Laidback Al
Well-known member
CBN Report
The Evidence for ECMO Use in Severe Influenza
By Amesh A. Adalja, MD, June 11, 2010
When conventional mechanical ventilation of a patient suffering from respiratory failure cannot maintain adequate oxygenation, several advanced rescue measures can be employed, among them, extra-corporeal membrane oxygenation (ECMO). In the past year, use of venous-venous (VV) ECMO (ie, a heart lung machine) has been prominently featured in a journal article published in the Journal of the American Medical Association and proffered as a possible rescue therapy for those with severe lung injury from H1N1 influenza.<sup>1</sup> A recent issue of Critical Care Medicine includes an article by researchers from the University of Pennsylvania, who conducted a systematic review of the effect of ECMO on the survival of adult patients with acute respiratory failure secondary to infection with H1N1 influenza virus.<sup>2</sup>
. . .
Based on the dearth of clinical evidence supporting the use of ECMO in influenza patients, the authors do not endorse a general recommendation for ECMO use in these patients. However, they do suggest that ECMO may be indicated after all other rescue therapies have been exhausted.
. . .
full article at: http://www.upmc-cbn.org/report_archive/2010/06Jun_2010/cbnreport_06112010.html
credits HenryN
The Evidence for ECMO Use in Severe Influenza
By Amesh A. Adalja, MD, June 11, 2010
When conventional mechanical ventilation of a patient suffering from respiratory failure cannot maintain adequate oxygenation, several advanced rescue measures can be employed, among them, extra-corporeal membrane oxygenation (ECMO). In the past year, use of venous-venous (VV) ECMO (ie, a heart lung machine) has been prominently featured in a journal article published in the Journal of the American Medical Association and proffered as a possible rescue therapy for those with severe lung injury from H1N1 influenza.<sup>1</sup> A recent issue of Critical Care Medicine includes an article by researchers from the University of Pennsylvania, who conducted a systematic review of the effect of ECMO on the survival of adult patients with acute respiratory failure secondary to infection with H1N1 influenza virus.<sup>2</sup>
. . .
Based on the dearth of clinical evidence supporting the use of ECMO in influenza patients, the authors do not endorse a general recommendation for ECMO use in these patients. However, they do suggest that ECMO may be indicated after all other rescue therapies have been exhausted.
. . .
full article at: http://www.upmc-cbn.org/report_archive/2010/06Jun_2010/cbnreport_06112010.html
credits HenryN