Automatic Control of Veno-Venous Extracorporeal Lung Assist

Ruedger Kopp*, Ralf Bensberg, Andre Stollenwerk, Jutta Arens, Oliver Grottke, Marian Walter, Rolf Rossaint

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)

Abstract

Veno-venous extracorporeal lung assist (ECLA) can provide sufficient gas exchange even in most severe cases of acute respiratory distress syndrome. Commercially available systems are manually controlled, although an automatically controlled ECLA could allow individualized and continuous adaption to clinical requirements. Therefore, we developed a demonstrator with an integrated control algorithm to keep continuously measured peripheral oxygen saturation and partial pressure of carbon dioxide constant by automatically adjusting extracorporeal blood and gas flow. The “SmartECLA” system was tested in six animal experiments with increasing pulmonary hypoventilation and hypoxic inspiratory gas mixture to simulate progressive acute respiratory failure. During a cumulative evaluation time of 32 h for all experiments, automatic ECLA control resulted in a peripheral oxygen saturation ≥90% for 98% of the time with the lowest value of 82% for 15 s. Partial pressure of venous carbon dioxide was between 40 and 49 mm Hg for 97% of the time with no value <35 mm Hg or >49 mm Hg. With decreasing inspiratory oxygen concentration, extracorporeal oxygen uptake increased from 68 ± 25 to 154 ± 34 mL/min (P < 0.05), and reducing respiratory rate resulted in increasing extracorporeal carbon dioxide elimination from 71 ± 37 to 92 ± 37 mL/min (P < 0.05). The “SmartECLA” demonstrator allowed reliable automatic control of the extracorporeal circuit. Proof of concept could be demonstrated for this novel automatically controlled veno-venous ECLA circuit.

Original languageEnglish
Pages (from-to)992-998
Number of pages7
JournalArtificial organs
Volume40
Issue number10
DOIs
Publication statusPublished - 1 Oct 2016
Externally publishedYes

Keywords

  • Adult
  • Animal model
  • Automation
  • Biological
  • Extracorporeal membrane oxygenation
  • Models
  • Respiratory distress syndrome

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  • Cite this

    Kopp, R., Bensberg, R., Stollenwerk, A., Arens, J., Grottke, O., Walter, M., & Rossaint, R. (2016). Automatic Control of Veno-Venous Extracorporeal Lung Assist. Artificial organs, 40(10), 992-998. https://doi.org/10.1111/aor.12664