title: Novel observations during extracorporeal membrane oxygenation in patients with ARDS due to the H1N1 pandemic influenza.
abstract: We report four patients with novel observations during extracorporeal membrane oxygenation support (ECMO). ECMO was initiated because of severe ARDS due to the primary H1N1 pandemic influenza pneumonia. Two patients had excessive conjugated hyperbilirubinemia and two had unproportional depletion of the coagulation factor IX. Pathogenetic mechanisms and clinical relevance of the noticed phenomena are discussed.
authors.affiliation: Department of Neuroinfections and Intensive Care Medicine, University Hospital for Infectious Diseases Dr. Fran Mihaljević, Zagreb, Croatia. marko.kutlescha@gmail.com
authors.forename: Marko
authors.initials: M
authors.lastname: Kutleša
authors.forename: Marija
authors.initials: M
authors.lastname: Santini
authors.forename: Vladimir
authors.initials: V
authors.lastname: Krajinović
authors.forename: Dinko
authors.initials: D
authors.lastname: Raffanelli
authors.forename: Bruno
authors.initials: B
authors.lastname: Baršić
mesh_terms: D000328:Adult; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D066298:In Vitro Techniques; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000276:immunology* / Q000628:therapy*; D008297:Male; D058873:Pandemics / Q000517:prevention & control; D012128:Respiratory Distress Syndrome / Q000276:immunology* / Q000628:therapy*; D016896:Treatment Outcome; D055815:Young Adult