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Acute Respiratory Distress Syndrome (ARDS) from Endemic Influenza A/H1N1: Prehospital Management.

Salihefendic N, Zildzic M, Ahmetagic S - Med Arch (2015)

Bottom Line: This measure can reduce high mortality in patients who develop ARDS.It is important to improve diagnostic criteria for a precise definition of ARDS and transfer it in practice of emergency and family medicine, microbiology, intensive care units, hospital departments of infectious and respiratory diseases.In this article we underlined the key elements of the new definition of ARDS, diagnostic criteria and the importance of early diagnosis in prehospital period following clinical feature and course (a presence of severe dyspnea) by adding chest x-ray and laboratory investigations.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency medicine, Faculty of medicine, University Tuzla Bosnia and Herzegovina.

ABSTRACT
Acute respiratory distress syndrome (ARDS) is a form of acute life threatening respiratory failure. In daily practice there is difficulty in diagnostic and therapeutic management of Acute respiratory distress syndrome (ARDS). We observed delay in diagnostic and therapeutic procedures in patients with clinical signs for the presence of severe respiratory disorders. Finding timely evidence of the presence the clinical signs of threatening ARDS and underlying diseases like influenza A/H1N1 during prehospital period in early stage of disease it is possible introduce early adequate treatment: high flow oxygen, fluid replacement and pharmacological and antiviral therapy. This measure can reduce high mortality in patients who develop ARDS. It is important to improve diagnostic criteria for a precise definition of ARDS and transfer it in practice of emergency and family medicine, microbiology, intensive care units, hospital departments of infectious and respiratory diseases. In this article we underlined the key elements of the new definition of ARDS, diagnostic criteria and the importance of early diagnosis in prehospital period following clinical feature and course (a presence of severe dyspnea) by adding chest x-ray and laboratory investigations.

No MeSH data available.


Related in: MedlinePlus

chest X-ray third day of disease
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Figure 2: chest X-ray third day of disease

Mentions: We have observed two patients with influenza infection A/H1N1) with early development of ARDS. 58-year-old man was treated in Health center Gracanica family medicine setting because of cough, dyspnea, wheezing, fever, chills, sore throat and other respiratory symptoms. General condition and respiratory symptoms have worsened in next three days in spite of symptomatic and antibiotics therapy. Laboratory evaluation shows Erythrocyte sedimentation rate, CR, AST, ALT, LDH have been elevated. Chest X-ray revealed bilateral opacities and infiltrates (Figure 1 and 2).


Acute Respiratory Distress Syndrome (ARDS) from Endemic Influenza A/H1N1: Prehospital Management.

Salihefendic N, Zildzic M, Ahmetagic S - Med Arch (2015)

chest X-ray third day of disease
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4384846&req=5

Figure 2: chest X-ray third day of disease
Mentions: We have observed two patients with influenza infection A/H1N1) with early development of ARDS. 58-year-old man was treated in Health center Gracanica family medicine setting because of cough, dyspnea, wheezing, fever, chills, sore throat and other respiratory symptoms. General condition and respiratory symptoms have worsened in next three days in spite of symptomatic and antibiotics therapy. Laboratory evaluation shows Erythrocyte sedimentation rate, CR, AST, ALT, LDH have been elevated. Chest X-ray revealed bilateral opacities and infiltrates (Figure 1 and 2).

Bottom Line: This measure can reduce high mortality in patients who develop ARDS.It is important to improve diagnostic criteria for a precise definition of ARDS and transfer it in practice of emergency and family medicine, microbiology, intensive care units, hospital departments of infectious and respiratory diseases.In this article we underlined the key elements of the new definition of ARDS, diagnostic criteria and the importance of early diagnosis in prehospital period following clinical feature and course (a presence of severe dyspnea) by adding chest x-ray and laboratory investigations.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency medicine, Faculty of medicine, University Tuzla Bosnia and Herzegovina.

ABSTRACT
Acute respiratory distress syndrome (ARDS) is a form of acute life threatening respiratory failure. In daily practice there is difficulty in diagnostic and therapeutic management of Acute respiratory distress syndrome (ARDS). We observed delay in diagnostic and therapeutic procedures in patients with clinical signs for the presence of severe respiratory disorders. Finding timely evidence of the presence the clinical signs of threatening ARDS and underlying diseases like influenza A/H1N1 during prehospital period in early stage of disease it is possible introduce early adequate treatment: high flow oxygen, fluid replacement and pharmacological and antiviral therapy. This measure can reduce high mortality in patients who develop ARDS. It is important to improve diagnostic criteria for a precise definition of ARDS and transfer it in practice of emergency and family medicine, microbiology, intensive care units, hospital departments of infectious and respiratory diseases. In this article we underlined the key elements of the new definition of ARDS, diagnostic criteria and the importance of early diagnosis in prehospital period following clinical feature and course (a presence of severe dyspnea) by adding chest x-ray and laboratory investigations.

No MeSH data available.


Related in: MedlinePlus