About: The Italian ECMO network experience during the 2009 influenza A(H1N1) pandemic: preparation for severe respiratory emergency outbreaks

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About: The Italian ECMO network experience during the 2009 influenza A(H1N1) pandemic: preparation for severe respiratory emergency outbreaks Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	The Italian ECMO network experience during the 2009 influenza A(H1N1) pandemic: preparation for severe respiratory emergency outbreaks
Creator	Pesenti, Antonio Braschi, Antonio Iotti, Giorgio Antonelli, Massimo Zangrillo, Alberto »more»
source	Medline; PMC
abstract	PURPOSE: In view of the expected 2009 influenza A(H1N1) pandemic, the Italian Health Authorities set up a national referral network of selected intensive care units (ICU) able to provide advanced respiratory care up to extracorporeal membrane oxygenation (ECMO) for patients with acute respiratory distress syndrome (ARDS). We describe the organization and results of the network, known as ECMOnet. METHODS: The network consisted of 14 ICUs with ECMO capability and a national call center. The network was set up to centralize all severe patients to the ECMOnet centers assuring safe transfer. An ad hoc committee defined criteria for both patient transfer and ECMO institutions. RESULTS: Between August 2009 and March 2010, 153 critically ill patients (53% referred from other hospitals) were admitted to the ECMOnet ICU with suspected H1N1. Sixty patients (48 of the referred patients, 49 with confirmed H1N1 diagnosis) received ECMO according to ECMOnet criteria. All referred patients were successfully transferred to the ECMOnet centers; 28 were transferred while on ECMO. Survival to hospital discharge in patients receiving ECMO was 68%. Survival of patients receiving ECMO within 7 days from the onset of mechanical ventilation was 77%. The length of mechanical ventilation prior to ECMO was an independent predictor of mortality. CONCLUSIONS: A network organization based on preemptive patient centralization allowed a high survival rate and provided effective and safe referral of patients with severe H1N1-suspected ARDS. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00134-011-2301-6) contains supplementary material, which is available to authorized users.
has issue date	2011-07-06(xsd:dateTime)
bibo:doi	10.1007/s00134-011-2301-6
bibo:pmid	21732167
has license	no-cc
sha1sum (hex)	e3f0171545d8875d2063f7b152ed66b052924964
schema:url	https://doi.org/10.1007/s00134-011-2301-6
resource representing a document's title	The Italian ECMO network experience during the 2009 influenza A(H1N1) pandemic: preparation for severe respiratory emergency outbreaks
has PubMed Central identifier	PMC7080128
has PubMed identifier	21732167
schema:publication	Intensive Care Med
resource representing a document's body	covid:e3f0171545d8875d2063f7b152ed66b052924964#body_text
is schema:about of	named entity 'INFLUENZA A' named entity 'EMERGENCY' named entity 'H1N1' named entity 'RESPIRATORY' named entity 'ECMO' »more»

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