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

Hdl Handle:
http://hdl.handle.net/10147/207072
Title:
Extra-corporeal membrane oxygenation in the management of 2009 influenza A (H1N1) refractory respiratory failure.
Authors:
Das, J P; Chew, N; Kitt, E; Murphy, C; O'Rourke, J; Power, M; McConkey, S J
Affiliation:
Department of 1Infectious Disease, Beaumont Hospital, Beaumont, Dublin 9.
Citation:
Ir Med J. 2011 Mar;104(3):90-1.
Journal:
Irish medical journal
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207072
PubMed ID:
21667616
Abstract:
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.
Language:
eng
MeSH:
Anoxia/etiology; Disease Progression; Extracorporeal Membrane Oxygenation; Humans; Hypercapnia/etiology; *Influenza A Virus, H1N1 Subtype; Influenza, Human/*therapy; Male; Respiratory Insufficiency/*therapy; Young Adult
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorDas, J Pen_GB
dc.contributor.authorChew, Nen_GB
dc.contributor.authorKitt, Een_GB
dc.contributor.authorMurphy, Cen_GB
dc.contributor.authorO'Rourke, Jen_GB
dc.contributor.authorPower, Men_GB
dc.contributor.authorMcConkey, S Jen_GB
dc.date.accessioned2012-02-01T09:58:34Z-
dc.date.available2012-02-01T09:58:34Z-
dc.date.issued2012-02-01T09:58:34Z-
dc.identifier.citationIr Med J. 2011 Mar;104(3):90-1.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid21667616en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207072-
dc.description.abstractRapidly 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.en_GB
dc.language.isoengen_GB
dc.subject.meshAnoxia/etiologyen_GB
dc.subject.meshDisease Progressionen_GB
dc.subject.meshExtracorporeal Membrane Oxygenationen_GB
dc.subject.meshHumansen_GB
dc.subject.meshHypercapnia/etiologyen_GB
dc.subject.mesh*Influenza A Virus, H1N1 Subtypeen_GB
dc.subject.meshInfluenza, Human/*therapyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshRespiratory Insufficiency/*therapyen_GB
dc.subject.meshYoung Adulten_GB
dc.titleExtra-corporeal membrane oxygenation in the management of 2009 influenza A (H1N1) refractory respiratory failure.en_GB
dc.contributor.departmentDepartment of 1Infectious Disease, Beaumont Hospital, Beaumont, Dublin 9.en_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceLeinster-
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