Innovative Management of Refractory Hypoxemia in Severe H1N1 Acute Respiratory Distress Syndrome Using Dual Oxygenator and FloTrac-guided Extracorporeal Membrane Oxygenation Flow Modulation: A Case Report
Year: 2025
Type: article
Study design: Case Report
Abstract: We report a complex case of H1N1-induced severe acute respiratory distress syndrome (ARDS) in a 58-year-old male complicated by viral myocarditis, multiorgan failure, and refractory hypoxemia despite standard venovenous extracorporeal membrane oxygenation (VV ECMO) support.A novel approach employing dual oxygenators and FloTrac-guided ECMO flow modulation successfully managed persistent hypoxemia.Immunomodulation with tocilizumab addressed the cytokine storm effectively.This case highlights personalized ECMO management, multiorgan supportive strategies, and dedicated multidisciplinary teamwork.
Source: Indian Journal of ECMO
Authors: Nityanand R Patil, Monisha Gopal
Language: English
Subfield: Biomedical Engineering
Field: Engineering
Domain: Physical Sciences
Open Access status: bronze
OpenAlex ID: W4417458897