• Int J Artif Organs · Jul 2016

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

    • Nina Buchtele, Peter Schellongowski, Andja Bojic, Alexander Hermann, Oliver Robak, Wolfgang Lamm, and Thomas Staudinger.
    • Department of Internal Medicine I - Intensive Care Unit 13i2, Medical University of Vienna, Vienna - Austria.
    • Int J Artif Organs. 2016 Jul 4; 39 (5): 249-52.

    IntroductionData 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 ReportWe 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.ConclusionsOur 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.

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