Flu Pandemic Pushing Demand for ECMO
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S could be the procedure of choice for preserving lung function in patients with peripheral stage IA non–small cell lung cancer if indeed it can provide the same rate of disease-free survival as lobectomy. A randomized trial currently underway should help to address some of the surgical community’s concerns about the size and conduct of the previous randomized trial that made lobectomy the surgical standard of care for most patients with early, node-negative, non–small cell lung cancer (NSCLC), said Dr. Nasser K. Altorki, FCCP, one of the study chairs for the current trial. The earlier trial of 247 patients by the Lung Cancer Study Group (LCSG) showed that lobectomy resulted in a significantly lower rate of locoregional recurrence than did segmentectomy or wedge resection. (Locoregional recurrence was a secondary end point.) There also were no Study: Pandemic H1N1 Flu May Overwhelm ICUs
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2012 Pandemic Flu
Dear Editor, a new H1N1 pandemic flu is approaching Europe. In Italy, the results obtained from the “ECMOnet” network, for the centralization of patients with adult respiratory distress syndrome (ARDS) in structures with extracorporeal membrane oxygenation (ECMO) support, are encouraging (1,2) but far from being exhaustive, mainly because of the small number of patients treated. The ECMO techni...
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The H1N1 flu pandemic led to a wider use of extracorporeal membrane oxygenation (ECMO), proving its power in hypoxemic emergencies. The results obtained during this pandemic, more than any randomized trial, led to the worldwide acceptance of the use of membrane lungs. Moreover, as centers that applied this technique as rescue therapy for refractory hypoxemia recognized its strength and limited ...
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