Korean J Crit Care Med.  2013 Aug;28(3):192-196. 10.4266/kjccm.2013.28.3.192.

A Case of Pumpless Interventional Lung Assist Application in a Tuberculosis Destroyed Lung Patient with Severe Hypercapnic Respiratory Failure

• Park SH
• Ha SO
• Park JS
• Hong SB
• Shim TS
• Lim CM
• Koh Y

• KMID: 2227839
• DOI: http://doi.org/10.4266/kjccm.2013.28.3.192

Abstract

Pumpless extracorporeal interventional lung assist (iLA) is a rescue therapy allowing effective carbon dioxide removals and lung protective ventilator settings. Herein, we report the use of a pumpless extracorporeal iLA in a tuberculosis destroyed lung (TDL) patient with severe hypercapnic respiratory failures. A 35-year-old male patient with TDL was intubated due to CO2 retention and altered mentality. After 11 days, Ventilator Associated Pneumonia (VAP) had developed. Despite the maximal mechanical ventilator support, his severe respiratory acidosis was not corrected. We applied the iLA for the management of refractory hypercapnia with respiratory acidosis. This case suggests that the iLA is an effective rescue therapy for TDL patients with ventilator refractory hypercapnia.

Keyword

pumpless extracorporeal lung assist; respiratory failure; tuberculosis destroyed lung

MeSH Terms

Acidosis, Respiratory
Carbon Dioxide
Humans
Hypercapnia
Lung
Male
Pneumonia, Ventilator-Associated
Respiratory Insufficiency
Retention (Psychology)
Tuberculosis
Ventilators, Mechanical
Carbon Dioxide