Michael P Rogers1, Erin M Schumer2, Robin Guillory3, Kandis Adkins3 and Kendra J Grubb3*
1Department of Cardiovascular and Thoracic Surgery, University of Louisville, School of Medicine, USA
2Department of Cardiovascular and Thoracic Surgery, Department of Surgery, University of Louisville, USA
3Department of Cardiovascular and Thoracic Surgery, University of Louisville School of Medicine and Kentucky, USA
The influenza virus accounts for thousands of hospitalizations and deaths annually. Advanced cases can be complicated by acute respiratory distress syndrome and even heart failure. After exhausting traditional ventilatory strategies, salvage techniques such as Extracorporeal Membrane Oxygenation (ECMO) have been successfully employed. At the University of Louisville and Kentucky One Jewish Hospital, we have developed ECMO protocols in the Cardiovascular Intensive Care Unit in an effort to salvage patients with advanced ARDS resulting from influenza. Herein, we review the literature and describe a case of a 36 year-old female who presented with influenza and required emergency initiation of ECMO. The case highlights the ECMO protocol and demonstrates a successful salvage strategy in a critically ill patient with heart failure from advanced influenza infection.
Rogers MP, Schumer EM, Guillory R, Adkins K, Grubb KJ. Extracorporeal Membrane Oxygenation: A Case for Salvage Treatment in Influenza Induced Acute Respiratory Distress Syndrome Complicated by Heart Failure. Clin Surg. 2017; 2: 1772.