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Extracorporeal membrane oxygenation in spina bifida and (H1N1)-induced acute respiratory distress syndrome

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  • Extracorporeal membrane oxygenation in spina bifida and (H1N1)-induced acute respiratory distress syndrome

    J Artif Organs. 2017 Sep 13. doi: 10.1007/s10047-017-0992-3. [Epub ahead of print]
    Extracorporeal membrane oxygenation in spina bifida and (H1N1)-induced acute respiratory distress syndrome.

    Jansen O1, Kamp O2, Waydhas C2,3, Rausch V2, Schildhauer TA2, Strauch J4, Buchwald D4, Hamsen U2.
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    Abstract

    Acute respiratory distress syndrome (ARDS) is characterized as an acute hypoxemic and/or hypercapnic respiratory failure seen in critically ill patients and is still, although decreased over the past few years, associated with high mortality. Furthermore, ARDS may be a life-threatening complication of H1N1 pneumonia. We report on a 45-year-old spina bifida patient with confirmed H1N1 influenza virus infection causing acute respiratory failure, who was successfully weaned from 42-day veno-venous extracorporeal membrane oxygenation (vv-ECMO) treatment with an excellent outcome. Due to the physical constitution of spina bifida patients, we experienced challenges concerning cannula positioning and mechanical ventilation settings during weaning.


    KEYWORDS:

    Acute respiratory distress syndrome; Extracorporeal membrane oxygenation; H1N1; Spina bifida; Spinal cord injury

    PMID: 28905112 DOI: 10.1007/s10047-017-0992-3
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