Directed Hypercapnia as a Strategy to Wean Extracorporeal Membrane Oxygenation in COVID-19 Pneumonia.

Kluis, Austin; Shih, Emily; Squiers, John J; DiMaio, J Michael; Sheasby, Jenelle; Myers, David; George, Timothy J · Ann Thorac Surg · 2022

case_series · Level IV

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Abstract

Coronavirus disease 2019 pneumonia with respiratory failure refractory to maximum medical therapy has been successfully managed with venovenous extracorporeal membrane oxygenation. This report describes a process of using directed hypercapnia in 5 patients to wean them from prolonged extracorporeal support secondary to refractory hypercarbic respiratory failure.

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