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Noninvasive ventilation and low-flow veno-venous extracorporeal carbon dioxide removal as a bridge to lung transplantation in a child with refractory hypercapnic respiratory failure due to bronchiolitis obliterans*

2009; Lippincott Williams & Wilkins; Volume: 11; Issue: 1 Linguagem: Inglês

10.1097/pcc.0b013e3181b0123b

1947-3893

Andrea Moscatelli, G. Ottonello, L H Nahum, Elisabetta Lampugnani, Franco Puncuh, Alessandro Simonini, Miriam Tumolo, Pietro Tuo,

Trauma Management and Diagnosis

To report the successful management of end-stage hypercapnic respiratory failure through the association of noninvasive mechanical ventilation and a novel automated device (Decapsmart) of low-flow veno-venous extracorporeal CO2 removal.Case report.Pediatric intensive care unit at a tertiary care children's hospital.A pediatric patient affected by bronchiolitis obliterans with refractory hypercapnic respiratory failure. The patient received successful lung transplantation after respiratory support with noninvasive mechanical ventilation and a novel automated device of low-flow veno-venous extracorporeal CO2 removal.Treatment of end-stage hypercapnic respiratory failure with the association of noninvasive ventilation and low-flow veno-venous extracorporeal CO2 removal as a bridge to lung transplantation.Respiratory support controlling hypercapnia, limiting volutrauma, barotraumas, and preventing the incidence of ventilator-associated pneumonia/lung colonization.Noninvasive mechanical ventilation and Decapsmart have proven efficacious in managing refractory hypercapnic respiratory failure in a pediatric patient awaiting lung transplantation.