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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: 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.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 thirth day of disease-ARDS. Bilateral lung infiltrates Influenza A/H1N1
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Figure 5: Chest X-ray thirth day of disease-ARDS. Bilateral lung infiltrates Influenza A/H1N1

Mentions: The second patient was 52 year-old women who was treated in the same institution: Health care center Gracanica. Before present troubles she was in healthy condition. Disease started with the same clinical signs: fiver, cough, fatigue and dyspnea. Laboratory investigation revealed elevated CRP, SE rate, liver functional tests. Chest x-ray examination revealed very small diffuse opacities (Figure 4). During next two days respiratory symptoms suddenly worsened with signs of progressive hypoxia. Repeated chest X-ray showed diffuse bilateral infiltration (Figure 5). Patient was admitted in hospital intensive care unit. A diagnostic test for influenza A/H1N1 performed immediately. Molecular methods test (RT PCR) was positive. Specific treatment for ARDS started but patient had serious complication with multiple organ failure and died.


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

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

Chest X-ray thirth day of disease-ARDS. Bilateral lung infiltrates Influenza A/H1N1
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: Chest X-ray thirth day of disease-ARDS. Bilateral lung infiltrates Influenza A/H1N1
Mentions: The second patient was 52 year-old women who was treated in the same institution: Health care center Gracanica. Before present troubles she was in healthy condition. Disease started with the same clinical signs: fiver, cough, fatigue and dyspnea. Laboratory investigation revealed elevated CRP, SE rate, liver functional tests. Chest x-ray examination revealed very small diffuse opacities (Figure 4). During next two days respiratory symptoms suddenly worsened with signs of progressive hypoxia. Repeated chest X-ray showed diffuse bilateral infiltration (Figure 5). Patient was admitted in hospital intensive care unit. A diagnostic test for influenza A/H1N1 performed immediately. Molecular methods test (RT PCR) was positive. Specific treatment for ARDS started but patient had serious complication with multiple organ failure and died.

Bottom Line: 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.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