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Review
H1N1 infection and acute respiratory failure: Can we give non-invasive ventilation a chance?
Infecčão pelo H1N1 e insufi ciência respiratória aguda: será que podemos dar a ventilačão não-invasiva uma oportunidade?
João Carlos Winck
Corresponding author
jwinck@hsjoao.min-saude.pt

Corresponding author.
, Miguel Gonçalves
Faculdade de Medicina da Universidade do Porto, Porto-Portugal
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In 2009&#44; a novel H1N1 Influenza virus has emerged and on June 11 the World Health Organization declared it as pandemic&#46; It may cause acute respiratory failure ranging from severe Acute Respiratory Distress Syndrome to exacerbations of airflow limitation&#46; 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&#46; Although infection control issues have been arisen&#44; non-invasive ventilation was effective and safe during the Severe Acute Respiratory Syndrome in Asia&#46; It is reasonable to recommend non-invasive ventilation in H1N1-related exacerbations of chronic respiratory diseases&#44; especially in negative-pressure wards&#46; 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&#46; Considering the high demand for critical care beds during the pandemic&#44; non-invasive ventilation may have a role in reducing the estimated load&#46;</p>"
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Em 2009&#44; surgiu um novo v&#237;rus da gripe H1N1 e a 11 de Junho a Organiza&#231;&#227;o Mundial de Sa&#250;de declarou-o como uma pandemia&#46; Poder&#225; causar insufici&#234;ncia respirat&#243;ria&#44; do S&#237;ndroma de Dificuldade Respirat&#243;ria Agudo a manifesta&#231;&#245;es de limita&#231;&#227;o do fluxo de ar&#46; A ventila&#231;&#227;o n&#227;o invasiva &#233; agora considerada como a primeira interven&#231;&#227;o para diferentes causas de insufici&#234;ncia respirat&#243;ria aguda e pode ser considerada no contexto da pandemia de H1N1&#46; Apesar de terem surgido problemas ligados ao controlo da infec&#231;&#227;o&#44; a ventila&#231;&#227;o n&#227;o invasiva foi eficaz e segura durante o S&#237;ndroma de Dificuldade Respirat&#243;ria Agudo na &#193;sia&#46; &#201; razo&#225;vel recomendar a ventila&#231;&#227;o n&#227;o invasiva nas manifesta&#231;&#245;es de doen&#231;as respirat&#243;rias cr&#243;nicas ligadas ao H1N1&#44; especialmente em servi&#231;os com press&#227;o negativa&#46; O tratamento do S&#237;ndroma de Dificuldade Respirat&#243;ria Agudo precoce associado ao H1N1 utilizando ventila&#231;&#227;o n&#227;o invasiva pode ser experimentado para identificar rapidamente aqueles que falham sem atrasar a intuba&#231;&#227;o endotraqueal&#46; Considerando a elevada procura de camas de cuidados intensivos&#44; a ventila&#231;&#227;o n&#227;o invasiva pode ajudar a reduzir a sobrelota&#231;&#227;o estimada&#46;</p>"
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Pulmonology

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