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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Springerplus
2016 ; 5
(1
): 1909
Nephropedia Template TP
gab.com Text
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English Wikipedia
Severe ARDS caused by adenovirus: early initiation of ECMO plus continuous renal
replacement therapy
#MMPMID27867816
Ha SO
; Kim HS
; Park S
; Jung KS
; Jang SH
; Han SJ
; Kim HS
; Lee SH
Springerplus
2016[]; 5
(1
): 1909
PMID27867816
show ga
The reported survival rates of patients with acute respiratory distress syndrome
(ARDS) caused by human adenovirus (HAdV) pneumonia are poor. The results do not
differ much in immunocompetent patients supported by extracorporeal membrane
oxygenation (ECMO). We report two immunocompetent patients with severe ARDS
complicating HAdV pneumonia who were treated successfully and survived to
discharge. Compared with previous cases, our cases might have benefited from
several factors. First, the time interval between mechanical ventilator support
and ECMO implantation was shorter. Second, we implemented conservative fluid
management as recommended by the ARDS network using continuous renal replacement
therapy (CRRT). Third, we administered an antiviral agent as early as possible. A
clinical trial of early ECMO with CRRT and the administration of cidofovir in
patients with severe ARDS complicating HAdV pneumonia are needed to confirm our
results.