Published in:
Open Access
01-12-2019 | Bronchial Asthma | Review
Extracorporeal carbon dioxide removal for acute hypercapnic respiratory failure
Authors:
Luis Morales-Quinteros, Lorenzo Del Sorbo, Antonio Artigas
Published in:
Annals of Intensive Care
|
Issue 1/2019
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Abstract
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 ECCO2R in patients with severe exacerbations of these pathologies.