Abstract
After 12 h of ineffective conventional ventilation, the patient was put on ECMO. Because of the suspicion of a possible viral infection, especially with an influenza virus, oseltamivir was administered. The results confirmed the presence of the RNA of the AH1N1 virus and the DNA of Streptococcus pneumoniae. Because the primary cause of respiratory insufficiency was pneumonia, a veno-venous ECMO was applied with the use of the paediatric oxygenator QVAROX-ID and the rotational pump BIOPOMPA RotaFlow (Maquet, Sweden). In February 2014, a nine year old girl (20 kg body weight, 125 cm height) with rare skeletal congenital disorders (epi-metaphyseal dysplasia) was treated due to an infection of upper and then lower respiratory airway, first at home (three days) and then in a district hospital (two days) without any positive effect. Because of the increasing symptoms of respiratory failure, the girl was shifted to the PICU at the University Hospital in Wroclaw.
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Details
1 Department of Paediatric Anaesthesiology & Intensive Care, Wroclaw Medical University, Wroclaw
2 Department of Paediatric Anaesthesiology & Intensive Therapy, Poznan University of Medical Sciences, Poznañ
3 Department of Paediatric Anaesthesiology & Intensive Therapy, University Hospital in Wroclaw, Wroclaw