The use of extracorporeal carbon dioxide removal in the management of life-threatening bronchospasm due to influenza infection
We report the use of the Novalung interventional Lung Assist extracorporeal carbon dioxide removal device, (Novalung GmbH, Lotzenacker 3, D-72379 Hechingen, Germany) to treat a 46-year-old female with life-threatening bronchospasm secondary to influenza infection. Despite maximal treatment she devel...
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| Veröffentlicht in: | Anaesthesia and intensive care 2008-07, Vol.36 (4), p.579-581 |
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| container_title | Anaesthesia and intensive care |
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| creator | TWIGG, S GIBBON, G. J PERRIS, T |
| description | We report the use of the Novalung interventional Lung Assist extracorporeal carbon dioxide removal device, (Novalung GmbH, Lotzenacker 3, D-72379 Hechingen, Germany) to treat a 46-year-old female with life-threatening bronchospasm secondary to influenza infection. Despite maximal treatment she developed severe hypercapnia and acidosis. The necessity for high inflation pressures led to the development of gross surgical emphysema. Use of the interventional Lung Assist enabled a rapid correction of hypercapnoea and acidosis, allowing a reduction in airway pressures, reducing further barotrauma. Subsequent resolution of the inflammatory process allowed removal of the interventional Lung Assist after 11 days. She was successfully weaned from mechanical ventilation and made a full recovery. |
| doi_str_mv | 10.1177/0310057X0803600424 |
| format | Article |
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She was successfully weaned from mechanical ventilation and made a full recovery.</description><identifier>ISSN: 0310-057X</identifier><identifier>EISSN: 1448-0271</identifier><identifier>DOI: 10.1177/0310057X0803600424</identifier><identifier>PMID: 18714629</identifier><identifier>CODEN: AINCBS</identifier><language>eng</language><publisher>Edgecliff: Anaesthesia and Intensive Care</publisher><subject>Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Blood oxygenation, Extracorporeal ; Bronchial spasm ; Bronchial Spasm - etiology ; Bronchial Spasm - therapy ; Carbon Dioxide - metabolism ; Care and treatment ; Case studies ; Complications and side effects ; Diagnosis ; Female ; Health aspects ; Humans ; Hydrogen-Ion Concentration ; Influenza ; Influenza, Human - complications ; Medical sciences ; Membranes, Artificial ; Middle Aged ; Partial Pressure ; Patient outcomes ; Respiration, Artificial - instrumentation ; Respiration, Artificial - methods ; Risk factors ; Treatment Outcome</subject><ispartof>Anaesthesia and intensive care, 2008-07, Vol.36 (4), p.579-581</ispartof><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 Sage Publications Ltd. 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J</creatorcontrib><creatorcontrib>PERRIS, T</creatorcontrib><title>The use of extracorporeal carbon dioxide removal in the management of life-threatening bronchospasm due to influenza infection</title><title>Anaesthesia and intensive care</title><addtitle>Anaesth Intensive Care</addtitle><description>We report the use of the Novalung interventional Lung Assist extracorporeal carbon dioxide removal device, (Novalung GmbH, Lotzenacker 3, D-72379 Hechingen, Germany) to treat a 46-year-old female with life-threatening bronchospasm secondary to influenza infection. Despite maximal treatment she developed severe hypercapnia and acidosis. The necessity for high inflation pressures led to the development of gross surgical emphysema. Use of the interventional Lung Assist enabled a rapid correction of hypercapnoea and acidosis, allowing a reduction in airway pressures, reducing further barotrauma. Subsequent resolution of the inflammatory process allowed removal of the interventional Lung Assist after 11 days. She was successfully weaned from mechanical ventilation and made a full recovery.</description><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood oxygenation, Extracorporeal</subject><subject>Bronchial spasm</subject><subject>Bronchial Spasm - etiology</subject><subject>Bronchial Spasm - therapy</subject><subject>Carbon Dioxide - metabolism</subject><subject>Care and treatment</subject><subject>Case studies</subject><subject>Complications and side effects</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Hydrogen-Ion Concentration</subject><subject>Influenza</subject><subject>Influenza, Human - complications</subject><subject>Medical sciences</subject><subject>Membranes, Artificial</subject><subject>Middle Aged</subject><subject>Partial Pressure</subject><subject>Patient outcomes</subject><subject>Respiration, Artificial - instrumentation</subject><subject>Respiration, Artificial - methods</subject><subject>Risk factors</subject><subject>Treatment Outcome</subject><issn>0310-057X</issn><issn>1448-0271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptkc2L1TAQwIMo7rr6D3iQoOit6-SraY_L4hcseHkHb2WaTt_L0ibPpJXVg3-7KfsUFJlDhuH3m0wyjD0XcCmEtW9BCQBjv0ADqgbQUj9g50LrpgJpxUN2vgHVRpyxJznfAohWWvOYnYnGCl3L9pz93B2Ir5l4HDndLQldTMeYCCfuMPUx8MHHOz8QTzTHb6XsA1-KM2PAPc0Ulk2d_EjVcijeQsGHPe9TDO4Q8xHzzIeV-BKLOU4rhR-4ZeQWH8NT9mjEKdOz03nBdu_f7a4_VjefP3y6vrqp9rJWS6WtMCCNlAbH0aAFKXpjekQSQLLXjUClXSN75ZB6oVo9qt4NFnRJQagL9ua-7THFryvlpZt9djRNGCiuuatbbVRtoYAv_wFv45pCGa2TUjeqbVVboFf30B4n6spb4vZvW8fuSjSNbeu2sYW6_A9VYqDZuxho9KX-l_DidPfazzR0x-RnTN-738sqwOsTgNnhNCYMzuc_nASzzQjqF7KVo4o</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>TWIGG, S</creator><creator>GIBBON, G. 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| subjects | Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood oxygenation, Extracorporeal Bronchial spasm Bronchial Spasm - etiology Bronchial Spasm - therapy Carbon Dioxide - metabolism Care and treatment Case studies Complications and side effects Diagnosis Female Health aspects Humans Hydrogen-Ion Concentration Influenza Influenza, Human - complications Medical sciences Membranes, Artificial Middle Aged Partial Pressure Patient outcomes Respiration, Artificial - instrumentation Respiration, Artificial - methods Risk factors Treatment Outcome |
| title | The use of extracorporeal carbon dioxide removal in the management of life-threatening bronchospasm due to influenza infection |
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