Extreme efficiency of airway pressure release ventilation (APRV) in a patient suffering from acute lung injury with pandemic influenza A (H1N1) 2009 and high cytokines.
The authors report a Japanese boy with severe pandemic influenza A(H1N1) 2009-associated pneumonia and deteriorating oxygenation. He dramatically recovered after the use of Airway Pressure Release Ventilation (APRV) mode. There was no improvement by using any conventional ventilation, however, APRV immediately led to an improvement of his clinical symptoms and laboratory findings.
Kawashima
Hisashi
H
Department of Pediatrics, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan. hisashi@tokyo-med.ac.jp
Go
Souken
S
Nara
Shonosuke
S
Miura
Taro
T
Ushio
Masataka
M
Miyahara
Atsushi
A
Kashiwagi
Yasuyo
Y
Hoshika
Akinori
A
Miyata
Kazuto
K
D055371:Acute Lung Injury / Q000628:therapy* / Q000821:virology; D002648:Child; D045422:Continuous Positive Airway Pressure; D016207:Cytokines / Q000032:analysis* / Q000097:blood; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000097:blood / Q000175:diagnosis / Q000628:therapy*; D008297:Male
D016207:Cytokines