Long term extracorporeal membrane oxygenation therapy for H1N1 influenza related acute respiratory distress syndrome and several complications

Behiye Deniz Kosovalı; Fatma İrem Yeşiler; Tülay Tunçer Peker; Mustafa Kemal Bayar

doi:10.28982/josam.420716

Authors

Behiye Deniz Kosovalı
Fatma İrem Yeşiler
Tülay Tunçer Peker
Mustafa Kemal Bayar

DOI:

https://doi.org/10.28982/josam.420716

Keywords:

Acute respiratory distress syndrome, Respiratory failure, Intensive care unit, Extracorporal membrane oxygenator

Abstract

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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References

Jain S, Kamimoto L, Bramley AM, Schmitz AM, Benoit SR, Louie J, et al. Pandemic Influenza A (H1N1) Virus Hospitalizations Investigation Team. Hospitalized patients with 2009 H1N1 influenza in the United States, April-June 2009. N Engl J Med. 2009;361(20):1935–44.

Jaber S, Conseil M, Coisel Y, Jung B, Chanques G. ARDS and influenza A (H1N1): patients’ characteristics and management in intensive care unit. Ann Fr Anesth Reanim. 2010;29(2):117–25.

Hill JD, O'Brien TG, Murray JJ, et al. Prolonged extracorporeal oxygenation for acute post-traumatic respiratory failure (shock-lung syndrome). Use of the Bramson membrane lung. N Engl J Med. 1972;286:629-34.

Peek GJ, Clemens F, Elbourne D, Firmin R, Hardy P, Hibbert C, et al. CESAR: conventional ventilatory support vs extracorporeal membrane oxygenation for severe adult respiratory failure. BMC Health Services Resarch. 2006;6:163.

ARDS Definition Task Force. Acute respiratory distress syndrome: the Berlin Definitio. JAMA. 2012 Jun 20;307(23):2526-33.

Extracorporeal Life Support Organization: ELSO Guidelines for Cardiopulmonary Extracorporeal Life Support. Version 1.1. Ann Arbor, MI, April 2009.

Zwischenberger JB, Bartlett RH. Management of blood flow and gas exchange during ECLS, in ECMO Extracorporeal Cardiopulmonary Support in Critical Care. 4th ed. Ann Arbor, MI: ELSO, 2012;149–56.

Makdisi G, Wang I. Extra corporeal membrane oxygenation (ECMO) review of a lifesaving technology. J Thorac Dis. 2015;7(7):E166-E76.

Huh JW. Update on the extracorporeal life support. Tuberc Respir Dis. 2015;78:149-55.

Lucchini A, De Felippis C, Elli S, Gariboldi R, Vimercati S, Tundo P, et al. Mobile ECMO team for inter-hospital transportation of patients with ARDS: a retrospective case series. Heart Lung and Vessels. 2014;6(4):262-73.

Guervilly C, Hraiech S, Gariboldi V, et al. Prone during veno-venous extracorporeal membrane oxygenation for severe acute respiratory distress syndrome in adults. Minerve Anestesiol. 2014;80:307-12.

Herman G, Jonghe B, Brunyninckx F, Van den Berghe G. Clinical review: Critical illness polyneuropathy and myopathy. Critical Care. 2008;12:238.

Zebuhr C, Sinha A, Skilman H, Buckvold S. Active rehabilitation in pediatric extracorporeal membrane oxygenation patient. PMR. 2014;6;456-60.