respiratory failure is a serious complication of h1n1 influenza that, if not properly managed, can cause death. when mechanical ventilation is not effective, the only way to save the patient’s life is extracorporeal membrane oxygenation (ecmo). a prolonged type of cardiopulmonary bypass, ecmo is a high-cost management modality compared to other conventional types and its maintenance requires sk...

. 2009;0(2009):20091535. JAMA Influenza Investigators. The Australia and New Zealand Extracorporeal Membrane Oxygenation (ANZ ECMO) Respiratory Distress Syndrome Extracorporeal Membrane Oxygenation for 2009 Influenza A(H1N1) Acute . 2009;0(2009):20091496. JAMA Anand Kumar et al. Critically Ill Patients With 2009 Influenza A(H1N1) Infection in Canada . 2009;0(2009):20091536. JAMA Guillermo Domín...

OBJECTIVE To present the 3-year experience of using venovenous extracorporeal membrane oxygenation for patients with severe respiratory failure in a single centre in Hong Kong. DESIGN Case series. SETTING A 19-bed Intensive Care Unit of a tertiary hospital in Hong Kong. PATIENTS All patients who were managed with venovenous extracorporeal membrane oxygenation from 1 July 2010 to 30 June 2...

OBJECTIVE This report aimed to describe the outcomes of the patients with severe H1N1 associated acute respiratory distress syndrome who were treated with extracorporeal membrane oxygenation therapy. METHODS This retrospective review analyzed a single-center cohort of adult patients with H1N1-related acute respiratory distress syndrome who were managed with veno-venous extracorporeal membrane...

We report the use of venovenous extracorporeal membrane oxygenation with a single dual lumen cannula in a 42-year-old patient suffering from a post-pneumonectomy fistula and severe respiratory insufficiency, avoiding the classical approach of invasive mechanical ventilation. We discussed the potential advantages of extracorporeal oxygenation as the main support in this particular clinical setting.

OBJECTIVE To report Hong Kong's experience on the use of extracorporeal membrane oxygenation for the treatment of acute respiratory distress syndrome caused by influenza A (H1N1). DESIGN Multi-centred, retrospective observational study. SETTING Intensive care units in Hong Kong. PATIENTS Recipients of extracorporeal membrane oxygenation for confirmed influenza A (H1N1) infection from 1 Ma...

Tracheal injury is a rare but highly morbid complication of endotracheal intubation. Recent reviews have advocated conservative management of these injuries without operative intervention. Extracorporeal membrane oxygenation may be a useful tool in non-operative management of tracheal injury in the setting of severe respiratory failure and need for prolonged intubation. We present a morbidly ob...

A 3-year-old girl with acute respiratory distress syndrome due to a H1N1 2009 influenza virus infection was complicated by necrotizing pneumonia was successfully treated with extracorporeal membrane oxygenation (ECMO). This is the first reported case in which a pediatric patient was rescued with ECMO during the H1N1 influenza epidemic in Korea in 2009.

Severe respiratory failure (including acute lung injury and acute respiratory distress syndrome) caused by 2009 H1N1 influenza infection has been reported worldwide. Refractory hypoxemia is a common finding in these patients and can be challenging to manage. This review focuses on nonventilatory strategies in the advanced treatment of severe respiratory failure and refractory hypoxemia such as ...

The H1N1-flu affected primary young and female patients without major comorbidities (1-3). Although most of the confirmed cases have been self-limited and uncomplicated febrile respiratory illness, there have been severe infection with complications or mortality as well. In some cases, extracorporeal membrane oxygenation (ECMO) was commenced for the treatment of refractory hypoxemia, hypercapni...