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Table 1 Characteristics of the different ECCO2R and VV-ECMO systems

From: The use of extracorporeal CO2 removal in acute respiratory failure

 

Partial extracorporeal support (ECCO2R)

Total extracorporeal support (ECMO)

Very low flow

Low flow

Intermediate flow

Intermediate flow

High flow

High flow

Blood flow (L/min)

200–400

400–500

500–1000

500–4500

2500–5000

2500–7000

Vascular access

Venovenous

Venovenous

Venovenous

Arteriovenous

Venovenous

Venovenous

Cannula size

13 Fr

15.5 Fr

18–19 Fr

15 Fr

27–31 Fr

Drainage: 25–29 Fr

Cannula configuration

Dialysis catheter

Double-lumen cannula

Double-lumen cannula

Arterial and venous cannulae

Double-lumen cannula

Reinjection: 17–21 Fr

Priming volume (mL)

140–160

200–300

250–350

175

300–500

300–500

Anti-Xa activity (UI/L)

0.3–0.4

0.3–0.4

0.3–0.4

0.3–0.4

0.2–0.3

0.2–0.3

Membrane surface (m2)

0.32

0.59

0.65

1.3

1.8

1.8

CO2 extraction (% of initial value)

 < 25

25

50

50–60

 > 50

 > 50

O2 transfer (mL/min)

Ø

10

20

20–50

150–300

150–350

  1. ECCO2R extracorporeal carbon dioxide removal, VV-ECMO venovenous extracorporeal membrane oxygenation