Extracorporeal Membrane Oxygenation for Severe Refractory Respiratory Failure Secondary to 2009 H1N1 Influenza A

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Extracorporeal membrane oxygenation for severe refractory respiratory failure secondary to 2009 H1N1 influenza A.

BACKGROUND Respiratory failure and acute respiratory distress syndrome secondary to H1N1 influenza infection is a source of substantial morbidity and mortality, having caused over 265,000 hospitalizations in the United States in 2009. During the H1N1 pandemic, up to 31% of the H1N1 patients required intensive care unit admission, and many were refractory to maximal conventional therapies. These...

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The spread of pandemic Influenza A (H1N1-2009) was believed to have been attenuated by the effectiveness of worldwide vaccination initiatives. Despite the immunogenicity of a safe vaccine, we report a case of vaccine failure resulting in catastrophic influenza-associated respiratory failure.

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Extracorporeal membrane oxygenation support in management of severe respiratory failure secondary to 2009 influenza A(H1N1) virus.

We read with great interest the recent article by Miller and colleagues (April 2010) 1 reporting their experience with 47 patients who were admitted to the ICU with 2009 infl uenza A(H1N1) [A(H1N1)] virus infection in Utah. The authors stated that the severity of illness and mortality (27%) in their cohort who received usual care for ARDS (ie, low tidal volume, low pressure ventilation) was sim...

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Extra-corporeal membrane oxygenation in the management of 2009 influenza A (H1N1) refractory respiratory failure.

Rapidly progressive acute respiratory failure attributed to 2009 H1N1 influenza A infection has been reported worldwide-3. Refractory hypoxaemia despite conventional mechanical ventilation and lung protective strategies has resulted in the use a combination of rescue therapies, such as conservative fluid management, prone positioning, inhaled nitric oxide, high frequency oscillatory ventilation...

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Extracorporeal Membrane Oxygenation for Pandemic (H1N1) 2009

To the Editor: As the world struggles with the challenges of infl uenza A pandemic (H1N1) 2009, it is clear that treatment options for critically ill infected patients are suboptimal because deaths continue to be reported in otherwise young and healthy patients. Ex-tracorporeal membrane oxygenation (ECMO) is an established therapeutic option for patients with medically re-fractory cardiogenic o...

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ژورنال

عنوان ژورنال: Respiratory Care

سال: 2011

ISSN: 0020-1324,1943-3654

DOI: 10.4187/respcare.01066