Pumpless Extracorporeal Lung Assist for the Treatment of Severe, Refractory Status Asthmaticus

Jung, Christian; Lauten, Alexander; Pfeifer, Rüdiger; Bahrmann, Philipp; Figulla, Hans R.; Ferrari, Markus

doi:10.3109/02770903.2010.528500

Cited by 25 publications

(12 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Much of the evidence in support of its use in status asthmaticus is based on case reports with the reported indications in this group ranging from cardiovascular compromise, cardiac arrest, hypoxemia and shock, severe hypercap nia and acidosis, to dynamic hyperinflation [2, 6,7].…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal Membrane Oxygenation for Status Asthmaticus: A Case Report Ecmo for Status Asthmaticus

Lamba¹,

Elgudin²,

Deo³

et al. 2017

Kompleks. probl. serdečno-sosud. zabol.

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Extracorporeal Membrane Oxygenation for Status Asthmaticus: A Case Report Ecmo for Status Asthmaticus

Lamba¹,

Elgudin²,

Deo³

et al. 2017

Kompleks. probl. serdečno-sosud. zabol.

View full text Add to dashboard Cite

“…These data show that in patients treated with ECMO for status asthmaticus, hypercapnia, rather than hypoxemia, was the central exchange derangement, suggesting that a less invasive technique like ECCO 2 R will be suitable, with fewer complications. Although most of the clinical applications of ECCO 2 R for the treatment of obstructive lung diseases have been reported in patients with COPD, several cases describe ECCO 2 R in patients with near-fatal asthma [50][51][52][53][54] ( Table 4). The first cases reported were by using a pumpless extracorporeal life assist (pECLA) device.…”

Section: Severe Acute Asthmamentioning

confidence: 99%

Extracorporeal Carbon Dioxide Removal for the Exacerbation of Chronic Hypercapnic Respiratory Diseases

Morales-Quinteros¹,

Artigas²

2019

Advances in Extracorporeal Membrane Oxygenation - Volume 3

View full text Add to dashboard Cite

In the past, treatment of acute exacerbations of obstructive disease refractory to medical treatment was invasive mechanical ventilation. As a result of technical improvements, extracorporeal techniques for carbon dioxide removal have aroused as an attractive option to avoid worsening respiratory failure and respiratory acidosis and potentially prevent, shorten the duration of invasive mechanical ventilation (IMV), and serve as rescue therapy in patients with exacerbation of COPD and asthma. In this review, we will present a comprehensive summary of the pathophysiological rationale and evidence of ECCO 2 R in patients with severe exacerbations of these pathologies.

show abstract

“…Die Entwicklung erlaubt zudem ein Nachdenken darüber, bei Versagen der Atempumpe und NIV vor einer Intubation ein extrakorporales Unterstützungssystem einzusetzen. Bisher wurden in diesem Zusammenhang nur wenige Kasuistiken publiziert [41,42]. Solange keine ausreichende Evidenz für den frühen Einsatz der extrakorporalen Lungenunterstützungssysteme besteht und auch die Komplikationen noch nicht ausreichend untersucht sind, bleiben bei einem Versagen der Atempumpe die Verfahren der Beatmung über Maske und Tubus die Mittel der ersten Wahl.…”

Section: Extrakorporale Lungenunterstützungunclassified

Versagen der Atempumpe

Pfeifer

2012

Internist

View full text Add to dashboard Cite

The total anatomical and functional apparatus which allows normal ventilation of the lungs is known as the respiratory pump. An insufficiency of this system, which can be caused by a multitude of reasons, primarily affects the inspiratory musculature and especially the diaphragm. One of the essential clinical characteristics is rapid shallow breathing. Exhaustion of the repiratory musculature due to acute respiratory insufficiency is normally clinically registered but can also be functionally determined in particular by the maximum static inspiratory closed mouth pressure. A further option is invasive measurement of the transdiaphragmal pressure, which however is not suitable as a routine procedure. Mechanical ventilation is used as treatment of respiratory pump insufficiency independent of the cause. This is initially a non-invasive procedure but if unsuccessful intubation and invasive ventilation are indicated. The technical developments in the field of extracorporeal gas exchange systems are very promising. However, in view of the insufficient data, ventilation procedures using masks and tubes still remain the first choice methods.

show abstract

Pumpless Extracorporeal Lung Assist for the Treatment of Severe, Refractory Status Asthmaticus

Abstract: This report suggests that pECLA is an alternative extracorporeal lung assist in patients with ventilation-refractory hypercapnia and respiratory acidosis due to severe, refractory status asthmaticus.

Cited by 25 publications

References 16 publications

Extracorporeal Membrane Oxygenation for Status Asthmaticus: A Case Report Ecmo for Status Asthmaticus

Extracorporeal Membrane Oxygenation for Status Asthmaticus: A Case Report Ecmo for Status Asthmaticus

Extracorporeal Carbon Dioxide Removal for the Exacerbation of Chronic Hypercapnic Respiratory Diseases

Versagen der Atempumpe

Contact Info

Product

Resources

About