Long term extracorporeal membrane oxygenation therapy for H1N1 influenza related acute respiratory distress syndrome and several complications
Keywords:Acute respiratory distress syndrome, Respiratory failure, Intensive care unit, Extracorporal membrane oxygenator
Extracorporeal membrane oxygenation (ECMO) has significantly advanced in recent years. During the 2009 H1N1 inﬂuenza a pandemic, the use of venovenous (VV) ECMO represented a successful rescue treatment for acute respiratory distress syndrome (ARDS) in patients failing conventional ventilation techniques. The patient was thirty nine year-old and 38 weeks pregnant who had a seizure and then aspiration pneumonia occurred. Due to respiratory failure and hemodynamic instability she was intubated and vasopressor agent was initiated. Her chest X ray showed bilateral nonhomogeneous opacity; hence she was diagnosed with severe ARDS and septic shock. VVECMO was applied by a cardiovascular surgery team and the patient was transferred with the ECMO from hospital to our institution. During her hospitalization, multiple complications occurred, such as pneumothorax, critical illness polyneuropathy, clinical illness myopathy, oxygenator clotting and she was treated successfully.
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Copyright (c) 2018 Behiye Deniz Kosovalı, Fatma İrem Yeşiler, Tülay Tunçer Peker, Mustafa Kemal Bayar
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