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.
Department of Pediatrics, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan. hisashi@tokyo-med.ac.jp
Hisashi
H
Kawashima
Souken
S
Go
Shonosuke
S
Nara
Taro
T
Miura
Masataka
M
Ushio
Atsushi
A
Miyahara
Yasuyo
Y
Kashiwagi
Akinori
A
Hoshika
Kazuto
K
Miyata
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