Ventilation therapy lying on your stomach to save the life of the influenza boy

4 days before hospitalization, 4 -day home treatment with symptoms such as high fever, wheezing, extracting sputum. The disease does not decrease but more difficulty breathing, the family takes the baby to the district health center, the baby breathes the positive pressure (CPAP) but does not help, increases shortness of breath, is placed in the intubation and transferred to the obstetric hospital Nhi province Phu Tho.

The doctor diagnosed the child suffered from progressive respiratory failure syndrome (ARDS), severe pneumonia on influenza A. Children are taken to a special care room and mechanical ventilation according to the pulmonary ventilation strategy combined with the lungs. Support measures such as ventilation lying on your stomach; Anti -inflammatory; muscle relaxation.

BS. Nguyen Vo Loc, Deputy Head of the Department in charge of the Department of Positive Resuscitation – Anti -Poisoning, said the assisted ventilation measures in ARDS treatment with the purpose of avoiding excessive alveolar stretching and avoiding deflation of the lungs. Especially ventilation is a new method, not widely applied to cases of heavy ARDS in children. The advantage of this method is to help improve gas exchange, mobilize alveoli to collapse the back area, improve postural drainage, and help re -distribute perfusion, limit the edema lung areas.

With a positive treatment regimen, combining antibiotic treatment and respiratory physiotherapy, the child’s respiratory failure is significantly improved. After 18 days of treatment, stable children’s health, discharge.

Dr. Loc said that acute respiratory failure syndrome (ARDS) is one of the serious complications of influenza A, the nature of complicated development, high mortality rate up to 40-70%. This is an acute disease syndrome of pulmonary capillary alveoli, characterized by rapid respiratory failure. In many cases, ARDS causes the amount of oxygen in the blood to decline seriously, causing multiple organs to death leading to death if not detected and treated promptly.

Records at some recent pediatric hospitals show that the number of children hospitalized due to influenza A tends to increase, including many children hospitalized in very serious condition, pneumonia, myocarditis, brain edema , severe liver damage … As at the National Hospital of Pediatrics, the number of influenza cases increased sharply from December 2024. In November, every day the hospital received 100-120 cases, but by December, the figure increased 4 times. In January, the number of shifts increased by 8 times, with a week to record up to 1,200 cases/day, of which 10-15% were heavy cases needed to be hospitalized.

Dr. Le Kien Ngai, Head of the Department of Prevention and Control of Bacterial Infections, National Hospital of Pediatrics, said the flu often causes fever, headache, muscle pain, fatigue, runny nose, sore throat, cough and recovery 2-7 days. However, for children under 5 years old, children with chronic heart disease, renal lungs, metabolism, anemia or immunodeficiency … may experience severe warning. Common complications such as respiratory failure, pneumonia, pneumonia, speech, otitis media, encephalitis, myocarditis, secondary infection; Especially worsened the background disease, increasing the risk of death.

Therefore, doctors recommend that when children have flu, parents need to take children to specialized medical facilities for timely examination and treatment. In addition, parents should also pay attention to keeping the child warm, keeping personal hygiene by disinfecting, washing your hands regularly, wearing a mask when going out, limiting contact with people suspected of flu and proactively bringing. Children go to vaccine to prevent disease properly, enough calendar.