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Galveston, Texas 77555


Purpose:

The purpose of this study to determine the safety and effectiveness of a mechanical device to remove carbon dioxide from the blood of patients with chronic obstructive pulmonary disease (COPD)when they are hospitalized in the intensive care unit for exacerbation of their condition.


Study summary:

This is a pilot study to examine the efficacy and safety of an extracorporeal circuit to remove carbon dioxide from the blood in patients with an acute exacerbation of COPD resulting in acute or acute on chronic respiratory failure. The extracorporeal circuit consists of venovenous configuration through a percutaneously inserted 18 F double lumen catheter placed in a central vein. Centrifugal pump and heparin bonded circuit are used and patient is heparinized to maintain an ACT > 180. Circuit blood flow and gas sweep speed will be adjusted to maximize CO2 removal and minimize ventilator settings and patient's work of breathing. Patients will remain on the extracorporeal circuit for a maximum of four days as tolerated. Plasma Hemoglobin will be monitored daily.


Criteria:

Inclusion Criteria: 1. Acute respiratory failure on invasive mechanical ventilation or 2. Acute respiratory failure and an advanced directive foregoing invasive mechanical ventilation 3. Established diagnosis of COPD 4. Age group: 18 years or greater Exclusion Criteria: 1. Significant vasopressor support 2. Systolic BP < 100 torr systolic despite vasopressor support 3. Class III or Class IV congestive heart failure 4. Left ventricular ejection fraction < 30% by previous echocardiogram 5. Recent (6 month) history of myocardial infarction 6. Coronary artery disease with unstable angina 7. Recent (6 month) history of venous embolism 8. Uncontrolled coagulopathy (INR > 5 or aPTT > 80s) despite corrective therapy 9. History of heparin-induced thrombocytopenia or other adverse event following the administration of heparin (heparin group only) 10. Pregnancy 11. Severe chronic liver disease 12. Severe anemia (Hgb < 9 gm/dl) 13. Any contraindication to systemic anticoagulation with heparin, including recent central nervous system injury or hemorrhage, retinal hemorrhage or other recent hemorrhage from sites which cannot be controlled 14. Technically unable to access vessels (obesity, limb deformity, previous surgery at the site, infection, etc.) 15. Evidence of increased intracranial pressure or history of an intracranial hemorrhage within the past 3 months


NCT ID:

NCT00594009


Primary Contact:

Principal Investigator
Victor J Cardenas, Jr, MD
University of Texas


Backup Contact:

N/A


Location Contact:

Galveston, Texas 77555
United States



There is no listed contact information for this specific location.

Site Status: N/A


Data Source: ClinicalTrials.gov

Date Processed: March 16, 2018

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