Extracorporeal carbon dioxide removal for acute respiratory failure: a review of potential indications, clinical practice and open research questions - Archive ouverte HAL Accéder directement au contenu
Article Dans Une Revue Intensive Care Medicine Année : 2022

Extracorporeal carbon dioxide removal for acute respiratory failure: a review of potential indications, clinical practice and open research questions

Résumé

Extracorporeal carbon dioxide removal (ECCO2R) is a form of extracorporeal life support (ECLS) largely aimed at removing carbon dioxide in patients with acute hypoxemic or acute hypercapnic respiratory failure, so as to minimize respiratory acidosis, allowing more lung protective ventilatory settings which should decrease ventilator-induced lung injury. ECCO2R is increasingly being used despite the lack of high-quality evidence, while complications associated with the technique remain an issue of concern. This review explains the physiological basis underlying the use of ECCO2R, reviews the evidence regarding indications and contraindications, patient management and complications, and addresses organizational and ethical considerations. The indications and the risk-to-benefit ratio of this technique should now be carefully evaluated using structured national or international registries and large randomized trials.
Fichier principal
Vignette du fichier
2022 Combes et al., Extracorporeal.pdf (45.7 Mo) Télécharger le fichier
Origine Fichiers produits par l'(les) auteur(s)

Dates et versions

hal-03750707 , version 1 (14-08-2022)

Identifiants

Citer

Alain Combes, Daniel Brodie, Nadia Aissaoui, Thomas Bein, Gilles Capellier, et al.. Extracorporeal carbon dioxide removal for acute respiratory failure: a review of potential indications, clinical practice and open research questions. Intensive Care Medicine, In press, ⟨10.1007/s00134-022-06796-w⟩. ⟨hal-03750707⟩
60 Consultations
267 Téléchargements

Altmetric

Partager

Gmail Mastodon Facebook X LinkedIn More