title: 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.
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%.
authors.affiliation: General Intensive Care Department and Burn Centre, University Hospital, Liège, Belgium. Electronic address: afrousseau@chu.ulg.ac.be.
authors.forename: Anne-Françoise
authors.initials: AF
authors.lastname: Rousseau
authors.affiliation: General Intensive Care Department and Burn Centre, University Hospital, Liège, Belgium.
authors.forename: Pierre
authors.initials: P
authors.lastname: Damas
authors.affiliation: Department of Plastic Surgery, University Hospital, Liège, Belgium.
authors.forename: Ludovic
authors.initials: L
authors.lastname: Renwart
authors.affiliation: Department of Cardiovascular Surgery and Perfusion, University Hospital, Liège, Belgium.
authors.forename: Théo
authors.initials: T
authors.lastname: Amand
authors.affiliation: Department of Cardiovascular Surgery and Perfusion, University Hospital, Liège, Belgium.
authors.forename: Marie
authors.initials: M
authors.lastname: Erpicum
authors.affiliation: Medical Intensive Care Unit, University Hospital, Liège, Belgium.
authors.forename: Philippe
authors.initials: P
authors.lastname: Morimont
authors.affiliation: Department of Nephrology, University Hospital, Liège, Belgium.
authors.forename: Bernard
authors.initials: B
authors.lastname: Dubois
authors.affiliation: General Intensive Care Department and Burn Centre, University Hospital, Liège, Belgium.
authors.forename: Paul B
authors.initials: PB
authors.lastname: Massion
mesh_terms: D002056:Burns / Q000150:complications*; D005112:Extracorporeal Circulation; D006440:Hemofiltration / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D006935:Hypercapnia / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010106:Oxygenators; D012128:Respiratory Distress Syndrome / Q000150:complications*; D012720:Severity of Illness Index; D015208:Smoke Inhalation Injury / Q000150:complications*
keywords: Burn; Continuous veno-venous hemofiltration; Extracorporeal carbon dioxide removal; Refractory hypercapnia