SUPPORT VENTILATION  SMART 2002 Milan, May 29-31, 2002 Free access

Minerva Anestesiologica 2002 May;68(5):387-91

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Pumpless extracorporeal lung assist using an arterio-venous shunt. Applications and limitations

Liebold A., Philipp A., Kaiser M., Merk J., Schmid F. X., Birnbaum D. E.

From the University of Regensburg Department of Cardiothoracic Surgery Department of Internal Medicine Regensburg, Germany

We ­report the use of a pump­less extra­cor­po­real ­lung ­assist (­PECLA) in 70 ­patients ­with ­severe pul­mo­nary fail­ure of var­i­ous caus­es. The ­device was ­used ­under res­cue con­di­tions in ­patients ­with pre­served car­diac func­tion. By estab­lish­ing a ­shunt ­between femo­ral ­artery and ­vein ­using the arte­rio-­venous pres­sure gra­di­ent as the driv­ing ­force for the ­blood ­flow ­through the oxy­gen­a­tor, ­PECLA ­proved to be extreme­ly effec­tive in ­terms of oxy­gen­a­tion and car­bon diox­ide remov­al.