Journal Information
Vol. 16. Issue 6.
Pages 907-911 (November - December 2010)
Share
Share
Download PDF
More article options
Vol. 16. Issue 6.
Pages 907-911 (November - December 2010)
ARTIGO DE REVISÃO
Open Access
H1N1 infection and acute respiratory failure: can we give non-invasive ventilation a chance?
Infecção pelo H1N1 e insuficiência respiratória aguda: será que podemos dar a ventilação não-invasiva uma oportunidade?
Visits
4591
João Carlos Winck, Miguel Gonçalves
Faculdade de Medicina da Universidade do Porto, Porto-Portugal
This item has received

Under a Creative Commons license
Article information
Abstract
Bibliography
Download PDF
Statistics
Abstract

In 2009, a novel H1N1 Influenza virus has emerged and on June 11 the World Health Organization declared it as pandemic. It may cause acute respiratory failure ranging from severe Acute Respiratory Distress Syndrome to exacerbations of airflow limitation. Non-invasive ventilation is now considered first-line intervention for different causes of acute respiratory failure and may be considered in the context of H1N1 pandemic. Although infection control issues have been arisen, non-invasive ventilation was effective and safe during the Severe Acute Respiratory Syndrome in Asia. It is reasonable to recommend non-invasive ventilation in H1N1-related exacerbations of chronic respiratory diseases, especially in negative-pressure wards. Treatment of early Acute Respiratory Distress Syndrome associated with H1N1 using non-invasive ventilation could be tried rapidly identifying those who fail without delaying endotracheal intubation. Considering the high demand for critical care beds during the pandemic, non-invasive ventilation may have a role in reducing the estimated load.

KEYWORDS:
Acute respiratory failure
H1N1 Influenza virus
Non-invasive ventilation
Resumo

Em 2009, surgiu um novo vírus da gripe H1N1 e a 11 de Junho a Organização Mundial de Saúde declarou-o como uma pandemia. Poderá causar insuficiência respiratória, do Síndroma de Dificuldade Respiratória Agudo a manifestações de limitação do fluxo de ar. A ventilação não invasiva é agora considerada como a primeira intervenção para diferentes causas de insuficiência respiratória aguda e pode ser considerada no contexto da pandemia de H1N1. Apesar de terem surgido problemas ligados ao controlo da infecção, a ventilação não invasiva foi efi caz e segura durante o Síndroma de Dificuldade Respiratória Agudo na Ásia. É razoável recomendar a ventilação não invasiva nas manifestações de doenças respiratórias crónicas ligadas ao H1N1, especialmente em serviços com pressão negativa. O tratamento do Síndroma de Difi culdade Respiratória Agudo precoce associado ao H1N1 utilizando ventilação não invasiva pode ser experimentado para identificar rapidamente aqueles que falham sem atrasar a intubação endotraqueal. Considerando a elevada procura de camas de cuidados intensivos, a ventilação não invasiva pode ajudar a reduzir a sobrelotação estimada.

PALAVRAS-CHAVE:
Acute respiratory failure
H1N1 Influenza virus
Non-invasive ventilation
Full text is only aviable in PDF
Bibliografia
[1.]
F.S. Dawood, S. Jain, L. Finelli, M.W. Shaw, S. Lindstrom, R.J. Garten, et al.
Emergence of a novel swine-origin influenza A (H1N1) virus in humans.
N Engl J Med., 360 (2009), pp. 2605-2615
[2.]
World Health Organization. Influenza A (H1N1): http://www.who.int/csr/don/2009_11_20a/en/index.html.
[3.]
R. Perez-Padilla, D. de la Rosa-Zamboni, S. Ponce de Leon, M. Hernandez, F. Quinones-Falconi, E. Bautista, et al.
Pneumonia and respiratory failure from swine-origin influenza A (H1N1) in Mexico.
N Engl J Med, 361 (2009), pp. 680-689
[4.]
J.F. Bishop, M.P. Murnane, R. Owen.
Australia’s Winter with the 2009 Pandemic Influenza A (H1N1) Virus.
[5.]
A. Kumar, R. Zarychanski, R. Pinto, D.J. Cook, J. Marshall, J. Lacroix, et al.
Critically ill patients with 2009 influenza A(H1N1) infection in Canada.
JAMA., 302 (2009), pp. 1872-1879
[6.]
S. Jain, L. Kamimoto, A.M. Bramley, A.M. Schmitz, S.R. Benoit, J. Louie, et al.
Hospitalized patients with 2009 H1N1 influenza in the United States, April-June 2009.
N Engl J Med., 361 (2009), pp. 1935-1944
[7.]
S.A. Webb, V. Pettila, I. Seppelt, R. Bellomo, M. Bailey, D.J. Cooper, et al.
Critical care services and 2009 H1N1 influenza in Australia and New Zealand.
N Engl J Med., 361 (2009), pp. 1925-1934
[8.]
R.R. Miller 3rd, B.A. Markewitz, R.T. Rolfs, S.M. Brown, K.K. Dascomb, C.K. Grissom, et al.
Clinical findings and demographic factors associated with intensive care unit admission in Utah due to 2009 novel influenza A (H1N1) infection.
Chest, (2009),
[9.]
S. Nava, N. Hill.
Non-invasive ventilation in acute respiratory failure.
Lancet., 374 (2009), pp. 250-259
[10.]
J.V. Lightowler, J.A. Wedzicha, M.W. Elliott, F.S. Ram.
Non-invasive positive pressure ventilation to treat respiratory failure resulting from exacerbations of chronic obstructive pulmonary disease: Cochrane systematic review and meta-analysis.
BMJ., 326 (2003), pp. 185
[11.]
J.C. Winck, L.F. Azevedo, A. Costa-Pereira, M. Antonelli, J.C. Wyatt.
Efficacy and safety of non-invasive ventilation in the treatment of acute cardiogenic pulmonary edema—a systematic review and meta-analysis.
Crit Care., 10 (2006), pp. R69
[12.]
D. Chiumello.
Is non-invasive ventilation still underused by physicians?.
Respir Care., 54 (2009), pp. 1302-1303
[13.]
M. Antonelli, G. Conti, M. Rocco, M. Bufi, R.A. De Blasi, G. Vivino, et al.
A comparison of non-invasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure.
N Engl J Med., 339 (1998), pp. 429-435
[14.]
M. Antonelli, G. Conti, A. Esquinas, L. Montini, S.M. Maggiore, G. Bello, et al.
A multiple-center survey on the use in clinical practice of non-invasive ventilation as a first-line intervention for acute respiratory distress syndrome.
Crit Care Med., 35 (2007), pp. 18-25
[15.]
R.A. Fowler, S.E. Lapinsky, D. Hallett, A.S. Detsky, W.J. Sibbald, A.S. Slutsky, et al.
Critically ill patients with severe acute respiratory syndrome.
JAMA., 290 (2003), pp. 367-373
[16.]
J.S. Peiris, C.M. Chu, V.C. Cheng, K.S. Chan, I.F. Hung, L.L. Poon, et al.
Clinical progression and viral load in a community outbreak of coronavirus-associated SARS pneumonia: a prospective study.
Lancet., 361 (2003), pp. 1767-1772
[17.]
R.A. Fowler, C.B. Guest, S.E. Lapinsky, W.J. Sibbald, M. Louie, P. Tang, et al.
Transmission of severe acute respiratory syndrome during intubation and mechanical ventilation.
Am J Respir Crit Care Med., 169 (2004), pp. 1198-1202
[18.]
N.S. Zhong, G.Q. Zeng.
Our strategies for fi ghting severe acute respiratory syndrome (SARS).
Am J Respir Crit Care Med., 168 (2003), pp. 7-9
[19.]
L.Y. Yam, A.Y. Chan, T.M. Cheung, E.L. Tsui, J.C. Chan, V.C. Wong.
Non-invasive versus invasive mechanical ventilation for respiratory failure in severe acute respiratory syndrome.
Chin Med J (Engl), 118 (2005), pp. 1413-1421
[20.]
T.M. Cheung, L.Y. Yam, L.K. So, A.C. Lau, E. Poon, B.M. Kong, et al.
Effectiveness of non-invasive positive pressure ventilation in the treatment of acute respiratory failure in severe acute respiratory syndrome.
Chest., 126 (2004), pp. 845-850
[21.]
F. Han, Y.Y. Jiang, J.H. Zheng, Z.C. Gao, Q.Y. He.
Non-invasive positive pressure ventilation treatment for acute respiratory failure in SARS.
Sleep Breath., 8 (2004), pp. 97-106
[22.]
B.J. Park, A.J. Peck, M.J. Kuehnert, C. Newbern, C. Smelser, J.A. Comer, et al.
Lack of SARS transmission among healthcare workers.
United States. Emerg Infect Dis., 10 (2004), pp. 244-248
[23.]
J. McCracken.
The consequences of withholding non-invasive ventilation during an epidemic.
Respir Care., 54 (2009), pp. 1412
[24.]
D.S. Hui, S.D. Hall, M.T. Chan, B.K. Chow, J.Y. Tsou, G.M. Joynt, et al.
Non-invasive positive-pressure ventilation: An experimental model to assess air and particle dispersion.
Chest., 130 (2006), pp. 730-740
[25.]
J.M. Handy.
Critical care bed capacity during the flu pandemic: implications for anaesthetic and critical care departments.
Anaesthesia., 64 (2009), pp. 933-934
[26.]
G. Dominguez-Cherit, S.E. Lapinsky, A.E. Macias, R. Pinto, L. Espinosa-Perez, A. de la Torre, et al.
Critically Ill patients with 2009 influenza A(H1N1) in Mexico.
JAMA., 302 (2009), pp. 1880-1887
[27.]
E. Estenssoro, F.G. Rios, C. Apezteguia, R. Reina, J. Neira, D.H. Ceraso, et al.
Pandemic 2009 Influenza A(H1N1) in Argentina: A Study of 337 Patients on Mechanical Ventilation.
Am J Respir Crit Care Med, (2010),
[28.]
S. Ugarte, F. Arancibia, R. Soto.
Influenza A pandemics: Clinical and organizational aspects: The experience in Chile.
[29.]
J. Rello, A. Rodriguez, P. Ibanez, L. Socias, J. Cebrian, A. Marques, et al.
Intensive care adult patients with severe respiratory failure caused by Influenza A (H1N1)v in Spain.
Crit Care., 13 (2009), pp. R148
[30.]
M. Djibre, N. Berkane, A. Salengro, E. Ferrand, M. Denis, L. Chalumeau-Lemoine, et al.
Non-invasive management of acute respiratory distress syndrome related to Influenza A (H1N1) virus pneumonia in a pregnant woman.
[31.]
M.A. Kaufman, G.J. Duke, F. McGain, C. French, C. Aboltins, G. Lane, et al.
Life-threatening respiratory failure from H1N1 influenza 09 (human swine influenza).
Med J Aust., 191 (2009), pp. 154-156
[32.]
D.J. Mollura, D.S. Asnis, R.S. Crupi, R. Conetta, D.S. Feigin, M. Bray, et al.
Imaging findings in a fatal case of pandemic swine-origin influenza A (H1N1).
AJR Am J Roentgenol., 193 (2009), pp. 1500-1503
[33.]
M. Patel, A. Dennis, C. Flutter, S. Thornton, O. D’Mello, N. Sherwood.
Pandemic (H1N1) 2009 influenza: experience from the critical care unit.
Anaesthesia., 64 (2009), pp. 1241-1245
[34.]
I.M. Kidd, J. Down, E. Nastouli, R. Shulman, P.R. Grant, D.C. Howell, et al.
H1N1 pneumonitis treated with intravenous zanamivir.
[35.]
J. Winck, A. Marinho.
Non-invasive ventilation in acute respiratory fialure related to 2009 pandemic InfluenzaA/H1N1 virus infection.
[36.]
N. Voirin, B. Barret, M.H. Metzger, P. Vanhems.
Hospital-acquired influenza: a synthesis using the Outbreak Reports and Intervention Studies of Nosocomial Infection (ORION) statement.
J Hosp Infect., 71 (2009), pp. 1-14
[37.]
Novel influenza A (H1N1) virus infections among health-care personnel — United States, April-May 2009.
MMWR Morb Mortal Wkly Rep., 58 (2009), pp. 641-645
[38.]
Conti G, Larrsson A, Nava S, Navalesi P. European Respiratory Society. http://dev.ersnet.org/uploads/Document/63/WEB_CHEMIN_5410_1258624143.pdf.
[39.]
J.K. Ferguson, R.L. Stuart, A.C. Cheng, C.L. Marshall.
ASID (HICSIG) position statement: infection control guidelines for patients with influenza-like illnesses, including pandemic (H1N1) influenza 2009, in Australian health care facilities.
Med J Aust., 191 (2009), pp. 454-458
[40.]
UK Department of Health.
Pandemic Influenza: Guidance for Infection Control in Critical Care.
Department of Health, (2008),
[41.]
UK Department of Health.
Pandemic Influenza: Surge Capacity and Prioritisation in Health Services, Department of Health, (2009),
[42.]
M. Confalonieri, G. Garuti, M.S. Cattaruzza, J.F. Osborn, M. Antonelli, G. Conti, et al.
A chart of failure risk for non-invasive ventilation in patients with COPD exacerbation.
Eur Respir J, 25 (2005), pp. 348-355
[43.]
J.O. Benditt.
Novel uses of non-invasive ventilation.
Respir Care., 54 (2009), pp. 212-219
Copyright © 2010. Sociedade Portuguesa de Pneumologia/SPP
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?