AECOPD:PaCO2的治疗目标和机械通气策略 (mini ECMO),F/42 COPD and asthma压力控制通气PEEPi 20 cmH2O从眼眶到肚脐都是皮下气肿PaCO2 55mmHg,下一步应该做什么?,ASAIO Journal 2009; 55:420422.,18 F 双腔右颈内置管血流速 800ml/min气流速 10l/min,Venovenous carbon dioxide removal was maintained for 88 hours. Subcutaneous emphysema was almost completely resolved at this time. She was extubated 48 hours after decannulation and discharged on hospital day 13.,M/74,既往有哮喘病史,无常规治疗窒息、休克pH 7.08, PaO2/FIO2 158.2mmHg,PaCO2 106.5mmHg.对沙丁胺醇、茶碱、激素等无反应,镇静镇痛肌松低PEEP低频率、延长呼气时间,收入ICU,采取重症哮喘通气策略,VT 45 mmHg- RR 25-30 breaths/min,总 结,低肺牵张策略体外CO2清除,