome: Review

“…Etkili CO 2 temizleme yaklaşık 500 mL ile 1500 mL/ dakikalık düşük kan akımı hızlarında elde edilebilir (18). ECCO 2 R kronik obstrüktif akciğer hastalığı alevlenmesi olan hastalarda ve akciğer nakli için bir köprü olarak kullanıldığı gösterilmesine rağmen ARDS tedavisinde yapılan çalışmalar henüz sınırlı olup rutin tedavide yer almamaktadır (28,29). b) ECCO 2 R'nin başka bir konfigürasyonu pompasız bir arteriovenöz ekstrakorporeal devre kullanımıdır (Interventional lung assist) (ILA) (16,17,21).…”