Extracorporeal carbon dioxide removal to control arterial pH and PACO2in a heart-beating donor with acute lung injury
作者:
L. Keith Scott,
Laurie Grier,
Richard Turnage,
Steven Conrad,
期刊:
Transplantation
(OVID Available online 2003)
卷期:
Volume 76,
issue 11
页码: 1630-1632
ISSN:0041-1337
年代: 2003
出版商: OVID
数据来源: OVID
摘要:
Background.Arteriovenous carbon dioxide (AVCO2R) removal is a technique of pumpless extracorporeal carbon dioxide removal. This system has been used successively to control pH and PaCO2in patients with acute lung injury who could not be adequately ventilated. This report describes the use of this technology in an organ donor awaiting harvesting.Methods.AVCO2R was implanted using a hollow-fiber oxygenator attached to 12 F and 14 F vascular cannulas that were inserted into the femoral artery and vein, respectively. Oxygen was attached to the oxygenator to provide the sweep gas.Results.The PaCO2and arterial pH promptly corrected after support was initiated (from 83–42 mm Hg and 7.18–7.38, respectively).Conclusion.This case describes the successful use of pumpless arteriovenous extracorporeal removal of CO2in a heart-beating donor awaiting organ harvest.
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