Journal article
Perioperative single-site veno-venous extracorporeal CO2 removal for minimally invasive giant bulla resection
Perfusion, Vol.32(8), pp.698-701
11/2017
DOI: 10.1177/0267659117716758
PMID: 28621588
Abstract
Giant pulmonary bullae are rare and surgical management of patients with severe emphysema and advanced chronic obstructive lung disease (COPD) presenting with giant bullae can be very challenging. Previously, perioperative, two-site, high-flow, veno-venous extracorporeal membrane oxygenation (ECMO) was successfully utilized during giant bulla resection. Here we report the perioperative application of single-site, low-flow extracorporeal CO2 removal (ECCO2R) for minimally invasive thoracoscopic giant bulla resection. This approach of low-flow, veno-venous ECCO2R, which is less invasive than conventional ECLS approaches, has enabled the safe performance of surgery and facilitated protective intraoperative single-lung ventilation while avoiding possible complications of aggressive mechanical ventilation.
Keywords: ECCO2R; VATS; giant bulla; minimally-invasive; thoracic surgery.
Details
- Title: Subtitle
- Perioperative single-site veno-venous extracorporeal CO2 removal for minimally invasive giant bulla resection
- Creators
- Bassam Redwan - Department of Thoracic Surgery, HELIOS University Hospital Wuppertal, University Witten/Herdecke, Wuppertal, GermanyChristian Biancosino - Department of Thoracic Surgery, HELIOS University Hospital Wuppertal, University Witten/Herdecke, Wuppertal, GermanyFelix Giebel - Intensive Care Medicine, HELIOS University Hospital Wuppertal, University Witten/Herdecke, Wuppertal, GermanyGabriele Woebker - Intensive Care Medicine, HELIOS University Hospital Wuppertal, University Witten/Herdecke, Wuppertal, GermanyMichael Eberlein - Division of Pulmonary, Critical Care and Occupational Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USAServet Bölükbas - Department of Thoracic Surgery, HELIOS University Hospital Wuppertal, University Witten/Herdecke, Wuppertal, Germany
- Resource Type
- Journal article
- Publication Details
- Perfusion, Vol.32(8), pp.698-701
- DOI
- 10.1177/0267659117716758
- PMID
- 28621588
- ISSN
- 0267-6591
- eISSN
- 1477-111X
- Language
- English
- Date published
- 11/2017
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Internal Medicine
- Record Identifier
- 9984094405002771
Metrics
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