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2009 Pandemic (H1N1) 2009 clinical practice note – Managing adult critically ill cases

Health Protection Agency, Royal college of Anaesthetists, The intensive Care Society (London)

Summary:
This practice note is presented to clinical colleagues to assist the management of cases of A(H1N1). The recommendations are based primarily on adult ICU practice and arise from the international H1N1 ICU network teleconferences held since 5 June 2009, with the most recent occurring on 22 July 2009. 

These participants have included Intensivists from Scottish, English, Northern Irish and Welsh hospitals, along with colleagues from Mexico, the US, Canada, Australia, New Zealand and the Republic of Ireland, as well as representatives from the Department of Health and WHO.  The views presented reflect consensus of those participating who have had direct experience of ITU treatment of HINI patients in the current pandemic and, although verified as far as possible, the opinions are clearly those of the individual teleconference participants.  The HPA considered it to be useful to facilitate these telephone conferences and with the Royal College of Anaesthetists is pleased to have the opportunity share some of the outcomes.

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