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Anyone likely to be involved in ventilating swine flu patients?

  • 10-07-2009 1:46pm
    #1
    tallaght01
    Closed Accounts Posts: 5,778 ✭✭✭


    Been a lot of reports of patients ventilated with this.

    They've been very difficult to adequately ventilate. The features I've been hearing about are:

    Resistence to high PEEP.

    Very high respiratory drive.

    Requirement for massive sedation.

    Very high levels of secondary pneumonia once they've been ventilated for longer than 2 weeks, which is not that unusual.

    Primary pathology has been a viral pneumonitis, with secondary MOF.

    Big numbers of young people being affected. Kids tend to go to the ward, then end up in ICU. Adults have been crashing in A+E and ending up straight in ICU.


    Lots of worried ICU docs out there. This is just snippets I've been picking up from ICU colleagues, and from letters to the journals.

    Hope everyone knows what all those little knobs on the ventilators do!


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