About: Ventilatory and ECMO treatment of H1N1-induced severe respiratory failure: results of an Italian referral ECMO center

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About: Ventilatory and ECMO treatment of H1N1-induced severe respiratory failure: results of an Italian referral ECMO center Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Ventilatory and ECMO treatment of H1N1-induced severe respiratory failure: results of an Italian referral ECMO center
Creator	Azzi, Alberta Cianchi, Giovanni Peris, Adriano Batacchi, Stefano Biondi, Simona Bonizzoli, Manuela Ciapetti, Marco Lazzeri, Chiara Abbate, Rosanna Bernardo, Pasquale Bonacchi, Massimo Gensini, Gianfranco Giovannini, Valtere Pasquini, Andrea Sani, Guido Zagli, Giovanni
source	PMC
abstract	BACKGROUND: Since the first outbreak of a respiratory illness caused by H1N1 virus in Mexico, several reports have described the need of intensive care or extracorporeal membrane oxygenation (ECMO) assistance in young and often healthy patients. Here we describe our experience in H1N1-induced ARDS using both ventilation strategy and ECMO assistance. METHODS: Following Italian Ministry of Health instructions, an Emergency Service was established at the Careggi Teaching Hospital (Florence, Italy) for the novel pandemic influenza. From Sept 09 to Jan 10, all patients admitted to our Intensive Care Unit (ICU) of the Emergency Department with ARDS due to H1N1 infection were studied. All ECMO treatments were veno-venous. H1N1 infection was confirmed by PCR assayed on pharyngeal swab, subglottic aspiration and bronchoalveolar lavage. Lung pathology was evaluated daily by lung ultrasound (LUS) examination. RESULTS: A total of 12 patients were studied: 7 underwent ECMO treatment, and 5 responded to protective mechanical ventilation. Two patients had co-infection by Legionella Pneumophila. One woman was pregnant. In our series, PCR from bronchoalveolar lavage had a 100% sensitivity compared to 75% from pharyngeal swab samples. The routine use of LUS limited the number of chest X-ray examinations and decreased transportation to radiology for CT-scan, increasing patient safety and avoiding the transitory disconnection from ventilator. No major complications occurred during ECMO treatments. In three cases, bleeding from vascular access sites due to heparin infusion required blood transfusions. Overall mortality rate was 8.3%. CONCLUSIONS: In our experience, early ECMO assistance resulted safe and feasible, considering the life threatening condition, in H1N1-induced ARDS. Lung ultrasound is an effective mean for daily assessment of ARDS patients.
has issue date	2011-01-11(xsd:dateTime)
bibo:doi	10.1186/1471-2466-11-2
bibo:pmid	21223541
has license	cc-by
sha1sum (hex)	24ed8576ee1d7a6b01e2a5814d0df146e32d8fde
schema:url	https://doi.org/10.1186/1471-2466-11-2
resource representing a document's title	Ventilatory and ECMO treatment of H1N1-induced severe respiratory failure: results of an Italian referral ECMO center
has PubMed Central identifier	PMC3022902
has PubMed identifier	21223541
schema:publication	BMC Pulm Med
resource representing a document's body	covid:24ed8576ee1d7a6b01e2a5814d0df146e32d8fde#body_text
is schema:about of	named entity 'membrane oxygenation' named entity 'pandemic' named entity 'strategy' named entity 'pharyngeal' named entity 'confirmed' named entity 'bronchoalveolar lavage' named entity 'ultrasound' named entity 'lung' named entity 'Emergency Department' named entity 'ARDS' named entity 'referral' named entity 'PANDEMIC' named entity 'VIRUS' named entity 'TREATMENTS' named entity 'H1N1' named entity 'DAILY' named entity 'Italy' named entity 'Methods' named entity 'Since' named entity 'influenza' named entity 'ECMO' named entity 'severe' named entity 'ARDS' named entity 'ICU' named entity 'ECMO' named entity 'Ministry' named entity 'H1N1' named entity 'hypoxemia' named entity 'infection' named entity 'H1N1' named entity 'lung' named entity 'ventilator' named entity 'H1N1' named entity 'ICU' named entity 'interquartile range' named entity 'H1N1 infection' named entity 'ECMO' named entity 'radiology' named entity 'platelet count' named entity 'ICU' named entity 'H1N1' named entity 'blood cultures' named entity 'superinfection' named entity 'ICUs' named entity 'bronchoalveolar lavage' named entity 'study population' named entity 'pneumonia' named entity 'pre-hospital' named entity '3.5' named entity 'lung' named entity 'hypoxia' named entity 'zanamivir' named entity 'lung parenchyma' named entity 'inflection point' named entity 'ECMO' named entity 'ECMO' named entity 'chest tube' named entity 'infection' named entity 'leucocytes' named entity 'respiratory failure' named entity 'heparin' named entity 'extracorporeal' named entity 'intubated' named entity 'respiratory function' named entity 'Careggi' named entity 'comorbidities'

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