H1N1- ARDS- & ECMO (Current Literature)

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Editors Note:

A big thank you to Marianne Veir Pilger, CCP, and her colleague John @ Meriter Hospital in Madison, Wisconsin for helping out so quickly and hooking us up with the below listed articles on ECMO management for ARDS and H1N1.

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This is something we are all facing- so I hope it helps.

MVP

Again- THANKS SO MUCH MVP!

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ARDS

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A high survival rate can be achieved in patients with severe acute respiratory distress syndrome (ARDS) using extracorporeal membrane oxygenation (ECMO). The technique and the costs are, however, debated and follow-up studies in survivors are few. The aim of this study was to evaluate long-term pulmonary health after ECMO and severe ARDS.

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ELSO

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These guidelines were developed anticipating an epidemic of H1N1 flu in the US in 2009-10. Some of the details are specific for the US. Overall ECMO management is described in the general and age specific guidelines. Use those guidelines for managing ECMO patients.. Only items unique to H1N1 infection are listed here.

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JAMA

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The novel influenza A(H1N1) pandemic affected Australia and New Zealand during the 2009 southern hemisphere winter. It caused an epidemic of critical illness and some patients developed severe acute respiratory distress syndrome (ARDS) and were treated with extracorporeal membrane oxygenation (ECMO).

Objectives To describe the characteristics of all patients with 2009 influenza A(H1N1)– associated ARDS treated with ECMO and to report incidence, resource utilization, and patient outcomes.

ANZ ECMO

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Lancet

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Severe acute respiratory failure in adults causes high mortality despite improvements in ventilation techniques and other treatments (eg, steroids, prone positioning, bronchoscopy, and inhaled nitric oxide). We aimed to delineate the safety, clinical effi cacy, and cost-eff ectiveness of extracorporeal membrane oxygenation (ECMO) compared with conventional ventilation support.

Lancet2

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Review

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A systematic review to inform institutional decisions about the use
of extracorporeal membrane oxygenation during the H1N1
influenza pandemic*

Review2

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