Extracorporeal membrane oxygenation for 2009 influenza A (H1N1) acute respiratory distress syndrome: single-centre experience with 1-year follow-up

Beurtheret, Sylvain; Mastroianni, Ciro; Pozzi, Matteo; D’Alessandro, Cosimo; Luyt, Charles‐Édouard; Combes, Alain; Pavie, Alain; Leprince, Pascal

doi:10.1093/ejcts/ezr082

Cited by 49 publications

(30 citation statements)

References 10 publications

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“…1 A study of 127 patients requiring VV-ECMO for acute respiratory failure refractory to mechanical ventilation reported partial vein thrombosis of the cannulated vessels in 9.5% of patients. 3 Our report of 10 patients with severe hypoxemia because of H1N1 confirmed that 50% had pulmonary emboli. 3 Our report of 10 patients with severe hypoxemia because of H1N1 confirmed that 50% had pulmonary emboli.…”

supporting

confidence: 57%

Inferior Vena Cava Filter Placement Before ECMO Decannulation

Obi

Park²,

Rectenwald

et al. 2012

ASAIO Journal

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Venous thromboembolism (VTE), particularly thrombi in the inferior vena cava (IVC) and pulmonary embolism, can occur after successful extracorporeal membrane oxygenation (ECMO) and can be associated with adverse outcomes including death. VTE is related to the presence of a venous cannula and in some cases inadequate anticoagulation caused by clinical bleeding. We have developed a simple method for guidewire exchange of the femoral venous ECMO cannula to a working catheter for intravascular ultrasound (IVUS) IVC filter placement, and describe the specific methodology.

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supporting

confidence: 57%

Inferior Vena Cava Filter Placement Before ECMO Decannulation

Obi

Park²,

Rectenwald

et al. 2012

ASAIO Journal

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“…(9,11,18,21) A small study in a French hospital (n = 12) reported a high survival rate, despite many complications, such as VAP, which was observed in 6/12 patients, and major hemorrhage, which was reported in 8/12 patients. (25) Our surviving patients were all discharged with good functional status. Other small observational studies have reported lower survival rates, including a 35% survival rate reported in a Japanese series (n = 14), 39% survival in a series from Germany (n =18), 44.4% in some French centers (n = 9) and a 44.4% survival rate reported by Spanish hospitals (n = 9).…”

Section: Discussionmentioning

confidence: 78%

Extracorporeal membrane oxygenation in acute respiratory distress syndrome due to influenza A (H1N1)pdm09 pneumonia. A single-center experience during the 2013-2014 season

Menon¹,

Pérez-Vélez²,

Wheeler³

et al. 2017

Revista Brasileira De Terapia Intensiva

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ObjectiveThis 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.MethodsThis 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 oxygenation during the winter of 2013/2014.ResultsA total of 10 patients received veno-venous extracorporeal membrane oxygenation for H1N1 influenza between January 2013 and March 2014. Seven patients were transferred to our center for extracorporeal membrane oxygenation consideration (all within 72 hours of initiating mechanical ventilation). The median patient age was forty years, and 30% were female. The median arterial oxygen partial pressure to fraction of inspired oxygen ratio was 62.5, and the median RESP score was 6. Three patients received inhaled nitric oxide, and four patients were proned as rescue therapy before extracorporeal membrane oxygenation was initiated. The median duration of mechanical ventilation was twenty-two days (range, 14 - 32). The median length of stay in the intensive care unit was twenty-seven days (range, 14 - 39). The median hospital length of stay was 29.1 days (range, 16.0 - 46.9). Minor bleeding complications occurred in 6 of 10 patients. Eight of the ten patients survived to hospital discharge.ConclusionThe survivors were relatively young and discharged with good functional status (i.e., enhancing quality-adjusted life-years-saved). Our experience shows that even a relatively new extracorporeal membrane oxygenation program can play an important role in that capacity and provide excellent outcomes for the sickest patients.

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“…3C), but minimal evidence of bronchial necrosis or epithelial regeneration, suggesting that the lung parenchyma rather than the conducting airways was the target of virus induced pathology. The patient did not have laboratory evidence of a procoagulopathy state, and though a coagulopathy has been identified in chickens with H5N1 infection, it is more likely that the thrombus was due to ECMO therapy as this has been previously identified in 16.6% of patients with H1N1 who were treated with ECMO [6]. …”

Section: Other Similar and Contrasting Casesmentioning

confidence: 87%