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Pregnant woman rushed to Swedish hospital after suffering rare complication from A/H1N1

Shiloh

Editor, Senior Moderator
Source: http://www.dailymail.co.uk/news/art...al-suffering-rare-complication-swine-flu.html

Pregnant woman rushed to Swedish hospital after suffering rare complication from swine flu

By Daily Mail Reporter
Last updated at 12:30 AM on 24th July 2009


A woman critically ill with swine flu has been transferred to Sweden for specialised treatment after suffering a rare complication.

She was flown to Stockholm because no beds were available in the UK for the rare procedure she needs.

The 26-year-old Scot was admitted to Crosshouse Hospital in Kilmarnock last week where she has been on a ventilator due to an extreme reaction to the H1N1 virus.

The pregnant woman had been treated in the hospital's intensive care unit.

NHS Ayrshire and Arran's specialist intensive care team recommended that she receive a highly-specialised procedure known as extracorporeal membrane oxygenation (ECMO).

This involves circulating the patient's blood outside the body and adding oxygen to it artificially.

ECMO is a relatively new technique that is used when a patient's lungs are functioning very poorly even with ventilation and high levels of oxygen.

The UK has a national ECMO unit in Leicester but all five beds there are currently being used.

However a bed has been found in a similar unit in Stockholm and the patient was transferred under pan-European arrangements for sharing such scarce facilities.

A specialist medical team was sent from Stockholm and the pregnant woman was flown to Sweden, arriving at the hospital last night.
Health Secretary Nicola Sturgeon


The health board said she has adult respiratory distress syndrome.

Dr Robert Masterton, executive medical director of NHS Ayrshire and Arran said: 'Once an ECMO bed was identified in Sweden, our intensive care specialists worked closely with our Swedish colleagues to make sure the patient was stable before being transferred.

'The family have been fully involved in this decision and support this referral. They have asked for privacy while they concentrate on the patient's treatment and recovery.'

Health Secretary Nicola Sturgeon said: 'This woman has suffered severe complications and requires urgent and highly specialised treatment.

'It is therefore absolutely right that she is transferred to Sweden for treatment which could save her life.

'The extreme rarity of the procedure she requires means that there are pan-European arrangements in place for sharing facilities when any one country's unit is full, as in the UK's case at present.

'This is therefore an excellent example of these arrangements working in practice for the benefit of patients.

'By the same token, we in the UK have taken patients from other European countries for this procedure in the past.'
 
Re: Pregnant woman rushed to Swedish hospital after suffering rare complication from A/H1N1

UP TO six new mothers infected with swine flu are on life support after giving birth prematurely because the virus was threatening the lives of their babies.

The women, all from the western suburbs of Sydney, are fighting for their lives in four hospitals, and at least two of the babies are also in intensive care because they were born with respiratory problems.

"This situation has become very, very grave," a midwife said.
....
"Usually we don't have any pregnant women in ICU with influenza so this is worrying," he said.
....
Main arteries are also compressed by the baby when a pregnant woman is lying on her back, making it difficult to intubate and ventilate, the president of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, Ted Weaver, said yesterday.

More than 420 people have been admitted to hospital with swine flu in the past six weeks. Thirty two are in intensive care and seven are being treated using cardiac bypass machines.

Is this the same procedure?
 
Re: Pregnant woman rushed to Swedish hospital after suffering rare complication from A/H1N1

They're basically the same treatment. According to the Emedicine article on ECMO,

The differences between ECMO and cardiopulmonary bypass are as follows:

--ECMO is frequently instituted using only cervical cannulation, which can be performed under local anesthesia. Standard cardiopulmonary bypass is usually instituted by transthoracic cannulation under general anesthesia.

--Unlike standard cardiopulmonary bypass, which is used for short-term support measured in hours, ECMO is used for longer-term support ranging from 3-10 days.

--The purpose of ECMO is to allow time for intrinsic recovery of the lungs and heart; a standard cardiopulmonary bypass provides support during various types of cardiac surgical procedures.

http://emedicine.medscape.com/article/904996-overview
 
Re: Pregnant woman rushed to Swedish hospital after suffering rare complication from A/H1N1

Someone at FT posted that the impact of pregnancy on the lungs may be similar to that of obesity.

The respiratory system in pregnancy:

Many changes occur in the respiratory system during pregnancy. Hormones and physical changes due to the growing fetus can affect the upper and lower respiratory tracts. Some of the common changes that occur in the respiratory system with pregnancy include the following:

•stuffy or runny nose and nosebleeds
•enlargement of the rib cage
•upward movement of the diaphragm, the large flat muscle used for respiration, located just below the lungs
increase in the amount of air breathed in and out
reduced lung capacity
increased oxygen use


Because of these changes, many women feel short of breath or have some difficulty breathing as pregnancy progresses. When lung diseases develop or there is a pre-existing condition such as asthma, the lungs may have difficulty compensating.

http://www.healthsystem.virginia.edu/uvahealth/peds_hrpregnant/lungs.cfm

How does obesity affect the lungs?

For each inch of fat that you put on, the body has to lay down about a mile of tiny blood vessels called capillaries to supply the fat cells with blood. This means there's more demand for oxygen in the body. The lungs have to meet the demand.

http://wiki.answers.com/Q/How_does_obesity_affect_the_lungs

The new blood vessels in the growing baby and placenta might create the same respiratory demands as the additional blood vessels in fat of obesity.

It's reasonable that these two similar conditions create a high risk for novel influenza.

.
 
Re: Pregnant woman rushed to Swedish hospital after suffering rare complication from A/H1N1

Thanks Evelyn
 
Re: Pregnant woman rushed to Swedish hospital after suffering rare complication from A/H1N1

http://www.dailyrecord.co.uk/news/s...l-after-being-flown-to-sweden-86908-21545385/

Swine flu victim 'gravely ill' after being flown to Sweden

Jul 24 2009

THE family of a pregnant swine flu victim flown to Sweden for specialist treatment today said she was "gravely ill".

Sharon Pentleton, 26, was flown from Crosshouse Hospital in Kilmarnock to a Stockholm hospital yesterday.

Health officials in Scotland today named her and said she came from North Ayrshire.

A statement from her family said: "We are focusing on caring for Sharon and would ask for privacy during this very difficult time for our family."

The family's statement, issued through NHS Ayrshire and Arran, went on: "We are grateful for the care and support we have received from intensive care staff at Crosshouse Hospital and of course to the medical care team who travelled from Sweden to start the specialist treatment that we hope will make her well.

"Sharon continues to receive the best possible treatment but is still gravely ill.

"For this reason we will not be making any further statement and we would ask that we are left alone to concentrate on Sharon."

Ms Pentleton was flown to Stockholm yesterday after suffering a rare and severe reaction to the H1N1 virus.

She had been admitted to Crosshouse hospital last week where she had been put on a ventilator.

In Stockholm she is receiving treatment for "adult respiratory distress syndrome".
 
Re: Pregnant woman rushed to Swedish hospital after suffering rare complication from A/H1N1

http://www.dailyrecord.co.uk/news/s...s-fight-to-save-swine-flu-mum-86908-21546468/

Family pray as Swedish docs fight to save swine flu mum


Jul 25 2009 Chris Musson

THE dad and boyfriend of Scots swine flu mum Sharon Pentleton were at her bedside in Sweden last night as doctors battled to save her life.

Pregnant Sharon, 27, was "gravely ill" in a Stockholm hospital after being airlifted to the city for specialist blood treatment.

Dad James and long-term partner Brian have flown out to be with her. Her family said in a statement: "She continues to receive the best possible treatment."

Sharon, who has a two-year-old daughter, was taken to Crosshouse Hospital in Kilmarnock last week and flown to Sweden on Thursday.

The family said: "We are focusing on caring for Sharon at a very difficult time.

"We are grateful for the care and support we have received from intensive care staff at Crosshouse Hospital, and of course to the team who travelled from Sweden to start the specialist treatment that we hope will make her well.

"Sharon is still gravely ill. For this reason we'll not be making any further statement."

One of Sharon's cousins, Stacey Pentleton, 26, added: "She is still on a ventilator. Her dad and partner are there with her though.

"It's obviously a very difficult time. We are all just hoping she recovers."

Sharon, of Saltcoats, Ayrshire, needs a rare form of treatment where medics use a machine to put oxygen into her blood outside her body.

The only UK unit that offers the treatment is in Leicester, and all five beds there are already full because of the swine flu epidemic.

Doctors at Crosshouse were left with no choice but to send Sharon to the Karolinska University Hospital in Stockholm. Swedish doctors flew to Scotland to prepare her for the journey.

One of the Stockholm medics, Dr Palle Palmer, said the blood treatment would "buy some time" for Sharon's lungs to get better. But he added: "She has to get better by herself."

Dr Palmer said it was common for the hospital to take patients from overseas.

He went on: "We have been swapping patients for 10 years. We send about 10 patients per year out and bring in 10 to 15 patients."

Health secretary Nicola Sturgeon said Sharon had suffered a very rare reaction to the H1N1 flu virus.

She added: "She is now getting treatment that gives her the best possible chance of survival. It is a highly specialised procedure and that is why a bed was found for her in Sweden.

"The decision was taken by her clinical team to recommend transfer there."

Four Scots have died of swine flu but Sturgeon stressed: "It remains the case that for the overwhelming majority of people, the symptoms are very mild."

Dr Robert Masterton, medical director of NHS Ayrshire and Arran, said: "Our intensive care specialists worked closely with our Swedish colleagues to make sure the patient was stable before being transferred.

"The family have been fully involved in this decision."
 
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