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Double-lung transplant on COVID-19 patient offers hope for others

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A woman in her 20s has become the first person in the United States to receive a double-lung transplant for COVID-19, offering hope for other critically-ill coronavirus patients, her doctor said Thursday.

She had spent six weeks in the intensive care unit of Northwestern Memorial Hospital in Chicago, where a life support machine performed the work of her heart and lungs, keeping her alive.

But by early June her lungs had become so badly damaged that a transplant was her only hope.

“Her lungs just showed no signs of recovery, in fact they had started to develop terminal fibrosis,” Ankit Bharat, chief of thoracic surgery at the Northwestern Medicine Lung Transplant Program told AFP.

Fibrosis is the permanent scarring of the lung tissue, which in turn leads to destruction of the air sacs.

She had also developed large holes in her left lung, leaving it festering with a dangerous bacterial infection.

These cavities are thought to be unique to the COVID-19 illness and have left doctors mystified.

Bharat, 40, has performed dozens of lung transplants, but said this operation on June 5 was “very difficult,” requiring 10 hours rather than the six it normally takes.

This was partly because the lungs had become stuck to the surrounding structures and were difficult to remove.

Bharat added the procedure’s success led him to “absolutely think and hope that we can operate on many more patients who are now stuck on the ventilator because their lungs have been permanently destroyed.”

FaceTiming with family

Ankit Bharat, 40, has performed dozens of lung transplants in his career, but said this particular operation, which took place June 5, was “very difficult,” requiring a total of 10 hours rather than the six it normally takes. PHOTO: Northwestern Medicine/AFP / Laura Brown

The patient, who is Hispanic, is now conscious and has been FaceTiming with members of her family, added Bharat.

She remains on a ventilator and is breathing via an opening in the throat called a tracheostomy, as she gathers her strength before she can be discharged in a few weeks.

It is the first time a double-lung transplant for a COVID-19 patient has taken place in the US.

China announced a similar operation on a 66-year-old woman in March.

The world’s first double-lung transplant was performed in Toronto in 1986.

It was led by G. Alexander Patterson, under whom Bharat, who is originally from India, was trained.

Before the US patient could receive the transplant, she had to test negative for the SARS-CoV-2 virus that causes COVID-19.

“For many days, she was the sickest person in the COVID ICU — and possibly the entire hospital,” said Beth Malsin, a critical care doctor.

“There were so many times, day and night, our team had to react quickly to help her oxygenation and support her other organs to make sure they were healthy enough to support a transplant.”

It is very unusual for a young woman to have suffered such extensive lung damage from the coronavirus, and doctors hope to study her closely to learn more about why this happened.

Though generally healthy, she had a minor illness requiring medication that suppressed her immune system to some extent, but it was not clear that this was the cause of the extreme lung damage.

Donor shortages

Beyond proving that other critically-ill COVID-19 patients can be saved, lung transplants could also help patients who are well enough to return home, but who might go on to suffer a permanent loss of breathing function, added Bharat.

As with other organs, there is a shortage of donors, and wait times in the US are three to six months.

Bharat said less than 15 percent of all lungs that are offered are deemed suitable for use, but new techniques including “ex vivo lung perfusion” are increasingly being used to repair some of those organs.

“Necessity drives innovation, so I think, if more patients need transplants you will figure out a way,” he said.

Reporting and photos: AFP

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Emirates undertakes largest known fleet retrofit project

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Emirates has kick-started its plans to upgrade the entire interior cabins of 120 Airbus A380 and Boeing 777 aircraft – two of the largest commercial aircraft types in service today.

This ambitious project, representing a multi-billion dollar investment to ensure Emirates’ customers “fly better” for the coming years, officially commences in November and is managed entirely by Emirates’ Engineering team.

The target is to completely retrofit four Emirates aircraft from start to finish every month, continuously for over 2 years. Once the 67 earmarked A380s are refreshed and back in service, 53 777s will undergo their facelift. This will see nearly 4,000 brand new Premium Economy seats installed, 728 First Class suites refurbished and over 5,000 Business Class seats upgraded to a new style and design when the project is complete in April 2025.

In addition, carpets and stairs will be upgraded, and cabin interior panels refreshed with new tones and design motifs including the iconic ghaf trees which are native to the UAE.

No other airline has handled a retrofit of this magnitude in-house, and there’s no blueprint for such an undertaking. Therefore Emirates Engineering teams have been planning and testing extensively, to establish and streamline processes, and identify and address any possible snags.

Trials began on an A380 in July, where experienced engineers literally took each cabin apart piece-by-piece and logged every step. From removing seats and panelling to bolts and screws, every action was tested, timed and mapped out. Potential impediments to completing the installation of Emirates’ new Premium Economy Class or the retrofit of the remaining three cabins in just 16 days were flagged and documented for expert teams to review and address.

As part of the programme, new purpose-built workshops will be set up at Emirates Engineering to repaint, re-trim and re-upholster Business and Economy Class seats with new covers and cushioning. First Class suites will be carefully disassembled and sent to a specialised company to replace the leather, arm rests and other materials.

From the trials, Engineers discovered several unexpected solutions for instance: that existing food catering trucks could be easily repurposed to move parts destined for refurbishment from the aircraft to the workshop for their refresh, as these vehicles had doors of the right width and offer sufficient space.

Until the retrofit programme starts in earnest in November, a cross-disciplinary team has been assembled to regularly review the planning process, address any issues, and track updates on various aspects of the project such as procurement, staffing, and training.

Emirates’ new Premium Economy cabin class, which offers luxurious seats, more legroom, and a service to rival many airlines’ business offering, is currently available to Emirates customers travelling on popular A380 routes to London, Paris, Sydney. More customers will be able to experience the airline’s new Premium Economy cabins starting from year end, as the retrofit programme picks up momentum.

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Eleanor helps over 30 Maldives hotels elevate guest services

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Eleanor has been named as one of the top 10 concierge software providers globally.

Based on accurate, timely reviews from real users, the HotelTechAwards rank the world’s best hotel software firms and products and it also provides hoteliers direct access to a growing network of hotel technology professionals and decision-makers.

“The guest experience is the cornerstone of our platform. Our unified resort wide solution, Eleanor, has been built for resorts off the back of many years working in the industry and addresses the needs of both Sales and Marketing departments and perhaps just as importantly, the operational requirements of the team on the ground at the property. The days of resorts working with disjointed systems are now behind us,” says Darren Caple, co-founder and CEO.

“We are on a mission to make the guest’s resort experience as easy and as frictionless as possible. Whereas traditional providers in the market have come at this purely from a guest communication perspective, our background in resorts has allowed us to combine this basic requirement with the streamlining of operational processes. The result is truly a resort wide solution that removes the need for countless different systems to be deployed.

Eleanor allows resorts to deliver consistent, superior service levels to guests across all stages of their journey with contactless features helping to alleviate sensitive touch-points in the post pandemic period. More than 30 properties in the Maldives use our Eleanor platform to help butlers and guest services elevate the guest experience. These properties are seeing an increase in incremental revenue by over 30% and operational efficiencies of 600+ man hours per month. We are also beginning to roll out the platform in some Caribbean properties!”

Eleanor is making waves in the hospitality industry by pushing the conventional limits of what a resort guest app can achieve through its unique ability to facilitate direct bookings for services and activities. The traditional ‘request to book’ feature that is common amongst almost all other hotel apps is removed by a power booking and operational platform sitting at the heart of the solution that covers all the resorts’ departments. It’s this module which realises enormous operational benefits and insights for the resort.

“We, at Eleanor, are humbled and honoured that our clients have provided such positive reviews. Feedback from our clients, partners and hoteliers are incredibly valuable for us and we will continue to improve our offering and services”, said Caple.

To celebrate this success, Eleanor is currently offering resorts a free one month trial, together with free setup and training and discounted monthly fees.

Eleanor, founded in 2018 and has its headquarters in the United Kingdom. Created from over 15 years of hands-on expertise, Eleanor allows resorts to deliver consistent, superior service levels to its guests across all stages of their journey with contactless features helping to alleviate sensitive touch-points in the post pandemic period. Eleanor also helps to unlock operational efficiencies and boost incremental revenue and guest loyalty.

Hotel Tech Report’s Best Concierge Software 2022 Runner Up, reviewed as a preferred and reliable hotel software product by the global hotelier community.

For more information, visit www.eleanorapp.com.

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Emirates’ recruiters scour the world for cabin crew talent with 30 city stops

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Emirates, the world’s most global airline, is seeking talented people with a passion for service to join its award-winning cabin crew team.

As air travel returns with a vengeance, the airline’s recruiters are busy meeting and hiring candidates in 30 cities from now until the end of June. In this latest drive, Emirates’ teams will travel from Australia to the UK, and dozens of European cities in between, as well as Cairo, Algiers, Tunis and Bahrain.

Abdulaziz Al Ali, Emirates Group’s Executive Vice President for Human Resources said: “There’s no more exciting airline than Emirates for anyone interested in a flying career, and we’ve received tremendous interest since we began our recruitment drive for cabin crew in November.”

“While parts of the application process are done online, we always make the effort to meet our candidates in person whenever we can, and that is why our Talent Acquisition team is doing a whirlwind 30-city tour over the next 6 weeks to assess prospective candidates.”

Emirates’ truly global cabin crew team represent 160 nationalities, reflecting its customer mix and international operations in over 130 cities on six continents.

All Emirates crew are based in the exciting cosmopolitan city of Dubai, with company-provided accommodation, tax-free salary and more benefits.

Interested candidates can read more about the Emirates cabin crew role, and apply online at: https://www.emiratesgroupcareers.com/cabin-crew/

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