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01000caa a22002652 4500 |
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NLM197120660 |
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DE-627 |
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20250211105207.0 |
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tu |
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231223s2010 xx ||||| 00| ||chi c |
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|a pubmed25n0657.xml
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|a (DE-627)NLM197120660
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|a (NLM)20367907
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|a DE-627
|b ger
|c DE-627
|e rakwb
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| 041 |
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|a chi
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| 100 |
1 |
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|a Duan, Da-wei
|e verfasserin
|4 aut
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| 245 |
1 |
4 |
|a The use of extracorporeal membrane oxygenation in sustaining pulmonary function patients with influenza A H1N1
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| 264 |
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1 |
|c 2010
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| 336 |
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|a Text
|b txt
|2 rdacontent
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| 337 |
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|a ohne Hilfsmittel zu benutzen
|b n
|2 rdamedia
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| 338 |
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|a Band
|b nc
|2 rdacarrier
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| 500 |
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|a Date Completed 07.12.2010
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| 500 |
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|a Date Revised 06.04.2010
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| 500 |
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|a published: Print
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|a Citation Status MEDLINE
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| 520 |
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|a OBJECTIVE: To summarize the clinical method and initial experience of extracorporeal membrane oxygenation (ECMO) supportive treatment in influenza A H1N1 serious patients
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| 520 |
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|a METHODS: In 5 critically ill patients with influenza A H1N1, their arterial oxygen saturation was 0.70 to 0.85 with oxygen concentration (FiO(2)) 1.00 under mechanical ventilation. In these 5 patients, 3 males and 2 females, vein-vein mode ECMO bypass (femoral vein-internal jugular vein) was carried out to assist pulmonary function. The ratio between ECMO oxygen flow and blood flow was 2-1:1, FiO(2) was 0.21 to 1.00, FiO(2) for mechanical ventilation was 0.30 to 0.70, and positive end expiratory pressure (PEEP) was 5-10 cm H(2)O (1 cm H(2)O= 0.098 kPa). Activated coagulation time (ACT) was maintained at 160-250 s. When artery oxygen saturation and artery-venous blood gas became normal on discontinuation of ECMO, ECMO was weaned, and venous cannulas were removed. Mechanical ventilation was continued
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| 520 |
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|a RESULTS: In 5 patients the assisting time of ECMO was 48-330 hours, the mean duration was 178.2 hours. ECMO assisted flow was 2.4-4.0 L/min. The observation time after stoppage of ECMO was 4-24 hours. Four patients were weaned from ECMO, with continuation of assisted respiration successfully. One patient died because the family member gave up hope and the treatment was stopped
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| 520 |
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|a CONCLUSION: Vein-vein mode ECMO bypass through femoral vein-internal jugular vein can offer effective aid to pulmonary function in influenza A H1N1 patients who are critically ill. The strategy can win time for the patients to be able to continue mechanical ventilation treatment
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| 650 |
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|a English Abstract
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| 650 |
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4 |
|a Journal Article
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| 700 |
1 |
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|a Li, Tong
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Qin, Ying-zhi
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Xu, Lei
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Zhao, Cheng-xiu
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Hu, Xiao-min
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Wu, Peng
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Zhang, Qiang
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Lang, Yu-heng
|e verfasserin
|4 aut
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| 773 |
0 |
8 |
|i Enthalten in
|t Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
|d 1998
|g 22(2010), 3 vom: 06. März, Seite 161-3
|w (DE-627)NLM098227793
|x 1003-0603
|7 nnns
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| 773 |
1 |
8 |
|g volume:22
|g year:2010
|g number:3
|g day:06
|g month:03
|g pages:161-3
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| 912 |
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| 912 |
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|a GBV_ILN_350
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| 951 |
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|a AR
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| 952 |
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|d 22
|j 2010
|e 3
|b 06
|c 03
|h 161-3
|