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Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series
BACKGROUND: The novel coronavirus, named SARS-CoV-2, was first described in December 2019 as a cluster of pneumonia cases in Wuhan, China. It has since been declared a pandemic, with substantial mortality. MATERIALS AND METHODS: In our case series, we describe the clinical presentation, characterist...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Jaypee Brothers Medical Publishers
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482330/ https://www.ncbi.nlm.nih.gov/pubmed/32963432 http://dx.doi.org/10.5005/jp-journals-10071-23477 |
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author | Shukla, Urvi Chavali, Siddharth Mukta, Prashant Mapari, Amol Vyas, Anjali |
author_facet | Shukla, Urvi Chavali, Siddharth Mukta, Prashant Mapari, Amol Vyas, Anjali |
author_sort | Shukla, Urvi |
collection | PubMed |
description | BACKGROUND: The novel coronavirus, named SARS-CoV-2, was first described in December 2019 as a cluster of pneumonia cases in Wuhan, China. It has since been declared a pandemic, with substantial mortality. MATERIALS AND METHODS: In our case series, we describe the clinical presentation, characteristics, and outcomes of our initial experience of managing 24 critically ill COVID-19 patients at a designated COVID-19 ICU in Western India. RESULTS: Median age of the patients was 54 years, and 58% were males. All patients presented with moderate to severe acute respiratory distress syndrome (ARDS); however, only 37.5% failed trials of awake proning and required mechanical ventilation. Patients who received mechanical ventilation typically matched the H-phenotype of COVID-19 pneumonia, and 55.5% of these patients were successfully extubated. CONCLUSION: The most common reason for ICU admission in our series of 24 patients with severe COVID-19 was hypoxemic respiratory failure, which responded well to conservative measures such as awake proning and oxygen supplementation. Mortality in our case series was 16.7%. HOW TO CITE THIS ARTICLE: Shukla U, Chavali S, Mukta P, Mapari A, Vyas A. Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series. Indian J Crit Care Med 2020;24(7):509–513. |
format | Online Article Text |
id | pubmed-7482330 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Jaypee Brothers Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-74823302020-09-21 Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series Shukla, Urvi Chavali, Siddharth Mukta, Prashant Mapari, Amol Vyas, Anjali Indian J Crit Care Med Original Article BACKGROUND: The novel coronavirus, named SARS-CoV-2, was first described in December 2019 as a cluster of pneumonia cases in Wuhan, China. It has since been declared a pandemic, with substantial mortality. MATERIALS AND METHODS: In our case series, we describe the clinical presentation, characteristics, and outcomes of our initial experience of managing 24 critically ill COVID-19 patients at a designated COVID-19 ICU in Western India. RESULTS: Median age of the patients was 54 years, and 58% were males. All patients presented with moderate to severe acute respiratory distress syndrome (ARDS); however, only 37.5% failed trials of awake proning and required mechanical ventilation. Patients who received mechanical ventilation typically matched the H-phenotype of COVID-19 pneumonia, and 55.5% of these patients were successfully extubated. CONCLUSION: The most common reason for ICU admission in our series of 24 patients with severe COVID-19 was hypoxemic respiratory failure, which responded well to conservative measures such as awake proning and oxygen supplementation. Mortality in our case series was 16.7%. HOW TO CITE THIS ARTICLE: Shukla U, Chavali S, Mukta P, Mapari A, Vyas A. Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series. Indian J Crit Care Med 2020;24(7):509–513. Jaypee Brothers Medical Publishers 2020-07 /pmc/articles/PMC7482330/ /pubmed/32963432 http://dx.doi.org/10.5005/jp-journals-10071-23477 Text en Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd. © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Article Shukla, Urvi Chavali, Siddharth Mukta, Prashant Mapari, Amol Vyas, Anjali Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series |
title | Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series |
title_full | Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series |
title_fullStr | Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series |
title_full_unstemmed | Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series |
title_short | Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series |
title_sort | initial experience of critically ill patients with covid-19 in western india: a case series |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7482330/ https://www.ncbi.nlm.nih.gov/pubmed/32963432 http://dx.doi.org/10.5005/jp-journals-10071-23477 |
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