Extracorporeal carbon dioxide removal using the Novalung in a patient with intracranial bleeding.

Abstract:

:A neurosurgical patient who required repeated surgery for intracranial haematoma developed acute respiratory distress syndrome. Raised intracranial pressure proved difficult to manage whilst attempting to maintain optimal gas exchange. The resultant arterial partial pressure of carbon dioxide remained unacceptably high, and treatment by extracorporeal carbon dioxide removal was started. A pumpless arteriovenous interventional lung assist device (Novalung) was connected from the right femoral artery to left femoral vein and reduced the arterial carbon dioxide, corrected the respiratory acidosis and enabled control of the intracranial pressure. Subsequently the requirements for both respiratory and cardiovascular support were reduced. The patient made a complete neurological recovery.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Mallick A,Elliot S,McKinlay J,Bodenham A

doi

10.1111/j.1365-2044.2006.04863.x

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

72-4

issue

1

eissn

0003-2409

issn

1365-2044

pii

ANA4863

journal_volume

62

pub_type

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