We live in Houston. The very first death from the swine flu (or the PC term, North American influenza) here in the US was right here in the medical center. It was a sweet little 23 month old from Mexico who had come here for treatment. This of course makes you wonder about safety and what is being done here. First off, all of the employees are being screened. They have implemented a policy that ANY patient that comes in with any type of respiratory anything will be placed on droplet - masks, gloves, plastic gowns. I have overheard the doctors saying that they might make one pod (section) of the ICU just for the flu if it gets there. It’s scary stuff, but hopefully it won’t be a problem.
Bella, on the other hand, is having problems. She just isn’t sating well. She is currently at 100% on her FIO2 with a PEEP of 11 and her Nitric is up to 20. They don’t have much wiggle room left. She is sick. Her Blood pressure is trending downward, but the increased Nitric could account for that. Her heart rate today (new trick) is trachy (going faster). Chest x-ray shows the pleural effusion a little worse. She is receiving excellent ventilation. Her problem is oxygenation. They are trying to optimize her nutrition, keep her negative (more out than in), and do whatever makes her happy. Obviously, she continues sedated and paralyzed.