Department of Anesthesia, University of Manitoba, Winnipeg, Manitoba, Canada.
Crit Care Med. 2010 Apr;38(4 Suppl):e30-7. doi: 10.1097/CCM.0b013e3181d10522.
During the initial spring wave of novel influenza pH1N1 (2009), several North American cities experienced localized epidemics that served as a harbinger of the larger second Fall wave of infection. The city of Winnipeg, the capital of the province of Manitoba in central Canada, was one of the first in North America to deal with a rapid presentation of large numbers of patients requiring critical care services resulting from pandemic (pH1N1) 2009 influenza-associated respiratory failure. Mexico City, Orlando, FL, and Salt Lake City, UT, were other Northern Hemisphere sites of heavy disease activity during the spring wave of the pandemic. This article is written in a narrative format that allows the reader to understand the problems (both major and mundane, anticipated and unexpected) experienced by healthcare workers in these sites during this pandemic. Descriptions cover a range of issues and difficulties that caused significant stress to the operations of intensive care units in these cities. We hope to offer some insight into potential pitfalls and problems that may be experienced by other centers and provide some potential approaches to addressing these issues.
在甲型 H1N1 流感（2009 年）的初期春季疫情中，几个北美城市经历了局部性的流行疫情，这些疫情预示着更大规模的秋季第二波感染浪潮即将到来。温尼伯市是加拿大中部马尼托巴省的省会，是北美最早处理大量需要重症监护服务的甲型 H1N1 流感相关呼吸衰竭患者的城市之一。墨西哥城、佛罗里达州奥兰多市和犹他州盐湖城也是春季大流行期间北半球疫情严重的其他地区。本文采用叙述性格式编写，使读者能够了解这些地区的医护人员在大流行期间所经历的问题（重大和琐碎、预期和意外）。描述涵盖了一系列导致这些城市重症监护病房运营压力显著增加的问题和困难。我们希望为其他中心可能遇到的潜在陷阱和问题提供一些见解，并提供一些潜在的方法来解决这些问题。
