Extracorporeal carbon dioxide removal for acute hypercapnic respiratory failure

In the past, the only treatment of acute exacerbations of obstructive diseases with hypercapnic respiratory failure refractory to medical treatment was invasive mechanical ventilation (IMV). Considerable technical improvements transformed extracorporeal techniques for carbon dioxide removal in an at...

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Detalles Bibliográficos
Autores: Morales-Quinteros, Luis|||0000-0002-8937-9824, Del Sorbo, Lorenzo, Artigas Raventós, Antoni|||0000-0002-8029-1017
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:253310
Acceso en línea:https://ddd.uab.cat/record/253310
https://dx.doi.org/urn:doi:10.1186/s13613-019-0551-6
Access Level:acceso abierto
Palabra clave:COPD
Asthma
ECCOR
Invasive mechanical ventilation
Noninvasive mechanical ventilation
Descripción
Sumario:In the past, the only treatment of acute exacerbations of obstructive diseases with hypercapnic respiratory failure refractory to medical treatment was invasive mechanical ventilation (IMV). Considerable technical improvements transformed extracorporeal techniques for carbon dioxide removal in an attractive option to avoid worsening respiratory failure and respiratory acidosis, and to potentially prevent or shorten the duration of IMV in patients with exacerbation of COPD and asthma. In this review, we will present a summary of the pathophysiological rationale and evidence of ECCOR in patients with severe exacerbations of these pathologies