1. Directed Hypercapnia as a Strategy to Wean Extracorporeal Membrane Oxygenation in COVID-19 Pneumonia
- Author
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Austin Kluis, Emily Shih, John J. Squiers, J. Michael DiMaio, Jenelle Sheasby, David Myers, and Timothy J. George
- Subjects
LPM, Liters Per Minute ,PC-AC, Pressure Control - Assist Control ,Pulmonary and Respiratory Medicine ,Time Factors ,ECMO, Extracorporeal Membrane Oxygenation ,PMH, Past Medical History ,Case Report ,Fr, French ,VV, Venovenous ,IJ, Internal Jugular ,Hypercapnia ,Directed Hypercapnia ,Extracorporeal Membrane Oxygenation ,Humans ,PEEP, Positive End Expiratory Pressure ,EOLIA, Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome ,COVID ,CRRT, Continuous Renal Replacement Therapy ,ELSO, Extracorporeal Life Support Organization ,ARDS, Acute Respiratory Distress Syndrome ,RR, Respiratory rate ,LTAC, Long-Term Acute Care ,Respiration, Artificial ,PIP, Peak Inspiratory Pressure ,TEE, Transesophageal Echocardiographic ,Surgery ,ECMO ,Cardiology and Cardiovascular Medicine ,Ventilator Weaning - Abstract
Coronavirus disease of 2019 pneumonia with respiratory failure refractory to maximum medical therapy has been successfully managed with venovenous extracorporeal membrane oxygenation. We describe a novel process of utilizing directed hypercapnia in five patients to wean prolonged extracorporeal support secondary to refractory hypercarbic respiratory failure. more...
- Published
- 2022
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