Les dispositifs d’épuration extracorporelle du CO2 en réanimation: principes, indications potentielles, résultats actuels

J. L. Diehl; N. Aissaoui; C. Hauw-Berlemont; F. Boissier; A. Monnier; A. Novara; J. Y. Fagon; E. Guérot

doi:10.1007/s13546-015-1145-4

Les dispositifs d’épuration extracorporelle du CO₂ en réanimation: principes, indications potentielles, résultats actuels

Translated title of the contribution: Extracorporeal CO₂ removal devices: Basics, indications, and actual results

J. L. Diehl, N. Aissaoui, C. Hauw-Berlemont, F. Boissier, A. Monnier, A. Novara, J. Y. Fagon, E. Guérot

Department of Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Extracorporeal CO₂ removal (ECCO₂R) primarily ensures CO₂ removal, without significant effect on oxygenation. This is possible with low or moderate extracorporeal blood flows unlike ECMO devices. It is important to consider for each ECCO₂R device not only the performance in terms of CO₂ elimination but also the cost and safety, including the incidence of hemorrhagic and thrombotic complications. The most convincing clinical experience has been reported in the context of ARDS and severe acute exacerbations of COPD, particularly in patients at high risk of non invasive ventilation failure. Preliminary reported clinical benefits prompt to achieve in the short term randomized controlled trials in these two major indications.

Translated title of the contribution	Extracorporeal CO₂ removal devices: Basics, indications, and actual results
Original language	French
Pages (from-to)	21-25
Number of pages	5
Journal	Reanimation
Volume	25
Issue number	1
DOIs	https://doi.org/10.1007/s13546-015-1145-4
State	Published - Jan 1 2016

All Science Journal Classification (ASJC) codes

Emergency Medicine
Emergency

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10.1007/s13546-015-1145-4

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abstract = "Extracorporeal CO2 removal (ECCO2R) primarily ensures CO2 removal, without significant effect on oxygenation. This is possible with low or moderate extracorporeal blood flows unlike ECMO devices. It is important to consider for each ECCO2R device not only the performance in terms of CO2 elimination but also the cost and safety, including the incidence of hemorrhagic and thrombotic complications. The most convincing clinical experience has been reported in the context of ARDS and severe acute exacerbations of COPD, particularly in patients at high risk of non invasive ventilation failure. Preliminary reported clinical benefits prompt to achieve in the short term randomized controlled trials in these two major indications.",

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doi = "10.1007/s13546-015-1145-4",

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AU - Aissaoui, N.

AU - Hauw-Berlemont, C.

AU - Boissier, F.

AU - Monnier, A.

AU - Novara, A.

AU - Fagon, J. Y.

AU - Guérot, E.

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Les dispositifs d’épuration extracorporelle du CO₂ en réanimation: principes, indications potentielles, résultats actuels

Abstract

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