1. Intraoperative Management of Hypercapnia with an Extracorporeal Carbon Dioxide Removal Device during Giant Bullectomy
- Author
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Franco Stella, Alessandro Bini, Rocco D'Andrea, Carlo Alberto Mazzoli, Alberto Rocca, Andrea Dell’Amore, Guido Caroli, Rita Maria Melotti, Dell'Amore, Andrea, D'Andrea, Rocco, Caroli, Guido, Mazzoli, Carlo Alberto, Rocca, Alberto, Stella, Franco, Bini, Alessandro, and Melotti, Rita
- Subjects
Adult ,Male ,Pulmonary and Respiratory Medicine ,Extracorporeal Circulation ,medicine.medical_specialty ,Interventional lung assist ,030204 cardiovascular system & hematology ,Lung volume reduction surgery ,Extracorporeal ,Hypercapnia ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Respiratory system ,Emphysema ,Respiratory Distress Syndrome ,Intraoperative Care ,business.industry ,Respiration ,Extracorporeal circulation ,General Medicine ,Carbon Dioxide ,Respiration, Artificial ,Surgery ,Protective ventilation ,Thoracic surgery ,Pulmonary Emphysema ,030228 respiratory system ,Cardiothoracic surgery ,Anesthesia ,Artificial ,Breathing ,Respiratory Distress Syndrome, Adult ,medicine.symptom ,business ,Cardiology and Cardiovascular Medicine - 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.
- Published
- 2016
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