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Successful weaning from 65-day extracorporeal membrane oxygenation therapy in influenza-associated acute respiratory distress syndrome

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  • Successful weaning from 65-day extracorporeal membrane oxygenation therapy in influenza-associated acute respiratory distress syndrome

    Int J Artif Organs. 2016 Jun 23:0. doi: 10.5301/ijao.5000501. [Epub ahead of print]
    Successful weaning from 65-day extracorporeal membrane oxygenation therapy in influenza-associated acute respiratory distress syndrome.

    Buchtele N1, Schellongowski P1, Bojic A1, Hermann A1, Robak O1, Lamm W1, Staudinger T1.
    Author information

    Abstract

    INTRODUCTION:

    Data on prolonged extracorporeal membrane oxygenation (ECMO) usage in influenza associated acute respiratory distress syndrome (ARDS) are lacking. Furthermore, no consensus exists on when to terminate ECMO treatment in refractory cases. This report highlights additional treatment measures and complications in prolonged ECMO therapy and discusses associated ethical burdens.
    CASE REPORT:

    We report on a 64-year-old man with confirmed H1N1 influenza virus infection who was successfully weaned from 65-day ECMO treatment with an excellent outcome.
    CONCLUSIONS:

    Our experience suggests that prolonged ECMO therapy may be provided as long as only 1-organ failure exists and no lung fibrosis occurs. Active physical therapy, facilitated by ECMO treatment, is crucial and should be performed as early as possible.


    PMID: 27338282 DOI: 10.5301/ijao.5000501
    [PubMed - as supplied by publisher]
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