Use of a pediatric oxygenator integrated in a veno-venous hemofiltration circuit to remove CO2: A case report in a severe burn patient with refractory hypercapnia

Acute respiratory distress syndrome management is currently based on lung protective ventilation. Such strategy may lead to hypercapnic acidosis. We report a case of refractory hypercapnia in a severe burn adult, treated with simplified veno-venous extracorporeal carbon dioxide removal technique. We integrated a pediatric oxygenator in a continuous veno-venous hemofiltration circuit. This technique, used during at least 96 h, was feasible, sure and efficient with carbon dioxide removal rate up to 32%.