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The Journal of Maternal-Fetal & Neonatal Medicine Volume 24, 2011 - Issue 2
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Original Article

The use of high-frequency oscillatory ventilation in a patient with H1N1 pneumonia

Danae NetteburgDivisions of Maternal-Fetal Medicine & Critical Care Medicine, Baystate Medical Center, Springfield, MA 01199, USACorrespondence[email protected]
,
Fadi BsatDivisions of Maternal-Fetal Medicine & Critical Care Medicine, Baystate Medical Center, Springfield, MA 01199, USA
,
Andrew HealyDivisions of Maternal-Fetal Medicine & Critical Care Medicine, Baystate Medical Center, Springfield, MA 01199, USA
,
Glenn MarkensonDivisions of Maternal-Fetal Medicine & Critical Care Medicine, Baystate Medical Center, Springfield, MA 01199, USA
,
Michael PlevyakDivisions of Maternal-Fetal Medicine & Critical Care Medicine, Baystate Medical Center, Springfield, MA 01199, USA
&
Lori CirceoDivisions of Maternal-Fetal Medicine & Critical Care Medicine, Baystate Medical Center, Springfield, MA 01199, USA
Pages 264-266 | Received 04 Feb 2010, Accepted 06 Apr 2010, Published online: 17 May 2010
 
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Abstract

A 32-year-old multigravida was admitted at 33.9 weeks with respiratory distress. Community-acquired pneumonia was suspected and antimicrobial treatment initiated with ceftriaxone sodium and azithromycin. However, despite these therapies her respiratory status deteriorated. She was subsequently diagnosed with Swine-origin Influenza A (H1N1) Virus pneumonia and treated with oseltamivir. After failing conventional ventilation, high-frequency oscillatory ventilation (HFOV) was utilized. In pregnant patients who fail to respond to conventional ventilation techniques, HFOV should be considered.

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