Épuration extracorporelle du CO2 pour suppléance d'une pneumonie organisée sévère

Translated title of the contribution: Extracorporeal CO2 removal as life support system for a severe organizing pneumonia

G. Rival, O. Millet, G. Capellier

Research output: Contribution to journalArticleOtherpeer-review

Abstract

Introduction Acute lung injuries are usually found in intensive care unit. The diffuse alveolar damage (DAD) is the associated histological pattern and the most severe end-stage of the disease. Organizing pneumonia (OP), for which corticosteroids are the reference therapy, can mimic DAD. While postponing the response to treatment, to limit mechanical ventilation side effects, extracorporeal membrane oxygene can be proposed. We present a case of a severe OP for which extracorporeal CO2 removal (ECCO2R) is used as a bridge to recovery under corticosteroid therapy. Case report In the context of a flu-like syndrome, the non-recovery of a lung impairment is reported to a severe OP. ECCO2R is applied when using an ultraprotective ventilation and while waiting for lung healing under corticosteroid. This strategy allowed successful recovery, early physical therapy and active mobilization. Conclusion This observation presents the diagnostic and therapeutic difficulties of the lung parenchymental disease in intensive care. OP must be recognized. ECCO2R can be used in severe OP as a bridge to recovery while waiting for the corticosteroid efficacy.

Translated title of the contributionExtracorporeal CO2 removal as life support system for a severe organizing pneumonia
Original languageFrench
Pages (from-to)373-376
Number of pages4
JournalRevue de Pneumologie Clinique
Volume72
Issue number6
DOIs
Publication statusPublished - 1 Dec 2016
Externally publishedYes

Keywords

  • ARDS
  • Crazy paving
  • ECCOR
  • Novalung
  • Organizing pneumonia

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