Case: We report a case of H1N1 influenza-associated respiratory failure with severe obesity. Outcome: A 54-year-old man was admitted to our intensive care unit (ICU) because of H1N1 influenza-associated severe respiratory failure. He was severely obese, having a body mass index of 37.2. His respiratory condition remained severe under mechanical ventilation. We started veno-venous extracorporeal membrane oxygenation immediately. Awake management was started on ICU Day 6, and the patient's respiratory physical therapy began the following day. His respiratory condition showed excellent improvement immediately following the initiation of respiratory physical therapy. The patient was successfully decannulated on ICU Day 9, and he was discharged from the ICU on Day 11. He was discharged from the hospital with no severe disability on disease Day 60. Conclusion: Awake extracorporeal membrane oxygenation management with early respiratory physical therapy can be useful in the treatment of morbidly obese patients who present with severe respiratory failure.
Case: We report a case of H1N1 influenza-associated respiratory failure with severe obesity. Outcome: A 54-year-old man was admitted to our intensive care unit (ICU) because of H1N1 influenza-associated severe respiratory failure. He was severely obese, having a body mass index of 37.2. His respiratory condition remained severe under mechanical ventilation. We started veno-venous extracorporeal membrane oxygenation immediately. Awake management was started on ICU Day 6, and the patient's respiratory physical therapy began the following day. His respiratory condition showed excellent improvement immediately following the initiation of respiratory physical therapy. The patient was successfully decannulated on ICU Day 9, and he was discharged from the ICU on Day 11. He was discharged from the hospital with no severe disability on disease Day 60. Conclusion: Awake extracorporeal membrane oxygenation management with early respiratory physical therapy can be useful in the treatment of morbidly obesepatients who present with severe respiratory failure.
Authors: Giles J Peek; Miranda Mugford; Ravindranath Tiruvoipati; Andrew Wilson; Elizabeth Allen; Mariamma M Thalanany; Clare L Hibbert; Ann Truesdale; Felicity Clemens; Nicola Cooper; Richard K Firmin; Diana Elbourne Journal: Lancet Date: 2009-09-15 Impact factor: 79.321
Authors: Thomas Weig; Silke Janitza; Michael Zoller; Michael E Dolch; Jens Miller; Lorenz Frey; Nikolaus Kneidinger; Thorsten Johnson; Mirjam I Schubert; Michael Irlbeck Journal: J Crit Care Date: 2014-02-25 Impact factor: 3.425
Authors: Alberto Zangrillo; Giuseppe Biondi-Zoccai; Giovanni Landoni; Giacomo Frati; Nicolò Patroniti; Antonio Pesenti; Federico Pappalardo Journal: Crit Care Date: 2013-02-13 Impact factor: 9.097