Extracorporeal Carbon Dioxide Removal as an Alternative to Endotracheal Intubation for Non-Invasive Ventilation Failure in Acute Exacerbation of COPD. (October 2014)

• Record Type: Journal Article
• Authors: Cole, Stephen; Barrett, Nicholas A; Glover, Guy; Langrish, Chris IS; Meadows, Chris; Daly, Kathleen; Agnew, Nicola; Gooby, Nigel; Ioannou, Nicholas
• Is Part Of: Journal of the Intensive Care Society. Volume 15:Number 4(2014)
• Page Start: 344
• Page End: 346
• Publication Date: 2014-10
• Subjects: pulmonary disease -- chronic obstructive -- noninvasive ventilation -- extracorporeal membrane oxygenation -- extracorporeal circulation; Critical care medicine -- Periodicals; Intensive care units -- Periodicals; 616.028
• DOI: 10.1177/175114371401500416
• Languages: English
• ISSNs: 1751-1437

Abstract

Extracorporeal carbon dioxide removal (ECCO2 R) is an efficient technique used in the management of hypercapnic respiratory failure. Its application in mechanically ventilated patients has been studied for over 30 years. We describe a case of severe, acute exacerbation of chronic obstructive pulmonary disease (AECOPD) unresponsive to non-invasive ventilation (NIV), where initiation of ECCO2 R was used effectively to prevent endotracheal intubation.