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Early Extracorporeal Membrane Oxygenation in a Patient with Pandemic Influenza (H1N1 2009) and Acute Respiratory Distress Syndrome
Kyong-Hak Lee1, Kilsoo Yie1, Won Sup Oh2, Sook-Won Ryu3, Sung-Bin Chon4 and Seung-Joon Lee2
Department of Cardiothoracic surgery1, Internal Medicine2, Laboratory Medicine3 and Emergency Medicine4, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, Korea
Vol.42 Num.2 (p122~126)
Despite advanced technologies in intensive care, pandemic influenza (H1N1 2009) can rapidly progress to acute respiratory distress syndrome (ARDS) and cause death in a small subset of patients. Extracorporeal membrane oxygenation (ECMO) is expected to provide adequate gas exchange, to reduce ventilator-induced lung injury and, eventually, to improve outcome in thesepatients. A previously healthy, young female received mechanically ventilatory support because of rapidly progressive respiratory failure caused by 2009 H1N1 influenza. As she failed to respond to high ventilatory support, ECMO was instituted at 6 hours after admission. We describe detailed course of case and literature review on ECMO, helping physicians make a decision to initiate
ECMO in patients with influenza-related ARDS.
Keywords : Pandemic influenza (H1N1 2009), Acute respiratory distress syndrome, Extracorporeal membrane oxygenation