+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Pumpless extracorporeal removal of carbon dioxide combined with ventilation using low tidal volume and high positive end-expiratory pressure in a patient with severe acute respiratory distress syndrome



Pumpless extracorporeal removal of carbon dioxide combined with ventilation using low tidal volume and high positive end-expiratory pressure in a patient with severe acute respiratory distress syndrome



Anaesthesia 64(2): 195-198



The effects of the combination of a 'lowest' lung ventilation with extracorporeal elimination of carbon dioxide by interventional lung assist are described in a patient presenting with severe acute respiratory distress syndrome due to fulminant pneumonia. Reducing tidal volume to 3 ml.kg(-1) together with interventional lung assist resulted in a decrease in severe hypercapnia without alveolar collapse or hypoxaemia but with a decrease in serum levels of interleukin-6. This approach was applied for 12 days with recovery of the patient, without complications. Extracorporeal removal of carbon dioxide by interventional lung assist may be a useful tool to enable 'ultraprotective' ventilation in severe acute respiratory distress syndrome.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055293041

Download citation: RISBibTeXText

PMID: 19143699

DOI: 10.1111/j.1365-2044.2008.05735.x


Related references

The influence of high positive end-expiratory pressure ventilation combined with low tidal volume on prognosis of patients with acute lung injury/acute respiratory distress syndrome: a Meta-analysis. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue 23(1): 5-9, 2011

Management of severe adult respiratory distress syndrome with low frequency positive pressure ventilation and extracorporeal carbon dioxide removal. Anaesthesia & Intensive Care 14(1): 79-83, 1986

A ventilator strategy combining low tidal volume ventilation, recruitment maneuvers, and high positive end-expiratory pressure does not increase sedative, opioid, or neuromuscular blocker use in adults with acute respiratory distress syndrome and may improve patient comfort. Annals of Intensive Care 4: 33, 2014

Is there a place for pressure-support ventilation and high positive end-expiratory pressure combined to alpha-2 agonists early in severe diffuse acute respiratory distress syndrome?. Medical Hypotheses 80(6): 732-737, 2013

High positive end-expiratory pressure and low tidal volume in acute respiratory distress syndrome: all right for the right ventricle?. Critical Care Medicine 38(3): 986-987, 2010

Respiratory and haemodynamic effects of conventional volume controlled PEEP ventilation, pressure regulated volume controlled ventilation and low frequency positive pressure ventilation with extracorporeal carbon dioxide removal in pigs with acute ARDS. Acta Anaesthesiologica Scandinavica 38(8): 879-884, 1994

Low frequency positive pressure ventilation with extracorporeal carbon dioxide removal in severe acute respiratory failure. Journal of the American Medical Association 256(7): 881-886, 1986

Titrating positive end-expiratory pressure after recruitment maneuver according to end-tidal carbon dioxide and its related indicators in acute respiratory distress syndrome dog model. Zhonghua Nei Ke Za Zhi 51(8): 604-608, 2012

High positive end-expiratory pressure, low tidal volume ventilatory strategy in persistent acute respiratory distress syndrome. Critical Care Medicine 34(12): 3060, 2006

Ventilation Strategy Using Low Tidal Volumes, Recruitment Maneuvers, and High Positive End-Expiratory Pressure for Acute Lung Injury and Acute Respiratory Distress Syndrome. Survey of Anesthesiology 52(6): 271-272, 2008

Prediction of fluid responsiveness in acute respiratory distress syndrome patients ventilated with low tidal volume and high positive end-expiratory pressure. Critical Care Medicine 37(6): 2146, 2009

Prediction of fluid responsiveness in acute respiratory distress syndrome patients ventilated with low tidal volume and high positive end-expiratory pressure. Critical Care Medicine 36(10): 2810-2816, 2008

Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA 299(6): 637-645, 2008

Ventilation Strategy Using Low Tidal Volumes, Recruitment Maneuvers, and High Positive End-Expiratory Pressure for Acute Lung Injury and Acute Respiratory Distress Syndrome: A Randomized Controlled Trial. Yearbook of Critical Care Medicine 2009: 17-18, 2009

Effects of ultraprotective ventilation, extracorporeal carbon dioxide removal, and spontaneous breathing on lung morphofunction and inflammation in experimental severe acute respiratory distress syndrome. Anesthesiology 122(3): 631-646, 2015