The Patient is Ballooning Up…

Chest radiograph 1

A 36 year-old immunosuppressed male was infected with swine-origin influenza virus requiring mechanical ventilation. Overnight the inspiratory pressures needed to maintain his tidal volume had progressively increased and his face had become markedly swollen.

Swine Flu in ICU

A timely follow up to ‘The Two Faces of Swine Flu’ is ‘Critical Care Services and 2009 H1N1 Influenza in Australia and New Zealand’. This ‘hot off the press’ paper by the ANZIC Influenza Investigators has just been published online in the NEJM.

The Two Faces of Swine Flu

The sun is making more frequent cameos in our part of the world, suggesting summer may be on its way. Another, but less obvious, indicator of the change in seasons is the gradual decline in patients with swine flu (H1N1 09 influenza) needing treatment in our intensive care units. The last  ‘Life in the Fast [...]

Lessons from 1918

I read a book called ‘The Coming Plague‘ when I was in medical school. It was fascinating. It formed a picture of the world in my mind as a bubbling soup of seething micro-organisms waiting for the right circumstances to break out, to come forth and multiply – at our expense. It also introduced me [...]

What do you mean pandemic?

WHO pandemic phases (2009)

Despite the cessation of ‘pig kissing frolicks’ it looks as though the WHO will eventually declare that 2009 H1N1 influenza A (‘swine flu’) has reached pandemic proportions (phase 6).

H1 N1 DON’T PANIC!

swine_flu_spread

Swine Flu for Dummies, is it really a public health emergency of international concern