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ABSTRACT: Background
Ultra-protective lung ventilation in acute respiratory distress syndrome or early weaning and/or avoidance of mechanical ventilation in decompensated chronic obstructive pulmonary disease may be facilitated by the use of extracorporeal CO2 removal (ECCO2R). We tested the CO2 removal performance of a new ECCO2R (CO2RESET) device in an experimental animal model.Methods
Three healthy pigs were mechanically ventilated and connected to the CO2RESET device (surface area = 1.8?m2, EUROSETS S.r.l., Medolla, Italy). Respiratory settings were adjusted to induce respiratory acidosis with the adjunct of an external source of pure CO2 (target pre membrane lung venous PCO2 (PpreCO2): 80-120 mmHg). The amount of CO2 removed (VCO2, mL/min) by the membrane lung was assessed directly by the ECCO2R device.Results
Before the initiation of ECCO2R, the median PpreCO2 was 102.50 (95.30-118.20) mmHg. Using fixed incremental steps of the sweep gas flow and maintaining a fixed blood flow of 600 mL/min, VCO2 progressively increased from 0 mL/min (gas flow of 0 mL/min) to 170.00 (160.00-200.00) mL/min at a gas flow of 10 L/min. In particular, a high increase of VCO2 was observed increasing the gas flow from 0 to 2 L/min, then, VCO2 tended to progressively achieve a steady-state for higher gas flows. No animal or pump complications were observed.Conclusions
Medium-flow ECCO2R devices with a blood flow of 600 mL/min and a high surface membrane lung (1.8 m2) provided a high VCO2 using moderate sweep gas flows (i.e., >2 L/min) in an experimental swine models with healthy lungs.
SUBMITTER: Di Nardo M
PROVIDER: S-EPMC7823796 | biostudies-literature | 2020 Dec
REPOSITORIES: biostudies-literature
Di Nardo Matteo M Annoni Filippo F Su Fuhong F Belliato Mirko M Lorusso Roberto R Broman Lars Mikael LM Malfertheiner Maximilian M Creteur Jacques J Taccone Fabio Silvio FS
Membranes 20201223 1
<h4>Background</h4>Ultra-protective lung ventilation in acute respiratory distress syndrome or early weaning and/or avoidance of mechanical ventilation in decompensated chronic obstructive pulmonary disease may be facilitated by the use of extracorporeal CO<sub>2</sub> removal (ECCO<sub>2</sub>R). We tested the CO<sub>2</sub> removal performance of a new ECCO<sub>2</sub>R (CO<sub>2</sub>RESET) device in an experimental animal model.<h4>Methods</h4>Three healthy pigs were mechanically ventilated ...[more]