Sodium bicarbonate buffer for weaning from venovenous extracorporeal membrane oxygenation in patients with hypercapnic respiratory failure and acute renal failure
DC Field | Value | Language |
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dc.contributor.author | Kim, Sua | - |
dc.contributor.author | Hwang, Jinwook | - |
dc.contributor.author | Kim, Je Hyeong | - |
dc.date.accessioned | 2022-12-09T10:41:56Z | - |
dc.date.available | 2022-12-09T10:41:56Z | - |
dc.date.created | 2022-12-08 | - |
dc.date.issued | 2022-10 | - |
dc.identifier.issn | 1817-1737 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/146588 | - |
dc.description.abstract | Although the routine use of alkali buffer is not recommended in patients with respiratory acidosis, some patients may benefit from its administration. A 42-year-old man was treated with venovenous extracorporeal membrane oxygenation (VV-ECMO) and continuous venovenous hemodiafiltration (CVVHDF) due to necrotizing pneumonia and emphysematous cystitis with Klebsiella pneumoniae. Although the sweep gas flow rate of the VV-ECMO was gradually reduced, he failed to wean off VV-ECMO due to respiratory acidosis, followed by tachycardia and tachypnea on the 63rd day of VV-ECMO. Therefore, we mixed sodium bicarbonate in the replacement fluid of CVVHDF for 5 days to avoid an intolerable decrease in blood pH after discontinuing the VV-ECMO sweep gas. When the serum bicarbonate concentration was > 30 mmol/L and pH was maintained at > 7.30 with a PCO2 of > 60 mmHg, VV-ECMO was finally decannulated. Sodium bicarbonate buffer through the replacement of CVVHDF fluid facilitated VV-ECMO weaning in a patient with hypercapnic respiratory failure. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | WOLTERS KLUWER MEDKNOW PUBLICATIONS | - |
dc.title | Sodium bicarbonate buffer for weaning from venovenous extracorporeal membrane oxygenation in patients with hypercapnic respiratory failure and acute renal failure | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Sua | - |
dc.identifier.doi | 10.4103/atm.atm_265_22 | - |
dc.identifier.scopusid | 2-s2.0-85140745494 | - |
dc.identifier.wosid | 000886545300009 | - |
dc.identifier.bibliographicCitation | ANNALS OF THORACIC MEDICINE, v.17, no.4, pp.237 - 240 | - |
dc.relation.isPartOf | ANNALS OF THORACIC MEDICINE | - |
dc.citation.title | ANNALS OF THORACIC MEDICINE | - |
dc.citation.volume | 17 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 237 | - |
dc.citation.endPage | 240 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalResearchArea | Respiratory System | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.relation.journalWebOfScienceCategory | Respiratory System | - |
dc.subject.keywordAuthor | Bicarbonate buffer | - |
dc.subject.keywordAuthor | respiratory acidosis | - |
dc.subject.keywordAuthor | venovenous extracorporeal membrane oxygenation | - |
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