Extra-corporeal membrane oxygenation in the management of 2009 in.pdf (73.11 kB)
0/0

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

Download (73.11 kB)
journal contribution
posted on 22.11.2019 by J P. Das, Nicholas SY Chew, E Kitt, Claudine Murphy, J O'Rourke, Michale Power, Samuel J. McConkey

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 and extracorporeal membrane oxygenation (ECMO)4. ECMO allows for pulmonary or cardiopulmonary support as an adjunct to respiratory and cardiac failure, minimising ventilator-associated lung injury (VALI). This permits treatment of the underlying disease process, while concurrently allowing for recovery of the acute lung injury. This case documents a previously healthy twenty-two year old Asian male patient with confirmed pandemic (H 1N1) 2009 influenza A who was successfully managed with ECMO in the setting of severe refractory hypoxaemia and progressive hypercapnia.

History

Comments

The original article is available at www.imj.ie

Published Citation

Das JP, Chew N, Kitt E, Murphy C, O'Rourke J, Power M, McConkey SJ. Extra-corporeal membrane oxygenation in the management of 2009 influenza A (H1N1) refractory respiratory failure. Irish Medical Journal. 2011;104(3):90-1.

Publication Date

01/03/2011

Publisher

Irish Medical Organisation

PubMed ID

21667616

Exports