Extracorporeal Carbon Dioxide Removal as an Alternative to Endotracheal Intubation for Non-Invasive Ventilation Failure in Acute Exacerbation of COPD

Extracorporeal carbon dioxide removal (ECCO2R) is an efficient technique used in the management of hypercapnic respiratory failure. Its application in mechanically ventilated patients has been studied for over 30 years. We describe a case of severe, acute exacerbation of chronic obstructive pulmonar...

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Veröffentlicht in:Journal of the Intensive Care Society 2014-10, Vol.15 (4), p.344-346
Hauptverfasser: Cole, Stephen, Barrett, Nicholas A, Glover, Guy, Langrish, Chris IS, Meadows, Chris, Daly, Kathleen, Agnew, Nicola, Gooby, Nigel, Ioannou, Nicholas
Format: Artikel
Sprache:eng
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Zusammenfassung:Extracorporeal carbon dioxide removal (ECCO2R) is an efficient technique used in the management of hypercapnic respiratory failure. Its application in mechanically ventilated patients has been studied for over 30 years. We describe a case of severe, acute exacerbation of chronic obstructive pulmonary disease (AECOPD) unresponsive to non-invasive ventilation (NIV), where initiation of ECCO2R was used effectively to prevent endotracheal intubation.
ISSN:1751-1437
2057-360X
DOI:10.1177/175114371401500416