Targeting arterial partial pressure of carbon dioxide in acute respiratory distress syndrome patients using extracorporeal carbon dioxide removal.

ECCO2R acid-base acute kidney injury acute respiratory distress syndrome arterial partial pressure of carbon dioxide carbon dioxide continuous venovenous hemofiltration mathematical model

Journal

Artificial organs
ISSN: 1525-1594
Titre abrégé: Artif Organs
Pays: United States
ID NLM: 7802778

Informations de publication

Date de publication:
Apr 2022
Historique:
revised: 06 10 2021
received: 17 08 2021
accepted: 08 11 2021
pubmed: 25 11 2021
medline: 5 4 2022
entrez: 24 11 2021
Statut: ppublish

Résumé

A retrospective analysis of SUPERNOVA trial data showed that reductions in tidal volume to ultraprotective levels without significant increases in arterial partial pressure of carbon dioxide (PaCO We used a whole-body mathematical model of acid-base balance to quantify the effect of altering carbon dioxide (CO After calibrating model parameters to the clinical study data using the PrismaLung device, model predictions determined optimal extracorporeal blood flow rates for the PrismaLung+ and mechanical ventilation frequencies to obtain target PaCO The described model provides guidance on achieving target PaCO

Sections du résumé

BACKGROUND BACKGROUND
A retrospective analysis of SUPERNOVA trial data showed that reductions in tidal volume to ultraprotective levels without significant increases in arterial partial pressure of carbon dioxide (PaCO
METHODS METHODS
We used a whole-body mathematical model of acid-base balance to quantify the effect of altering carbon dioxide (CO
RESULTS RESULTS
After calibrating model parameters to the clinical study data using the PrismaLung device, model predictions determined optimal extracorporeal blood flow rates for the PrismaLung+ and mechanical ventilation frequencies to obtain target PaCO
CONCLUSIONS CONCLUSIONS
The described model provides guidance on achieving target PaCO

Identifiants

pubmed: 34817074
doi: 10.1111/aor.14127
doi:

Substances chimiques

Carbon Dioxide 142M471B3J

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

677-687

Subventions

Organisme : Narodowe Centrum Nauki
ID : 2017/27/B/ST7/03029
Organisme : Baxter International

Informations de copyright

© 2021 International Center for Artificial Organs and Transplantation and Wiley Periodicals LLC.

Références

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Combes A, Fanelli V, Pham T, Ranieri VM. European society of intensive care medicine trials group, and the “strategy of ultra-protective lung ventilation with extracorporeal CO2 removal for new-onset moderate to severe ARDS” investigators. Feasibility and safety of extracorporeal CO2 removal to enhance protective ventilation in acute respiratory distress syndrome: the SUPERNOVA study. Intensive Care Med. 2019;45:592-600.
Fanelli V, Ranieri MV, Mancebo J, Moerer O, Quintel M, Morley S, et al. Feasibility and safety of low-flow extracorporeal carbon dioxide removal to facilitate ultra-protective ventilation in patients with moderate acute respiratory distress sindrome. Crit Care. 2016;20:36.
Schmidt M, Jaber S, Zogheib E, Godet T, Capellier G, Combes A. Feasibility and safety of low-flow extracorporeal CO2 removal managed with a renal replacement platform to enhance lung-protective ventilation of patients with mild-to-moderate ARDS. Crit Care. 2018;22:122.
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Auteurs

John K Leypoldt (JK)

Department IV-Modeling and Supporting of Internal Functions, Nalecz Institute of Biocybernetics and Biomedical Engineering Polish Academy of Sciences, Warsaw, Poland.

Jörg Kurz (J)

Medical Affairs, Baxter Deutschland GmbH, Unterschleissheim, Germany.

Jorge Echeverri (J)

Medical Affairs, Baxter Healthcare Corporation, Deerfield, Illinois, USA.

Markus Storr (M)

Research and Development, Baxter International, Hechingen, Germany.

Kai Harenski (K)

Medical Affairs, Baxter Deutschland GmbH, Unterschleissheim, Germany.

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