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

Hdl Handle:
http://hdl.handle.net/10147/128189
Title:
Extra-corporeal membrane oxygenation in the management of 2009 Influenza A (H1N1) refractory respiratory failure
Authors:
Das, JP; Chew, N
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10147/128189
Item Type:
Article
Language:
en
Description:
Rapidly progressive acute respiratory failure attributed to 2009 H1N1 influenza A infection has been reported worldwide 1-3 . 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 (H1N1) 2009 influenza A who was successfully managed with ECMO in the setting of severe refractory hypoxaemia and progressive hypercapnia.
Keywords:
INFLUENZA; H1N1; RESPIRATORY DISORDER
Sponsors:
Reproduced with permission from the Irish Medical Journal

Full metadata record

DC FieldValue Language
dc.contributor.authorDas, JPen
dc.contributor.authorChew, Nen
dc.date.accessioned2011-04-15T14:17:10Z-
dc.date.available2011-04-15T14:17:10Z-
dc.date.issued2011-03-
dc.identifier.urihttp://hdl.handle.net/10147/128189-
dc.descriptionRapidly progressive acute respiratory failure attributed to 2009 H1N1 influenza A infection has been reported worldwide 1-3 . 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 (H1N1) 2009 influenza A who was successfully managed with ECMO in the setting of severe refractory hypoxaemia and progressive hypercapnia.en
dc.description.sponsorshipReproduced with permission from the Irish Medical Journalen
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectINFLUENZAen
dc.subjectH1N1en
dc.subjectRESPIRATORY DISORDERen
dc.titleExtra-corporeal membrane oxygenation in the management of 2009 Influenza A (H1N1) refractory respiratory failureen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
dc.description.provinceLeinster-
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