Lung protective strategy and prone ventilation resulting in successful outcome in a patient with ARDS due to H1N1.
Acute respiratory distress syndrome (ARDS) is an acute respiratory condition caused by various pulmonary and extrapulmonary conditions including H1N1 virus infection. ARDS has a high mortality worldwide and in India various studies suggest that mortality in children is as high as 73-75%. Different lung protective ventilation strategies have recently been adopted to reduce mortality. The authors report a successful outcome in a 3.5-year-old child with ARDS secondary to H1N1 infection following use of a very low tidal volume (4-6 ml/kg) along with high positive end-expiratory pressure breathing and prone ventilation. As far as we are aware, this is the first case report of a successful outcome in a child with ARDS secondary to H1N1 in India.
Department of Pediatrics, People's College of Medical Science and Research Centre, Bhanpur, Bhopal, Madhya Pradesh, India. dipankarshruti@gmail.com
Dipankar
D
Sarkar
Shruti
S
Sarkar
Shweta
S
Anand
Anju
A
Kapoor
D002675:Child, Preschool; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000150:complications*; D008297:Male; D011175:Positive-Pressure Respiration / Q000379:methods; D016684:Prone Position; D012128:Respiratory Distress Syndrome / Q000628:therapy* / Q000821:virology*