Optical, flow, and thermal analysis of a phototherapy extracorporeal membrane oxygenator for treating carbon monoxide poisoning. Issue 4 (8th March 2023)

• Record Type: Journal Article
• Authors: Goulopoulos, Anastasia; Etim, Edidiong; Korupolu, Sandeep; Farinelli, William; Sierra, Heidy; Anderson, R Rox; Fischbach, Anna; Franco, Walfre
• Is Part Of: Lasers in surgery and medicine. Volume 55:Issue 4(2023)
• Page Start: 390
• Page End: 404
• Publication Date: 2023-03-08
• Subjects: blood phototherapy -- carbon monoxide poisoning -- computational modeling -- extracorporeal membrane oxygenation -- hyperbaric oxygen -- photodissociation; Lasers in medicine -- Periodicals; Lasers in surgery -- Periodicals; 617
• DOI: 10.1002/lsm.23649
• Languages: English
• ISSNs: 0196-8092

Abstract

Abstract: Background: Extracorporeal membrane oxygenators (ECMO) are currently utilized to mechanically ventilate blood when lung or lung and heart function are impaired, like in cases of acute respiratory distress syndrome (ARDS). ARDS can be caused by severe cases of carbon monoxide (CO) inhalation, which is the leading cause of poison‐related deaths in the United States. ECMOs can be further optimized for severe CO inhalation using visible light to photo‐dissociate CO from hemoglobin (Hb). In previous studies, we combined phototherapy with an ECMO to design a photo‐ECMO device, which significantly increased CO elimination and improved survival in CO‐poisoned animal models using light at 460, 523, and 620 nm wavelengths. Light at 620 nm was the most effective in removing CO. Objective: The aim of this study is to analyze the light propagation at 460, 523, and 620 nm wavelengths and the 3D blood flow and heating distribution within the photo‐ECMO device that increased CO elimination in CO‐poisoned animal models. Methods: Light propagation, blood flow dynamics, and heat diffusion were modeled using the Monte Carlo method and the laminar Navier‐Stokes and heat diffusion equations, respectively. Results: Light at 620 nm propagated through the device blood compartment (4 mm), while light at 460 and 523 nm only penetrated 48% to 50% (~2 mm). The blood flow velocity in the blood compartment varied with regions of high (5 mm/s) and low (1 mm/s) velocity, including stagnant flow. The blood temperatures at the device outlet for 460, 523, and 620 nm wavelengths were approximately 26.7°C, 27.4°C, and 20°C, respectively. However, the maximum temperatures within the blood treatment compartment rose to approximately 71°C, 77°C, and 21°C, respectively. Conclusions: As the extent of light propagation correlates with efficiency in photodissociation, the light at 620 nm is the optimal wavelength for removing CO from Hb while maintaining blood temperatures below thermal damage. Measuring the inlet and outlet blood temperatures is not enough to avoid unintentional thermal damage by light irradiation. Computational models can help eliminate risks of excessive heating and improve device development by analyzing design modifications that improve blood flow, like suppressing stagnant flow, further increasing the rate of CO elimination.