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You are here: Back issues » acp-2008 » acp-1-2008 » 04_hillmann

Recompensation of a therapy-resistant respiratory acidosis in severe sepsis with a pumpless extracorporal CO2-elimination system

A. Hillmann1, U. Schmeier1, A. Sandner2, M. Bloching3, M. Bomplitz1, J. Soukup1
1Department of Anaesthesiology and Critical Care Medicine, Martin-Luther-University Halle-Wittenberg, Germany; 2Department of Otorhinolaryngology, Head and Neck Surgery, Martin-Luther-University Halle-Wittenberg, Germany; 3Department of Otorhinolaryngology, University Hospital of the Saarland, Homburg/Saar, Germany
[Applied Cardiopulmonary Pathophysiology 12: 23-26, 2008]

Abstract

Sepsis is not uncommon in intensive care, often leading to multiorgan dysfunction (MODS) or multiorgan failure (MOF). In case of a pulmonary dysfunction/failure oxygenation and/or carbon dioxide removal are impaired. This leads to hypoxia, respiratory acidosis and cardiocirculatory depression. The acidosis is aggravated by  permissive hypercapnia when applying lung protective ventilation. The new pumpless extracorporal lung assist system (pECLA) provides extracorporal CO2-elimination and thus reduces the side effects of lung protective ventilation.
We report about the recompensation of a therapy-resistant respiratory acidosis in a septic patient with severe pneumonia by the use of a pECLA system.

Key words: sepsis, respiratory acidosis, pumpless extracorporal lung assist


Address for corresponding: Andreas Hillmann, M.D., Department of Anaesthesiology and Critical Care Medicine, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Str. 40, D-06097 Halle (Saale), Germany, E-Mail: Öffnet ein Fenster zum Versenden einer E-Mailandreas.hillmann@bitte-keinen-spammedizin.uni-halle.de



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