title: Low-flow veno-venous extracorporeal carbon dioxide removal in the management of severe status asthmatics: a case report.
abstract: Status asthmaticus is a life-threatening condition that requires intensive care management. Most of these patients have severe hypercapnic acidosis that requires lung protective mechanical ventilation. A small proportion of these patients do not respond to conventional lung protective mechanical ventilation or pharmacotherapy. Such patients have an increased mortality and morbidity. Successful use of extracorporeal membrane oxygenation (ECMO) is reported in such patients. However, the use of ECMO is invasive with its associated morbidity and is limited to specialised centres. In this report, we report the use of a novel, minimally invasive, low-flow extracorporeal carbon dioxide removal device in management of severe hypercapnic acidosis in a patient with life threatening status asthmaticus.
authors.affiliation: Department of Intensive Care Medicine, Frankston Hospital, Melbourne, Vic., Australia. travindranath@hotmail.com.|School of Public Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic., Australia. travindranath@hotmail.com.
authors.forename: Ravindranath
authors.initials: R
authors.lastname: Tiruvoipati
authors.affiliation: Department of Intensive Care Medicine, Frankston Hospital, Melbourne, Vic., Australia.
authors.forename: Kavi
authors.initials: K
authors.lastname: Haji
authors.affiliation: Department of Intensive Care Medicine, Frankston Hospital, Melbourne, Vic., Australia.
authors.forename: Sachin
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Department of Respiratory Medicine, Frankston Hospital, Melbourne, Vic., Australia.
authors.forename: Gary
authors.initials: G
authors.lastname: Braun
authors.affiliation: Department of Intensive Care Medicine, Frankston Hospital, Melbourne, Vic., Australia.|School of Public Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic., Australia.
authors.forename: Ian
authors.initials: I
authors.lastname: Carney
authors.affiliation: Department of Intensive Care Medicine, Frankston Hospital, Melbourne, Vic., Australia.|School of Public Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic., Australia.
authors.forename: John
authors.initials: J
authors.lastname: Botha
mesh_terms: D000328:Adult; D002245:Carbon Dioxide / Q000378:metabolism; D003422:Critical Care; D015199:Extracorporeal Membrane Oxygenation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D013224:Status Asthmaticus / Q000378:metabolism / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D002245:Carbon Dioxide
keywords: extracorporeal; hypercapnia; respiratory acidosis; status asthmatics