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Editorials: POINT/COUNTERPOINT EDITORIALS |

Point: Efficacy of Extracorporeal Membrane Oxygenation in 2009 Influenza A(H1N1): Sufficient Evidence?

Pauline K. Park, MD; Heidi J. Dalton, MD; Robert H. Bartlett, MD, FCCP; for the ANZ-ECMO Investigators
Author and Funding Information

From the University of Michigan Health System (Drs Park and Bartlett), and the Phoenix Children’s Hospital (Dr Dalton).

Correspondence to: Pauline K. Park, MD, Surgery, 1C340B-UH/SPC 5033, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5033; e-mail: parkpk@umich.edu


Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr Bartlett is part owner of Michigan Critical Care Consultants, Inc, serves as a consultant for Cytosorbents, Inc, and has in the past served as a consultant to many granting agencies and companies that manufacture life support drugs or devices. Drs Park and Dalton have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;138(4):776-778. doi:10.1378/chest.10-1791
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Extract

Over the past year, a disproportionate number of previously healthy young adults with 2009 influenza A(H1N1) [A(H1N1)] infection developed severe, acute respiratory failure requiring intensive care. Case series from around the world reported significant hypoxemia associated with hypotension and multisystem failure.1-7 The use of rescue measures was common in these critically ill patients and early reports noted favorable outcomes with the use of extracorporeal membrane oxygenation (ECMO).2,5 We examine the question of whether current evidence is sufficient to support the use of ECMO in the care of the most critically ill patients with A(H1N1).

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