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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care
SUPPORT VENTILATION SMART 2002 Milan, May 29-31, 2002
Minerva Anestesiologica 2002 May;68(5):387-91
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.