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J Transl Int Med. 2017 Sep 30;5(3):182-185. doi: 10.1515/jtim-2017-0018. eCollection 2017 Sep.

H1N1 Influenza Induced Acute Respiratory Distress Syndrome Rescued by Extracorporeal Membrane Oxygenation: a Case Report.

Author information

1
Respiratory Intensive Care, Max Super Speciality Hospital Saket, New Delhi, India.
2
Department of Medicine & TB, Chest Clinic Moti Nagar, North Delhi Municipal Corporation, New Delhi, India.
3
Infection Control Unit, Max Super Specialty Hospital, Saket, New Delhi, India.

Abstract

Extracorporeal Membrane Oxygenation (ECMO) is now a recognized revolutionary technology, which has emerged as a life-saving therapeutic option for patients with potentially reversible severe respiratory failure who fail to respond positively with the conventional ventilation therapy. Severe acute respiratory distress syndrome (ARDS) is associated with high morbidity and mortality, and ECMO has been proven to increase the survival rates in these patients by improving the gas exchange and thus preventing the further hypoxia and catecholamine induced multi-organ damage. The authors present a case of H1N1 influenza related severe ARDS who was successfully rescued by the early use of ECMO. The authors recommend the early use of ECMO to be incorporated in the management of severe refractory ARDS caused due to a potentially reversible cause.

KEYWORDS:

H1N1 influenza; acute respiratory distress syndrome; extracorporeal membrane oxygenation; hypoxia; swine flu

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