Extracorporeal Membrane Oxygenation and Severe Acute Respiratory Distress Secondary to Legionella: 10 Year Experience
Legionella-associated respiratory failure has a high mortality, despite modern ventilation modalities. Extracorporeal membrane oxygenation (ECMO) is used to achieve gas exchange independent of pulmonary function in patients with severe respiratory failure. This was a retrospective review of the mana...
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| Veröffentlicht in: | ASAIO journal (1992) 2013-05, Vol.59 (3), p.328-330 |
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| container_title | ASAIO journal (1992) |
| container_volume | 59 |
| creator | Noah, Moronke A Ramachandra, Geethanjali Hickey, Margaret M Jenkins, David R Harvey, Chris J Westrope, Claire A Firmin, Richard K Peek, Giles J |
| description | Legionella-associated respiratory failure has a high mortality, despite modern ventilation modalities. Extracorporeal membrane oxygenation (ECMO) is used to achieve gas exchange independent of pulmonary function in patients with severe respiratory failure. This was a retrospective review of the management and outcome of patients with Legionella-associated respiratory failure treated with ECMO support in a large ECMO center over the past 10 years. A retrospective review of patients with confirmed Legionella-associated severe respiratory failure managed with ECMO support at a single center. Between 2000 and 2010, 19 patients with severe respiratory failure caused by Legionella were managed with ECMO after failure to respond to conventional intensive care management. Median PaO2/FiO2 ratio was 66 and median pCO2 was 60 torr. Sixteen patients (84%) survived to hospital discharge. Extracorporeal membrane oxygenation should be considered in patients with Legionella-associated respiratory failure, who have failed conventional ventilation. |
| doi_str_mv | 10.1097/MAT.0b013e31829119c6 |
| format | Article |
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Extracorporeal membrane oxygenation (ECMO) is used to achieve gas exchange independent of pulmonary function in patients with severe respiratory failure. This was a retrospective review of the management and outcome of patients with Legionella-associated respiratory failure treated with ECMO support in a large ECMO center over the past 10 years. A retrospective review of patients with confirmed Legionella-associated severe respiratory failure managed with ECMO support at a single center. Between 2000 and 2010, 19 patients with severe respiratory failure caused by Legionella were managed with ECMO after failure to respond to conventional intensive care management. Median PaO2/FiO2 ratio was 66 and median pCO2 was 60 torr. Sixteen patients (84%) survived to hospital discharge. Extracorporeal membrane oxygenation should be considered in patients with Legionella-associated respiratory failure, who have failed conventional ventilation.</description><identifier>ISSN: 1058-2916</identifier><identifier>EISSN: 1538-943X</identifier><identifier>DOI: 10.1097/MAT.0b013e31829119c6</identifier><identifier>PMID: 23644625</identifier><language>eng</language><publisher>United States: Amercian Society of Artificial Internal Organs</publisher><subject>Adult ; Extracorporeal Membrane Oxygenation - adverse effects ; Extracorporeal Membrane Oxygenation - methods ; Female ; Humans ; Legionella ; Legionellosis - complications ; Legionellosis - therapy ; Male ; Middle Aged ; Respiratory Distress Syndrome, Adult - microbiology ; Respiratory Distress Syndrome, Adult - therapy ; Respiratory Insufficiency - etiology ; Respiratory Insufficiency - therapy ; Retrospective Studies ; Survival Rate ; Treatment Outcome</subject><ispartof>ASAIO journal (1992), 2013-05, Vol.59 (3), p.328-330</ispartof><rights>2013Amercian Society of Artificial Internal Organs</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3013-72c450beb4bb5c1f1fc39275d9e875adfbe52c1d6e946af26d092575e616607f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00002480-201305000-00023$$EHTML$$P50$$Gwolterskluwer$$H</linktohtml><link.rule.ids>314,776,780,4595,27903,27904,65208</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23644625$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Noah, Moronke A</creatorcontrib><creatorcontrib>Ramachandra, Geethanjali</creatorcontrib><creatorcontrib>Hickey, Margaret M</creatorcontrib><creatorcontrib>Jenkins, David R</creatorcontrib><creatorcontrib>Harvey, Chris J</creatorcontrib><creatorcontrib>Westrope, Claire A</creatorcontrib><creatorcontrib>Firmin, Richard K</creatorcontrib><creatorcontrib>Peek, Giles J</creatorcontrib><title>Extracorporeal Membrane Oxygenation and Severe Acute Respiratory Distress Secondary to Legionella: 10 Year Experience</title><title>ASAIO journal (1992)</title><addtitle>ASAIO J</addtitle><description>Legionella-associated respiratory failure has a high mortality, despite modern ventilation modalities. Extracorporeal membrane oxygenation (ECMO) is used to achieve gas exchange independent of pulmonary function in patients with severe respiratory failure. This was a retrospective review of the management and outcome of patients with Legionella-associated respiratory failure treated with ECMO support in a large ECMO center over the past 10 years. A retrospective review of patients with confirmed Legionella-associated severe respiratory failure managed with ECMO support at a single center. Between 2000 and 2010, 19 patients with severe respiratory failure caused by Legionella were managed with ECMO after failure to respond to conventional intensive care management. Median PaO2/FiO2 ratio was 66 and median pCO2 was 60 torr. Sixteen patients (84%) survived to hospital discharge. Extracorporeal membrane oxygenation should be considered in patients with Legionella-associated respiratory failure, who have failed conventional ventilation.</description><subject>Adult</subject><subject>Extracorporeal Membrane Oxygenation - adverse effects</subject><subject>Extracorporeal Membrane Oxygenation - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Legionella</subject><subject>Legionellosis - complications</subject><subject>Legionellosis - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Respiratory Distress Syndrome, Adult - microbiology</subject><subject>Respiratory Distress Syndrome, Adult - therapy</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Respiratory Insufficiency - therapy</subject><subject>Retrospective Studies</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><issn>1058-2916</issn><issn>1538-943X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1P3DAQhq0KVGDbf1BVPnIJ9Xdibiu6LZV2hUQXiZ4sx5lA2mwcbKcs_x6v-JLwZeyZeV_PPAh9oeSEEl1-W83XJ6QmlAOnFdOUaqc-oEMqeVVowa_38p3IqsgldYCOYvxLSC5y-hEdMK6EUEweommxTcE6H0YfwPZ4BZs62AHwxfbhBgabOj9gOzT4N_yHAHjupgT4EuLYBZt8eMDfu5gCxJg7nB8am1PJ4yXcZCX0vT3FlOA_YANebEcIHQwOPqH91vYRPj_HGbr6sVifnRfLi5-_zubLwvG8WFEyJySpoRZ1LR1taeu4ZqVsNFSltE1bg2SONgq0ULZlqiGayVKCokqRsuUzdPzkOwZ_N0FMZtNFt5tqAD9FQ7nQJPPJWGZIPLW64GMM0JoxdJu8jaHE7ICbDNy8B55lX59_mOoNNK-iF8Jvvve-TxDiv366h2BuM-x0a0g-TFSkYNmXyPwqdhnOHwG9942I</recordid><startdate>201305</startdate><enddate>201305</enddate><creator>Noah, Moronke A</creator><creator>Ramachandra, Geethanjali</creator><creator>Hickey, Margaret M</creator><creator>Jenkins, David R</creator><creator>Harvey, Chris J</creator><creator>Westrope, Claire A</creator><creator>Firmin, Richard K</creator><creator>Peek, Giles J</creator><general>Amercian Society of Artificial Internal Organs</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201305</creationdate><title>Extracorporeal Membrane Oxygenation and Severe Acute Respiratory Distress Secondary to Legionella: 10 Year Experience</title><author>Noah, Moronke A ; 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| fulltext | fulltext |
| identifier | ISSN: 1058-2916 |
| ispartof | ASAIO journal (1992), 2013-05, Vol.59 (3), p.328-330 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete |
| subjects | Adult Extracorporeal Membrane Oxygenation - adverse effects Extracorporeal Membrane Oxygenation - methods Female Humans Legionella Legionellosis - complications Legionellosis - therapy Male Middle Aged Respiratory Distress Syndrome, Adult - microbiology Respiratory Distress Syndrome, Adult - therapy Respiratory Insufficiency - etiology Respiratory Insufficiency - therapy Retrospective Studies Survival Rate Treatment Outcome |
| title | Extracorporeal Membrane Oxygenation and Severe Acute Respiratory Distress Secondary to Legionella: 10 Year Experience |
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