Extracorporeal Hyperoxygenation Therapy (EHT) for Carbon Monoxide Poisoning: In-Vitro Proof of Principle

Niklas B. Steuer*, Peter C. Schlanstein, Anke Hannig, Stephan Sibirtsev, Andreas Jupke, Thomas Schmitz-Rode, Rüdger Kopp, Ulrich Steinseifer, Georg Wagner, Jutta Arens

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Carbon monoxide (CO) poisoning is the leading cause of poisoning-related deaths globally. The currently available therapy options are normobaric oxygen (NBO) and hyperbaric oxygen (HBO). While NBO lacks in efficacy, HBO is not available in all areas and countries. We present a novel method, extracorporeal hyperoxygenation therapy (EHT), for the treatment of CO poisoning that eliminates the CO by treating blood extracorporeally at elevated oxygen partial pressure. In this study, we proof the principle of the method in vitro using procine blood: Firstly, we investigated the difference in the CO elimination of a hollow fibre membrane oxygenator and a specifically designed batch oxygenator based on the bubble oxygenator principle at elevated pressures (1, 3 bar). Secondly, the batch oxygenator was redesigned and tested for a broader range of pressures (1, 3, 5, 7 bar) and temperatures (23, 30, 37 °C). So far, the shortest measured carboxyhemoglobin half-life in the blood was 21.32 min. In conclusion, EHT has the potential to provide an easily available and effective method for the treatment of CO poisoning. View Full-Text.
Original languageEnglish
Article number56
JournalMembranes
Volume12
Issue number1
DOIs
Publication statusPublished - Jan 2022

Keywords

  • UT-Hybrid-D
  • Poisoning
  • extracorporeal therapy
  • hyperoxygenation
  • Oxygenator
  • hollow fibre membrane oxygenator
  • bubble oxygenator
  • Carbon monoxide

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