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Extracorporeal carbon dioxide removal with continuous renal replacement therapy. Case description and literature review
In recent years and due, in part, to technological advances, the use of extracorporeal carbon dioxide removal systems paired with the use of extracorporeal membrane oxygenation has resurfaced. However, studies are lacking that establish its indications and evidence to support its use. These systems...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação de Medicina Intensiva Brasileira - AMIB
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206950/ https://www.ncbi.nlm.nih.gov/pubmed/32401973 http://dx.doi.org/10.5935/0103-507X.20200020 |
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author | López-Sánchez, Marta Rubio-López, María Isabel |
author_facet | López-Sánchez, Marta Rubio-López, María Isabel |
author_sort | López-Sánchez, Marta |
collection | PubMed |
description | In recent years and due, in part, to technological advances, the use of extracorporeal carbon dioxide removal systems paired with the use of extracorporeal membrane oxygenation has resurfaced. However, studies are lacking that establish its indications and evidence to support its use. These systems efficiently eliminate carbon dioxide in patients with hypercapnic respiratory failure using small-bore cannula, usually double-lumen cannula with a small membrane lung surface area. Currently, we have several systems with different types of membranes and sizes. Pump-driven veno-venous systems generate fewer complications than do arteriovenous systems. Both require systemic anticoagulation. The “lung-kidney” support system, by combining a removal system with hemofiltration, simultaneously eliminates carbon dioxide and performs continuous extrarenal replacement. We describe our initial experience with a combined system for extracorporeal carbon dioxide removal-continuous extrarenal replacement in a lung transplant patients with hypercapnic respiratory failure, barotrauma and associated acute renal failure. The most important technical aspects, the effectiveness of the system for the elimination of carbon dioxide and a review of the literature are described. |
format | Online Article Text |
id | pubmed-7206950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Associação de Medicina Intensiva Brasileira - AMIB |
record_format | MEDLINE/PubMed |
spelling | pubmed-72069502020-05-14 Extracorporeal carbon dioxide removal with continuous renal replacement therapy. Case description and literature review López-Sánchez, Marta Rubio-López, María Isabel Rev Bras Ter Intensiva Case Report In recent years and due, in part, to technological advances, the use of extracorporeal carbon dioxide removal systems paired with the use of extracorporeal membrane oxygenation has resurfaced. However, studies are lacking that establish its indications and evidence to support its use. These systems efficiently eliminate carbon dioxide in patients with hypercapnic respiratory failure using small-bore cannula, usually double-lumen cannula with a small membrane lung surface area. Currently, we have several systems with different types of membranes and sizes. Pump-driven veno-venous systems generate fewer complications than do arteriovenous systems. Both require systemic anticoagulation. The “lung-kidney” support system, by combining a removal system with hemofiltration, simultaneously eliminates carbon dioxide and performs continuous extrarenal replacement. We describe our initial experience with a combined system for extracorporeal carbon dioxide removal-continuous extrarenal replacement in a lung transplant patients with hypercapnic respiratory failure, barotrauma and associated acute renal failure. The most important technical aspects, the effectiveness of the system for the elimination of carbon dioxide and a review of the literature are described. Associação de Medicina Intensiva Brasileira - AMIB 2020 /pmc/articles/PMC7206950/ /pubmed/32401973 http://dx.doi.org/10.5935/0103-507X.20200020 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report López-Sánchez, Marta Rubio-López, María Isabel Extracorporeal carbon dioxide removal with continuous renal replacement therapy. Case description and literature review |
title | Extracorporeal carbon dioxide removal with continuous renal replacement therapy. Case description and literature review |
title_full | Extracorporeal carbon dioxide removal with continuous renal replacement therapy. Case description and literature review |
title_fullStr | Extracorporeal carbon dioxide removal with continuous renal replacement therapy. Case description and literature review |
title_full_unstemmed | Extracorporeal carbon dioxide removal with continuous renal replacement therapy. Case description and literature review |
title_short | Extracorporeal carbon dioxide removal with continuous renal replacement therapy. Case description and literature review |
title_sort | extracorporeal carbon dioxide removal with continuous renal replacement therapy. case description and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206950/ https://www.ncbi.nlm.nih.gov/pubmed/32401973 http://dx.doi.org/10.5935/0103-507X.20200020 |
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