Information for the public
What has NICE said?
There is not much good evidence about how well extracorporeal carbon dioxide removal (ECCO2R) for acute respiratory failure works. It should only be used if extra care is taken to explain the serious but well-recognised risks and extra steps are put in place to record and review what happens.
What does this mean for me?
Your health professional should fully explain what is involved in having this procedure and discuss the possible benefits and risks with you or your next of kin. In particular, they should explain the uncertainty about the evidence on how likely it is to improve your symptoms. You should also be told how to find more information about the procedure. You or your next of kin should only be asked if you want this procedure after having this discussion. Your health professional should ask you if details of your procedure can be collected.
In an emergency, if you are unable to consent but it is in your best interests, healthcare professionals may give treatment immediately without obtaining your informed consent.
Your healthcare team
ECCO2R should only be used by specialist intensive care teams trained in its use, and only in patients with potentially reversible acute respiratory failure or patients being considered for lung transplantation.