Intraoperative Management of Hypercapnia With an Extracorporeal Carbon Dioxide Removal Device During Giant Bullectomy. Issue 2 (March 2016)

• Record Type: Journal Article
• Authors: Dell'Amore, Andrea; D'Andrea, Rocco; Caroli, Guido; Mazzoli, Carlo Alberto; Rocca, Alberto; Stella, Franco; Bini, Alessandro; Melotti, Rita
• Is Part Of: Innovations. Volume 11:Issue 2(2016)
• Publication Date: 2016-03
• Subjects: Emphysema -- Thoracic surgery -- Lung volume reduction surgery -- Interventional lung assist -- Protective ventilation; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1097/IMI.0000000000000250
• Languages: English
• ISSNs: 1556-9845

Abstract

Abstract : Abstract: Extracorporeal CO2 -removal devices have been introduced in clinical practice to provide protective and ultraprotective ventilation strategies in different settings to avoid retention of carbon dioxide. The need to facilitate lung-protective ventilation is required not only for the treatment of acute respiratory distress syndrome but also in thoracic surgery during complex operations, especially in respiratory compromised patients. This report describes a case of giant bullectomy for vanishing lung syndrome in which intraoperative hypercapnia secondary to protective ventilation was managed with a CO2 -removal device (Decap-Hemodec s.r.l., Salerno, Italy). To the best of our knowledge, this is the first report in the literature of the intraoperative use of the Decap system for giant bullectomy.