Extracorporeal CO2 removal in a case of respiratory distress syndrome by sepsis

Abstract

Multiorgan dysfunction syndrome is the most common cause of mortality in intensive care units. The lungs and kidneys are frequently affected, so up to 60% of patients require simultaneous respiratory support and renal replacement therapy. Extracorporeal CO₂ elimination systems have now been developed with the aim of reducing the incidence of acute lung injury. These systems can be combined with renal support therapies in patients with dysfunction of both organs. We present a case of respiratory septic shock with renal failure and respiratory distress syndrome, in which extracorporeal elimination of CO₂ therapy facilitated the use of protective ventilation, with a low tidal volume of 4ml/kg, plateau pressure below 30cmH₂O, and PaCO₂ values of less than 60mmHg.

Keywords: Eliminación extracorpórea de CO(2); Extracorporeal CO(2) removal; Renal replacement therapy; Respiratory distress syndrome; Sepsis; Síndrome de distrés respiratorio; Terapia de sustitución renal.