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Vol. 148 No. 2930 (2018)

Obesity-related respiratory failure: a new area for extracorporeal lung support?

  • Raphaël Giraud
  • Karim Bendjelid
  • Carlo Banfi
DOI
https://doi.org/10.4414/smw.2018.14651
Cite this as:
Swiss Med Wkly. 2018;148:w14651
Published
24.07.2018

References

  1. Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A, et al.; GBD 2015 Obesity Collaborators. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med. 2017;377(1):13–27.https://doi.org/10.1056/NEJMoa1614362
  2. Salome CM, King GG, Berend N. Physiology of obesity and effects on lung function. J Appl Physiol (1985). 2010;108(1):206–11.https://doi.org/10.1152/japplphysiol.00694.2009
  3. Pépin JL, Borel JC, Janssens JP. Obesity hypoventilation syndrome: an underdiagnosed and undertreated condition. Am J Respir Crit Care Med. 2012;186(12):1205–7.https://doi.org/10.1164/rccm.201210-1922ED
  4. Pelosi P, Croci M, Ravagnan I, Vicardi P, Gattinoni L. Total respiratory system, lung, and chest wall mechanics in sedated-paralyzed postoperative morbidly obese patients. Chest. 1996;109(1):144–51.https://doi.org/10.1378/chest.109.1.144
  5. Kaw R, Hernandez AV, Walker E, Aboussouan L, Mokhlesi B. Determinants of hypercapnia in obese patients with obstructive sleep apnea: a systematic review and metaanalysis of cohort studies. Chest. 2009;136(3):787–96.https://doi.org/10.1378/chest.09-0615
  6. Lederer H, Stalder M, Tisljar K, Lanzi F, Landmann E, Mosimann T, et al. Venovenous extracorporeal membrane oxygenation to treat hypercapnia in a morbidly obese patient. Swiss Med Wkly. 2018;148:w14639. doi:10.4414/smw.2018.14639.
  7. De Jong A, Molinari N, Pouzeratte Y, Verzilli D, Chanques G, Jung B, et al. Difficult intubation in obese patients: incidence, risk factors, and complications in the operating theatre and in intensive care units. Br J Anaesth. 2015;114(2):297–306.https://doi.org/10.1093/bja/aeu373
  8. Gursel G, Aydogdu M, Gulbas G, Ozkaya S, Tasyurek S, Yildirim F. The influence of severe obesity on non-invasive ventilation (NIV) strategies and responses in patients with acute hypercapnic respiratory failure attacks in the ICU. Minerva Anestesiol. 2011;77(1):17–25.
  9. De Jong A, Chanques G, Jaber S. Mechanical ventilation in obese ICU patients: from intubation to extubation. Crit Care. 2017;21(1):63.https://doi.org/10.1186/s13054-017-1641-1
  10. Fagnoul D, Combes A, De Backer D. Extracorporeal cardiopulmonary resuscitation. Curr Opin Crit Care. 2014;20(3):259–65.https://doi.org/10.1097/MCC.0000000000000098
  11. Peek GJ, Mugford M, Tiruvoipati R, Wilson A, Allen E, Thalanany MM, et al.; CESAR trial collaboration. Efficacy and economic assessment of conventional ventilatory support versus extracorporeal membrane oxygenation for severe adult respiratory failure (CESAR): a multicentre randomised controlled trial. Lancet. 2009;374(9698):1351–63.https://doi.org/10.1016/S0140-6736(09)61069-2
  12. Banfi C, Pozzi M, Siegenthaler N, Brunner ME, Tassaux D, Obadia JF, et al. Veno-venous extracorporeal membrane oxygenation: cannulation techniques. J Thorac Dis. 2016;8(12):3762–73.https://doi.org/10.21037/jtd.2016.12.88
  13. Combes A, Hajage D, Capellier G, Demoule A, Lavoué S, Guervilly C, et al.; EOLIA Trial Group, REVA, and ECMONet. Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome. N Engl J Med. 2018;378(21):1965–75.https://doi.org/10.1056/NEJMoa1800385
  14. Brodie D, Bacchetta M. Extracorporeal membrane oxygenation for ARDS in adults. N Engl J Med. 2011;365(20):1905–14.https://doi.org/10.1056/NEJMct1103720
  15. Del Sorbo L, Cypel M, Fan E. Extracorporeal life support for adults with severe acute respiratory failure. Lancet Respir Med. 2014;2(2):154–64.https://doi.org/10.1016/S2213-2600(13)70197-8
  16. Cove ME, MacLaren G, Federspiel WJ, Kellum JA. Bench to bedside review: Extracorporeal carbon dioxide removal, past present and future. Crit Care. 2012;16(5):232.https://doi.org/10.1186/cc11356
  17. Batchinsky AI, Jordan BS, Regn D, Necsoiu C, Federspiel WJ, Morris MJ, et al. Respiratory dialysis: reduction in dependence on mechanical ventilation by venovenous extracorporeal CO2 removal. Crit Care Med. 2011;39(6):1382–7.https://doi.org/10.1097/CCM.0b013e31820eda45
  18. 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(1):36.https://doi.org/10.1186/s13054-016-1211-y
  19. Del Sorbo L, Pisani L, Filippini C, Fanelli V, Fasano L, Terragni P, et al. Extracorporeal Co2 removal in hypercapnic patients at risk of noninvasive ventilation failure: a matched cohort study with historical control. Crit Care Med. 2015;43(1):120–7.https://doi.org/10.1097/CCM.0000000000000607
  20. Gattinoni L, Agostoni A, Pesenti A, Pelizzola A, Rossi GP, Langer M, et al. Treatment of acute respiratory failure with low-frequency positive-pressure ventilation and extracorporeal removal of CO2. Lancet. 1980;2(8189):292–4.https://doi.org/10.1016/S0140-6736(80)90237-8
  21. Schellongowski P, Riss K, Staudinger T, Ullrich R, Krenn CG, Sitzwohl C, et al. Extracorporeal CO2 removal as bridge to lung transplantation in life-threatening hypercapnia. Transpl Int. 2015;28(3):297–304.https://doi.org/10.1111/tri.12486
  22. Swol J, Buchwald D, Strauch JT, Schildhauer TA, Ull C. Effect of body mass index on the outcome of surgical patients receiving extracorporeal devices (VV ECMO, pECLA) for respiratory failure. Int J Artif Organs. 2017;40(3):102–8.https://doi.org/10.5301/ijao.5000572
  23. Karagiannidis C, Kampe KA, Sipmann FS, Larsson A, Hedenstierna G, Windisch W, et al. Veno-venous extracorporeal CO2 removal for the treatment of severe respiratory acidosis: pathophysiological and technical considerations. Crit Care. 2014;18(3):R124.https://doi.org/10.1186/cc13928
  24. 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(1):122.https://doi.org/10.1186/s13054-018-2038-5
  25. Sklar MC, Beloncle F, Katsios CM, Brochard L, Friedrich JO. Extracorporeal carbon dioxide removal in patients with chronic obstructive pulmonary disease: a systematic review. Intensive Care Med. 2015;41(10):1752–62.https://doi.org/10.1007/s00134-015-3921-z