دورية أكاديمية
Using a Low-Flow Extracorporeal Carbon Dioxide Removal (ECCO 2 R) System in the Management of Refractory Status Asthmaticus: A Case Series.
العنوان: | Using a Low-Flow Extracorporeal Carbon Dioxide Removal (ECCO 2 R) System in the Management of Refractory Status Asthmaticus: A Case Series. |
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المؤلفون: | Fox S; From the Department of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama., Mehkri O; Department of Critical Care, Cleveland Clinic, Cleveland, Ohio., Latifi M; Department of Critical Care, Cleveland Clinic, Cleveland, Ohio., Krishnan S; Department of Critical Care, Cleveland Clinic, Cleveland, Ohio., Dill T; Clinical Operations, ALung Technologies Inc., Pittsburgh, Pennsylvania., Duggal A; Department of Critical Care, Cleveland Clinic, Cleveland, Ohio. |
المصدر: | ASAIO journal (American Society for Artificial Internal Organs : 1992) [ASAIO J] 2024 May 01; Vol. 70 (5), pp. e70-e74. Date of Electronic Publication: 2023 Oct 03. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9204109 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-943X (Electronic) Linking ISSN: 10582916 NLM ISO Abbreviation: ASAIO J Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Philadelphia, PA : Published for the Society by J.B. Lippincott Co., c1992- |
مواضيع طبية MeSH: | Status Asthmaticus*/therapy , Carbon Dioxide* , Extracorporeal Membrane Oxygenation*/methods , Extracorporeal Membrane Oxygenation*/instrumentation , Hypercapnia*/therapy , Hypercapnia*/etiology, Humans ; Retrospective Studies ; Male ; Adult ; Female ; Middle Aged ; Treatment Outcome ; Aged ; Acidosis, Respiratory/etiology ; Acidosis, Respiratory/therapy |
مستخلص: | Rescue treatments for status asthmaticus remain limited. Current literature has mainly focused on using extracorporeal membrane oxygenation (ECMO) as a primary modality of care for these patients. Low-flow extracorporeal CO 2 removal (ECCO 2 R) systems are an attractive option to improve refractory hypercapnic respiratory acidosis because of status asthmaticus. This is a retrospective case series that describes the feasibility and efficacy of the use of a low-flow ECCO 2 R device, the Hemolung Respiratory Assist System, in patients with refractory hypercapnic respiratory failure because of status asthmaticus. Eight patients were treated with the Hemolung Respiratory Assist System in eight separate locations globally. Seven (88%) of the patients survived to discharge in this case series. Both CO 2 and pH resolution were seen in 6 hours. None of the ECCO 2 R runs were stopped because of mechanical- or device-related complications. One patient necessitated transition to ECMO. Low-flow ECCO 2 R systems is an effective option for resolution of refractory hypercapnia in status asthmaticus. Use of these systems are also associated with a survival rate of close to 90% in patients with status asthmaticus. (Copyright © ASAIO 2023.) |
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المشرفين على المادة: | 142M471B3J (Carbon Dioxide) |
تواريخ الأحداث: | Date Created: 20231003 Date Completed: 20240501 Latest Revision: 20240501 |
رمز التحديث: | 20240502 |
DOI: | 10.1097/MAT.0000000000002064 |
PMID: | 37788483 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1538-943X |
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DOI: | 10.1097/MAT.0000000000002064 |