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Hong Kong - H1N1: number of artificial lung support (ECMO) inadequate - Health bureau intends to make emergency purchase

Pathfinder

Editor, Senior Moderator
Translation Google

Artificial lung inadequate health bureau intends to purchase emergency

02 - 24 05:00
Ming Pao

Ming Pao News] H1N1 swine flu outbreak in Hong Kong, a professor of respiratory Chair Chinese University Xushu Chang pointed out that many of the young Prince of Wales Hospital patients infected with H1N1 need into the intensive care unit (ICU), part of the required artificial lung (ECMO) Support. However it is known five public hospitals ICU has utilized 10 artificial lung support patients suffering from severe pneumonia, influenza, now almost inorganic available to other departments need to borrow.

Medical profession are concerned that if the winter influenza season more drag longer, ICU will be difficult to cope with. Authority intends to meet this week to discuss speeding up the procurement process, is expected to purchase artificial lung emergency.

Xushu Chang said that Hong Kong's winter invasion by the H1N1 swine flu, because it is a new species, mostly 18-65 years of age who do not have antibodies, plus they rarely receive influenza vaccination, easily misled. H1N1 invasion of the respiratory tract, would create "immune storm," so that immune factors affecting the patient, causing severe pneumonia.

The first two months deep into the 151 influenza patients

5 public hospitals, including Mary, Wales, Queen Elizabeth, Eastern and Princess Margaret Hospital ICU has artificial lung center, a total of seven artificial lung for use. But winter kill H1N swine flu in Hong Kong was a surprise, the Department of Health in the first two months of this year (as of December 20) recorded 151 influenza patients into the ICU, there is the case with flu death 55.

By HA operation, no artificial lung in the hospital ICU, the patient will be transferred to influenza pneumonia five artificial lung center for treatment. It is reported that the first half of this year alone, five artificial lung center has 21 cases require the use of an artificial lung, the utilization rate of more than last year.

Mary and Eastern Hospital ICU due to the lack of artificial lung, the need to borrow hospital cardiology and surgical emergency. United Christian Hospital in order to rescue a 42-year-old female patient with pneumonia deterioration, even an artificial lung hospital only have requisitioned shadow doctors worry about other services, such as cardiology. At present, five used a total of 10 centers artificial lung, has almost inorganic available. Doctors worry that "If the winter influenza season more drag longer, ICU will be difficult to cope with."

Public School 19 artificial lung utilization approaches saturation

Accident and Emergency Medicine Dean Hong Xiaohui said that A & E attendances and admissions will only be reflected in the peak of the cold after the estimated next week is another wave of A & E attendances and admissions peak.

It is reported that the Hospital Authority intends to hold a meeting this week with department heads to discuss speeding up the procurement process, is expected to purchase several artificial lung emergency. Public hospital doctors believe there is a winter flu ICU nurses, hospital beds heavy pressure, it is recommended to reduce the need to support the surgical ICU, all public hospitals will integrate the use of artificial lung and other departments to consider mobilizing medical support.

The HA spokesman said public hospitals currently have 19 artificial lung, recent usage is close to saturation, HA will review the situation from time to time use.

Ming Pao Daily News reporter Tan Songyan

zhttp://news.sina.com.hk/news/20140224/-2-3196763/1.html
 
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