title: Intraoperative Management of Hypercapnia With an Extracorporeal Carbon Dioxide Removal Device During Giant Bullectomy.
abstract: Extracorporeal CO2-removal devices have been introduced in clinical practice to provide protective and ultraprotective ventilation strategies in different settings to avoid retention of carbon dioxide. The need to facilitate lung-protective ventilation is required not only for the treatment of acute respiratory distress syndrome but also in thoracic surgery during complex operations, especially in respiratory compromised patients. This report describes a case of giant bullectomy for vanishing lung syndrome in which intraoperative hypercapnia secondary to protective ventilation was managed with a CO2-removal device (Decap-Hemodec s.r.l., Salerno, Italy). To the best of our knowledge, this is the first report in the literature of the intraoperative use of the Decap system for giant bullectomy.
authors.affiliation: From the *Thoracic Surgery Unit, †Anesthesiology and Intensive Care Unit, and ‡Pneumology Department, S. Orsola Malpighi University Hospital, Bologna, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Dell'Amore
authors.forename: Rocco
authors.initials: R
authors.lastname: D'Andrea
authors.forename: Guido
authors.initials: G
authors.lastname: Caroli
authors.forename: Carlo Alberto
authors.initials: CA
authors.lastname: Mazzoli
authors.forename: Alberto
authors.initials: A
authors.lastname: Rocca
authors.forename: Franco
authors.initials: F
authors.lastname: Stella
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bini
authors.forename: Rita
authors.initials: R
authors.lastname: Melotti
mesh_terms: D000328:Adult; D002245:Carbon Dioxide / Q000097:blood / Q000302:isolation & purification; D005112:Extracorporeal Circulation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D006935:Hypercapnia / Q000097:blood / Q000601:surgery*; D007430:Intraoperative Care; D008297:Male; D011656:Pulmonary Emphysema / Q000097:blood / Q000601:surgery*; D012121:Respiration, Artificial / Q000009:adverse effects / Q000379:methods; D012128:Respiratory Distress Syndrome / Q000097:blood / Q000175:diagnosis / Q000628:therapy
chemical_list: D002245:Carbon Dioxide