Apnea Test on Extracorporeal Membrane Oxygenation: Step Forward with Carbon Dioxide

Nakip O. S., KESİCİ S., TERZİ K., BAYRAKCİ B.

The journal of extra-corporeal technology, cilt.54, sa.1, ss.83-87, 2022 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 54 Sayı: 1
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1182/ject-83-87
  • Dergi Adı: The journal of extra-corporeal technology
  • Derginin Tarandığı İndeksler: Scopus, CINAHL, EMBASE
  • Sayfa Sayıları: ss.83-87
  • Anahtar Kelimeler: apnea test, brain death, carbon dioxide, cardiomyopathies, extracorporeal membrane oxygenation.
  • Hacettepe Üniversitesi Adresli: Evet

Özet

© Copyright 2022 AMSECT.Apnea test must be performed to confirm brain death in patients meet clinical criteria. But the increment of carbon dioxide is generally not achievable because of the diminished production of carbon dioxide and additional sweep in extra corporeal membrane oxygenation (ECMO). We report three children with congenital heart disease treated with ECMO and had brain death during follow-up. All met clinical criteria but apnea test cannot be achieved in classical way because of prolonged duration and hemodynamic compromise. Therefore, we used external carbon dioxide to achieve desired levels of oxygen and carbon dioxide safely. Because of the lack of protocols for pediatric patients on ECMO, apnea test with exogenous carbon dioxide may be a reliable and rapid test in such patients. Especially cardiac patients, in whom classical apnea test can cause rapid deterioration, exogenous carbon dioxide may serve as an alternative.