Influenza and Pregnancy: known high incidence of morbidity and mortality in mother and foetus in H1N1 infection and severe community acquired pneumonia; multidisciplinary team approach: O&G, NICU, anaesthetics, ICU; planned delivery of foetus (although the teams may have conflicting interests)
Goals: resuscitation severity and stability of disease assessment of possible differentials including cardiac disease, influenzae, pertussis stabilisation and possible transfer to neonatal/SCBU if required
OVERVIEWPatient-Ventilator Dyssynchrony occurs when the patient’s demands are not met by the ventilator, resulting from problems with: timing of inspiration adequate inspiratory flow for demand timing of the switch to expiration duration of inspiration VENTILATION STRATEGIES Total Ventilator-controlled Mechanical Support:…
Biopsy should be taken from a representative area, not one with a high likelihood of non-specific fibrosis (eg. dependent segments of RML)
Biopsy should not be performed too late in disease process
Risks versus utility of information gathered must be weighed carefully
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