Use of a pediatric oxygenator integrated in a veno-venous hemofiltration circuit to remove CO2: a case report in a severe burn patient with refractory hypercapnia

Burns. 2014 Nov;40(7):e57-60. doi: 10.1016/j.burns.2014.02.022. Epub 2014 Mar 27.

Abstract

Acute respiratory distress syndrome management is currently based on lung protective ventilation. Such strategy may lead to hypercapnic acidosis. We report a case of refractory hypercapnia in a severe burn adult, treated with simplified veno-venous extracorporeal carbon dioxide removal technique. We integrated a pediatric oxygenator in a continuous veno-venous hemofiltration circuit. This technique, used during at least 96h, was feasible, sure and efficient with carbon dioxide removal rate up to 32%.

Keywords: Burn; Continuous veno-venous hemofiltration; Extracorporeal carbon dioxide removal; Refractory hypercapnia.

Publication types

  • Case Reports

MeSH terms

  • Burns / complications*
  • Extracorporeal Circulation
  • Hemofiltration / instrumentation
  • Hemofiltration / methods*
  • Humans
  • Hypercapnia / etiology
  • Hypercapnia / therapy*
  • Male
  • Middle Aged
  • Oxygenators*
  • Respiratory Distress Syndrome / complications*
  • Severity of Illness Index
  • Smoke Inhalation Injury / complications*