RT Journal Article
SR Electronic
T1 The Successful Management of a Patient With Exacerbation of Non-Cystic Fibrosis Bronchiectasis and Bilateral Fibrothorax Using a Venovenous Extracorporeal Carbon Dioxide Removal System
JF Respiratory Care
FD American Association for Respiratory Care
SP e197
OP e200
DO 10.4187/respcare.03184
VO 59
IS 12
A1 Giovanna Arcaro
A1 Andrea Vianello
YR 2014
UL http://rc.rcjournal.com/content/59/12/e197.abstract
AB Following unsuccessful treatment with noninvasive ventilation (NIV), patients requiring subsequent placement on invasive mechanical ventilation have a high mortality rate. Invasive mechanical ventilation is particularly problematic in patients with acute respiratory failure due to bronchiectasis exacerbation, as it is associated with a mortality rate of 19–35% and prolonged ICU stay. Here, we describe the successful management of a patient with exacerbated non-cystic fibrosis bronchiectasis using a pump-assisted venovenous system for extracorporeal CO2 removal (ProLUNG system) as an alternative to endotracheal intubation following NIV failure. The extracorporeal CO2 removal system proved to be safe and efficacious in this case study, and further studies focusing on its use in these types of cases seem warranted.