The use of high-frequency oscillatory ventilation in a patient with H1N1 pneumonia.
A 32-year-old multigravida was admitted at 33.9 weeks with respiratory distress. Community-acquired pneumonia was suspected and antimicrobial treatment initiated with ceftriaxone sodium and azithromycin. However, despite these therapies her respiratory status deteriorated. She was subsequently diagnosed with Swine-origin Influenza A (H1N1) Virus pneumonia and treated with oseltamivir. After failing conventional ventilation, high-frequency oscillatory ventilation (HFOV) was utilized. In pregnant patients who fail to respond to conventional ventilation techniques, HFOV should be considered.
Netteburg
Danae
D
Divisions of Maternal-Fetal Medicine & Critical Care Medicine, Baystate Medical Center, Springfield, MA 01199, USA.
Bsat
Fadi
F
Healy
Andrew
A
Markenson
Glenn
G
Plevyak
Michael
M
Circeo
Lori
L
D000328:Adult; D017714:Community-Acquired Infections / Q000150:complications / Q000628:therapy; D005260:Female; D006612:High-Frequency Ventilation / Q000379:methods; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000502:physiology; D007251:Influenza, Human / Q000150:complications / Q000628:therapy*; D011014:Pneumonia / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000209:etiology / Q000628:therapy*; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy