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Extracorporeal carbon dioxyde removal

M Iacovazzi, N Oreste, P Sardelli, B Barrettara, S Grasso
Additional pulmonary surgery in a previously pneumonectomized patient requires apnea during surgical manipulation of the surviving lung. We report on a novel approach to manage the intraoperative apnea period, combining apneic oxygenation and minimally invasive, low flow extracorporeal CO2 removal. A 69-year-old man previously submitted to left pneumonectomy was scheduled for wedge resection of a single right upper lobe lesion. During the intraoperative apnea period, oxygenation was maintained through apneic oxygenation with continuous positive airway pressure (CPAP) of 5 cmH2O and inspiratory oxygen fraction (FiO2) of 1 and respiratory acidosis was prevented through extracorporeal CO2 removal, performed with the Decap┬« system (Hemodec, Salerno, Italy), a veno┬Čvenous pump-driven extracorporeal circuit including a neonatal membrane lung...
March 2012: Minerva Anestesiologica
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