Publication date: Available online 12 May 2017
Source:Revue des Maladies Respiratoires
Author(s): J.L. Diehl, J. Boisramé-Helms, A. Chardon-Couteau, M. Commereuc, J.-L. Augy, A. Sokoloff, N. Rivet, P. Gaussem, D.M. Smadja, N. Aissaoui
IntroductionL'épuration extracorporelle du CO2 (ECCO2R) vise prioritairement à assurer l'élimination du CO2, sans effet significatif sur l'oxygénation. Ceci est possible avec des débits sanguins extracorporels faibles ou modérés, à la différence notable des dispositifs d'oxygénation de type extracorporeal membrane oxygenation (ECMO) qui nécessitent obligatoirement un débit sanguin élevé.État des connaissancesIl importe de considérer pour chaque dispositif d'ECCO2R, non seulement les performances en termes d'épuration du CO2 mais aussi le coût et la tolérance, notamment les risques de complications hémorragiques et thrombotiques ainsi que d'hémolyse. De plus, il est également possible que les bénéfices de ces techniques puissent s'étendre au-delà du simple d'effet de décarboxylation : des bénéfices en termes d'épargne de travail musculaire respiratoire ont été rapportés de façon préliminaire ; un effet pneumo-protecteur et de réparation pulmonaire par la mobilisation de cellules souches endothéliales pourrait être évoqué, en analogie aux données rapportées sous ECMO. L'expérience clinique la plus probante a été rapportée dans le cadre du syndrome de détresse respiratoire aigu (SDRA) et des exacerbations aiguës sévères de bronchopneumopathies chroniques obstructives (BPCO), principalement chez les patients à haut risque d'échec de ventilation non invasive.PerspectivesLes bénéfices cliniques préliminaires rapportés incitent à réaliser à brève échéance des essais randomisés contrôlés dans ces deux indications principales. Enfin, le développement de ces technologies ouvre des perspectives en termes d'assistance ventilatoire au long cours.IntroductionThe aim of extracorporeal removal of CO2 (ECCO2R) is to ensure the removal of CO2 without any significant effect on oxygenation. ECCO2R makes use of low to moderate extracorporeal blood flow rates, whereas extracorporeal membrane oxygenation (ECMO) requires high blood flows.State of the artFor each ECCO2R device it is important to consider not only performance in terms of CO2 removal, but also cost and safety, including the incidence of hemolysis and of hemorrhagic and thrombotic complications. In addition, it is possible that the benefits of such techniques may extend beyond simple removal of CO2. There have been preliminary reports of benefits in terms of reduced respiratory muscle workload. Mobilization of endothelial progenitor cells could also occur, in analogy to the data reported with ECMO, with a potential benefit in term of pulmonary repair. The most convincing clinical experience has been reported in the context of the acute respiratory distress syndrome (ARDS) and severe acute exacerbations of chronic obstructive pulmonary disease (COPD), especially in patients at high risk of failure of non-invasive ventilation.PerspectivesPreliminary results prompt the initiation of randomized controlled trials in these two main indications. Finally, the development of these technologies opens new perspectives in terms of long-term ventilatory support.
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Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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Τρίτη 16 Μαΐου 2017
Place de l’épuration extracorporelle de CO2 (ECCO2R) dans la prise en charge des pathologies respiratoires
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