Pre-emptive Novalung-assisted carbon dioxide removal in a patient with chest, head and abdominal injury.
A young man sustained traumatic lung, head and abdominal injuries. Despite mechanical ventilation, deteriorating respiratory function resulted in severe hypoxia and hypercapnia, with high P(a)co(2) compounding an already raised intracranial pressure (ICP). The Novalung was pre-emptively used without anticoagulation, prior to laparotomy, to remove carbon dioxide and to allow for cerebral and lung protective strategies. This facilitated control of ICP thereby limited possible secondary brain injury.
McKinlay
J
J
Anaesthetic Department, Jubilee Building, Leeds General Infirmary, Great George Street, Leeds, UK.
Chapman
G
G
Elliot
S
S
Mallick
A
A
D000007:Abdominal Injuries / Q000628:therapy; D000063:Accidents, Traffic; D000328:Adult; D002245:Carbon Dioxide / Q000097:blood; D006259:Craniocerebral Trauma / Q000628:therapy; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D019586:Intracranial Hypertension / Q000517:prevention & control; D008297:Male; D009104:Multiple Trauma / Q000628:therapy*; D010313:Partial Pressure; D013898:Thoracic Injuries / Q000628:therapy
D002245:Carbon Dioxide