The document summarizes information and recommendations regarding the Covid-19 pandemic from the perspective of intensive care and critical care specialists. It provides worldwide case statistics and projections for hospital bed and ventilator needs in California. Guidelines are presented on testing, diagnosis, treatment strategies including ventilation, use of sedatives, ECMO, and experimental drugs. Risk stratification, PPE guidance, and management of complications like shock are also addressed. Clinical trials and the potential use of convalescent plasma are discussed.
COVID-19 : Introduction,Nomenclature,Incubation Period,Structure,Symptoms,Transmission,Flowchart,Diagnosis,Treatment,Drugs under testing,Prevention,Importance of Social Distancing,Effects in Lungs,Effects in Other organs,Replication,Severity,Stages,Comparison,Facts.
COVID-19 : Introduction,Nomenclature,Incubation Period,Structure,Symptoms,Transmission,Flowchart,Diagnosis,Treatment,Drugs under testing,Prevention,Importance of Social Distancing,Effects in Lungs,Effects in Other organs,Replication,Severity,Stages,Comparison,Facts.
Rekha Dehariya (M.Sc nursing 1st year) Bhopal Nursing College, Bhopal
Covid -19 has effected broud number of people all over the world. the health education is necessary to aware people about it.
Novel corona virus (COVID-19) its cause, symptoms and treatmentMedical Knowledge
In this SlideShare, you can learn about the pandemic Novel Corona Virus (COVID-19) and also seek knowledge about,
1. What is Coronavirus?
2. Types of the Coronavirus.
3. Transmission of Coronavirus.
4. Prevention of Coronavirus.
5. Treatment of Coronavirus.
6. Diet in Coronavirus.
7. Symptoms of Coronavirus.
8. How Coronavirus get its name?
9. What is MERS_COVID & SARS_COVID?
To download the PowerPoint of this click below:
https://drive.google.com/open?id=1s35dGMbsaO8WT2RG8NudOBc4lF2u5JXyH0MVQWpiaXk
To view the video tutorial click below:
https://youtu.be/sKVFN250l_Q
Corona virus disease-2019 (Covid-19 outbreak) epidemiology prevention and con...Arun Singh
This PPT is created and updated on 14 February 2020 and it is about the epidemiology of Corona Virus Disease-19, Its preventive measures were also given, useful for department of Community Medicine
Coronavirus Disease, officially named as COVID-19, started as an epidemic in a live animal market in Wuhan, China, and spread throughout the world at an alarming rate. It was declared a pandemic by WHO on 11th March, 2020. The virus causing the disease was initially named 2019 Novel Coronavirus (2019-nCoV), but later officially renamed by WHO as Severe Acute Respiratory Syndrome- Coronavirus 2 (SARS-CoV-2). This virus is related to SARS-CoV and MERS-CoV that caused epidemics in China and Saudi Arabia in 2002 and 2012, respectively. The virus primarily affects the lungs, and causes death in a small proportion of patients due to Acute Respiratory Distress Syndrome (ARDS). The data on this new disease is very early, and might change as new data emerges.
Disclaimer: The images used in this presentation do not belong to me.
In this PowerPoint presentation you can get data about every aspect of COVID-19 disease.I gave every minute important detail in short form so that you can easily get that. Coronavirus disease spread globally and WHO called it as a Pandemic Disease on March 11,2020. in India it is on stage 2,please its my request to everyone stay at Home..Don't Go outside...Government provide everything which is of daily use...Don't Panic...Stay Safe..Stay At Home...Quarantine yourself for somedays.
Coronaviruses are a group of related viruses that cause diseases in mammals and birds. In humans, coronaviruses cause respiratory tract infections that can be mild, such as some cases of the common cold, and others that can be lethal, such as SARS, MERS, and COVID-19. Symptoms in other species vary: in chickens, they cause an upper respiratory tract disease, while in cows and pigs they cause diarrhea. There are yet to be vaccines or antiviral drugs to prevent or treat human coronavirus infections.
This presentation contains all the information about corona virus or covid(19) it includes are as follows :-
1. Definition of corona
2.cause or Aetiology of corona
3. Risk factors related to corona
4. clinical manifestation or sign and symptoms of corona
5. pathophysiology of corona
6. Diagnostic evaluation for corona
7. Mode of transmission of corona
8. Complication of corona
9. medical managment of corona
10. nursinf managment of corona
11. Nursing diagnosis for corona
12. Health education for corona
13. prevention methods for corona
Its a small presentation about corona virus. Hope you will get an idea about it. Its not detail its just to give an overview of the virus and its mode of transmission. Preventive measures are also discussed.
Monkeypox is a zoonotic disease endemic in the Democratic Republic of Congo (DRC) but prevalent also in other countries of Central and Western Africa. The clinical presentation of monkeypox closely resembles the one of smallpox. The mortality rate is officially about 11% however rates as high as 17% have been observed. The disease has been considered rare and not much attention is paid to it. Nonetheless, the incidence of monkeypox increased 20-fold from 1981-1986 to 2005-2007 (two active surveillance programs). More research, surveillance and effective interventions are needed to ensure it would not gain the potential to become the next global pandemic.
Here is a comprehensive and updated presentation on the Monkeypox by noted infectious diseases expert Dr ISHWAR GILADA, Consultant in HIV/STDs, Unison Medicare & Research Centre, and Secretary General, Organised Medicine Academic Guild-OMAG;
President, AIDS Society of India (ASI) &
Governing Council Member, International AIDS Society (IAS)
E-mail: gilada@usa.net, drisgilada@gmail.com
Rekha Dehariya (M.Sc nursing 1st year) Bhopal Nursing College, Bhopal
Covid -19 has effected broud number of people all over the world. the health education is necessary to aware people about it.
Novel corona virus (COVID-19) its cause, symptoms and treatmentMedical Knowledge
In this SlideShare, you can learn about the pandemic Novel Corona Virus (COVID-19) and also seek knowledge about,
1. What is Coronavirus?
2. Types of the Coronavirus.
3. Transmission of Coronavirus.
4. Prevention of Coronavirus.
5. Treatment of Coronavirus.
6. Diet in Coronavirus.
7. Symptoms of Coronavirus.
8. How Coronavirus get its name?
9. What is MERS_COVID & SARS_COVID?
To download the PowerPoint of this click below:
https://drive.google.com/open?id=1s35dGMbsaO8WT2RG8NudOBc4lF2u5JXyH0MVQWpiaXk
To view the video tutorial click below:
https://youtu.be/sKVFN250l_Q
Corona virus disease-2019 (Covid-19 outbreak) epidemiology prevention and con...Arun Singh
This PPT is created and updated on 14 February 2020 and it is about the epidemiology of Corona Virus Disease-19, Its preventive measures were also given, useful for department of Community Medicine
Coronavirus Disease, officially named as COVID-19, started as an epidemic in a live animal market in Wuhan, China, and spread throughout the world at an alarming rate. It was declared a pandemic by WHO on 11th March, 2020. The virus causing the disease was initially named 2019 Novel Coronavirus (2019-nCoV), but later officially renamed by WHO as Severe Acute Respiratory Syndrome- Coronavirus 2 (SARS-CoV-2). This virus is related to SARS-CoV and MERS-CoV that caused epidemics in China and Saudi Arabia in 2002 and 2012, respectively. The virus primarily affects the lungs, and causes death in a small proportion of patients due to Acute Respiratory Distress Syndrome (ARDS). The data on this new disease is very early, and might change as new data emerges.
Disclaimer: The images used in this presentation do not belong to me.
In this PowerPoint presentation you can get data about every aspect of COVID-19 disease.I gave every minute important detail in short form so that you can easily get that. Coronavirus disease spread globally and WHO called it as a Pandemic Disease on March 11,2020. in India it is on stage 2,please its my request to everyone stay at Home..Don't Go outside...Government provide everything which is of daily use...Don't Panic...Stay Safe..Stay At Home...Quarantine yourself for somedays.
Coronaviruses are a group of related viruses that cause diseases in mammals and birds. In humans, coronaviruses cause respiratory tract infections that can be mild, such as some cases of the common cold, and others that can be lethal, such as SARS, MERS, and COVID-19. Symptoms in other species vary: in chickens, they cause an upper respiratory tract disease, while in cows and pigs they cause diarrhea. There are yet to be vaccines or antiviral drugs to prevent or treat human coronavirus infections.
This presentation contains all the information about corona virus or covid(19) it includes are as follows :-
1. Definition of corona
2.cause or Aetiology of corona
3. Risk factors related to corona
4. clinical manifestation or sign and symptoms of corona
5. pathophysiology of corona
6. Diagnostic evaluation for corona
7. Mode of transmission of corona
8. Complication of corona
9. medical managment of corona
10. nursinf managment of corona
11. Nursing diagnosis for corona
12. Health education for corona
13. prevention methods for corona
Its a small presentation about corona virus. Hope you will get an idea about it. Its not detail its just to give an overview of the virus and its mode of transmission. Preventive measures are also discussed.
Monkeypox is a zoonotic disease endemic in the Democratic Republic of Congo (DRC) but prevalent also in other countries of Central and Western Africa. The clinical presentation of monkeypox closely resembles the one of smallpox. The mortality rate is officially about 11% however rates as high as 17% have been observed. The disease has been considered rare and not much attention is paid to it. Nonetheless, the incidence of monkeypox increased 20-fold from 1981-1986 to 2005-2007 (two active surveillance programs). More research, surveillance and effective interventions are needed to ensure it would not gain the potential to become the next global pandemic.
Here is a comprehensive and updated presentation on the Monkeypox by noted infectious diseases expert Dr ISHWAR GILADA, Consultant in HIV/STDs, Unison Medicare & Research Centre, and Secretary General, Organised Medicine Academic Guild-OMAG;
President, AIDS Society of India (ASI) &
Governing Council Member, International AIDS Society (IAS)
E-mail: gilada@usa.net, drisgilada@gmail.com
This month's community call is part two in a series on Clinical Transformation. The presentations will highlight how Clinical Transformation affects outcomes AND the bottom-line of health care organizations. The presentation will provide a proof point on how Clinical Transformation has a direct Return on Investment (ROI) for both the patient and the provider organization.
This topic is both clinical and administrative in nature and will likely be useful to physicians, nurses and others interested in outcomes, as well as health care CIOs, CFOs and administrators.
Please feel free to forward this invitation to any colleagues or associates who you believe would find this topic of interest or would like to participate in the discussion.
What: Clinical Transformation (Part II)
- Clinical Transformation
- a Blueprint
- in Practice
- Transformation Working Group Update
- Review of status
- Framework for Planning
- Discussion
- Open Project Updates
- OpenVista/GT.M Integration
- CCD/CCR collaboration
- Medsphere.org: Tip of the month
When: March 26, 12:30 - 2pm Pacific
Where: Dial-in: (888) 346-3950 // Participant Code: 1302465
Web conference: http://www.medsphere.com/infinite/
===
The community calls are listed on the Medsphere.org event calendar (http://medsphere.org/community-events/) and we will update each month's call as the agenda is solidified.
Details and Recording available here: http://medsphere.org/blogs/events/2009/03/26/community-call-march-2009
Defibrillation strategy for refractory Ventricular fibrillation.pptxAhmed Lotfy
The objective of this trial (Double Sequential External Defibrillation for Refractory Ventricular Fibrillation [DOSE VF]) was to evaluate Double Sequential External Defibrillation (DSED) and Vector Change (VC) defibrillation as compared with standard defibrillation in patients who remain in refractory ventricular fibrillation during out-of-hospital cardiac arrest.
The assessment, diagnosis and treatment of critically ill patients is extremely challenging. Patients often deteriorate whilst being
reviewed and their rapidly changing pathophysiology barrages healthcare professionals with new data. Furthermore, comprehensive assessments must be postponed until the patient has been stabilised. So, important data and interventions are often missed in the heat of the moment. In emergency situations, suboptimal management decisions may cause signifi cant morbidity and mortality. Fortunately, standardisation and careful design of documentation (i.e. proformas and checklists) can enhance patient safety. So, I have developed a series of checklist proformas to guide the assessment of critically ill patients. These proformas also promote the systematic recording and presentation of information to facilitate the retrieval of the precise data required for the management for critically ill patients. The proformas have been modifi ed extensively over the last twenty years based on my personal experience and extensive consultation with colleagues in several world-renowned centres of excellence. The proformas were originally developed for use in the intensive therapy unit
or high dependency unit. However, they have been adapted for use by outreach teams reviewing patients admitted outside of critical care areas. The use of these tools can direct eff orts to provide appropriate organ support and provides a framework for diagnostic reasoning.
Operational Planning of Hospitals towards COVID 19 Pandemic- Indian PerspectiveLallu Joseph
This presentation is about the preparation of Indian Hospitals towards managing patients during the COVID 19 Pandemic. This is based on experience shared by hospitals for the benefit of other hospitals to prepare themselves. How to set up the Hospital Incident Command System, components of managing the pandemic like infection control, Engineering Controls, Patient flow and Triaging, Supply chain management including PPE, Clinical management, Manpower management and shifts, Training.
A cardiologists perspective to current scenario in light of corona pandemic in india and world wide. cardiac procedures , heart disease , aceinhibitors , arni , heart failure , troponin, nt probnp
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
8. 8
COVID-19 Surge Capacity Plan
April 1, 2020
Dr. Jess Mandel | Chief, Division of Pulmonary, Critical Care and Sleep Medicine
Mobe Montesa | Nursing Director, Cardiovascular Services
Leah Adrid | Asst. Director of Operations, Capacity Management & Pt. Flow
Jarrod McDonald | Assoc. Director, Health System Innovation & Transformation
9. Anticipated Critical Care Bed Need (Worst Case)
- 1 2 2 4 6 8 12 18 27
39
58
84
121
171
236
316
405
492
561
596 588
542
473
393
317
250
194
149
114
87
66
51
38 29 22 17 13 10 8 6- 1 1 1 2 3 4 6 9 13 20 29
42
60
85
118
158
203
246
281
298 294
271
236
197
159
125
97
75
57
44
33 25 19 15 11 9 7 5 4 3
-
100
200
300
400
500
600
700
3/23/2020 4/23/2020 5/23/2020 6/23/2020 7/23/2020 8/23/2020 9/23/2020 10/23/2020 11/23/2020 12/23/2020
Predicted UCSD Critical Care Census at 50% Social Distancing & 6 day* ICU LOS
icu vent UCSD ICU Capacity
Physically capable
of increasing by
115 to 285 CC beds
Portion At Risk
Send out if possible
LST Rationing / Ethics Protocol
Current COVID Census
Shifts entire model timeline up ~1 ¾ months
Source: U Penn COVID Model
*Improvements in care aim to reduce LOS
10. Key Deliverables:
• Validate outstanding non-traditional areas for overflow
• Determine if non-traditional areas meet structural and regulatory
requirements (O2, Gas, Electric, etc.)
Key Deliverables:
• Determine potential pool and number of staff from non-inpatient areas (e.g.
JMC PACU, Hillcrest PACU, GI, Cath lab, EP)
• Determine total number of nursing, physician & RT staff by level of care
• Create RN staffing model when ratios can no longer be maintained.
Key Deliverables:
• Create an educational plan for educational needs and structured format (e.g.
Social Distancing, Online format, Hands on, Shadowing/floating options)
• Create a content List of Gaps for each unit, level of care, and floating needs
• Work with the staffing plan to take determine staff that need education
Key Deliverables:
• Supply & equipment gap analysis, prioritized by surge phase
• Process for getting the units necessary supplies/equipment
• Implement appropriate Modifications/EPIC/Pyxis access real time
Non
Traditional
Overflow
Unit
Readiness
Education
Staffing
Physician & RN/RT
Taskforce Deliverables in Progress
11. COVID Physician Staffing (Non-Critical Care)
Medical Staff Physician Surge Staffing Request
Identifies providers with board certifications and/or ability to provide Critical Care,
Emergency Medicine & Hospital Medicine care
Highlights potential risk factors (>65, existing comorbidities, etc.)
Captures contact information
12. 6 IMU RNs
Bedside RN ICU Model #1
< 250 ventilators (Utilizes IMU RNs in ICU)
Each Pod
1 ICU RN
2 IMU RN
.7 RT
5 patients
All 1:1 patients in ICU will
be screened for acuity
and paired based off
need (IABP, Impellas,
Tandems, CRRT,
CABG/VALVE, PTE). True
1:1 patients will remain
1:1, and additional ICU
RNs will be added.
Based of 330 ICU patients:
Core group:
66 ICU RNs needed per shift + 1:1
132 IMU RNs
33 RTs
Patient ratio will reduce once we exceed 250
ventilators (see model #2)
This model will be adjusted to each unit’s physical space
**If available
COVID Coordinator- stocks and
monitors PPE. RN/ >
1 PCCM team
.3 Pharmacy
1 Charge RN (ICU preferred)**
1 COVID Coordinator**
3 ICU RNs
2 RTs*
6 IMU RNs
15 patients
22 additional ICU RN
22 additional non ICU RNs
22 CCP, MA or LVN
**If additional staff are available
deploy based on acuity
Pyramid
1 CCP, MA or LVN**
13. 6 IMU RNs
Each Pod
1 ICU RN
2 IMU RN
.5 RT
5 patients
All 1:1 patients in ICU will
be screened for acuity
and paired based off
need (IABP, Impellas,
Tandems, CRRT,
CABG/VALVE, PTE). True
1:1 patients will remain
1:1, and additional ICU
RNs will be added.
Based of 330 ICU patients:
Core group:
66 ICU RNs needed + 1:1
99 IMU RNs
33 RTs
RT ratio will reduce once we exceed 250
ventilators (see model #2)
This model will be adjusted to each unit’s physical space
**If available
COVID Coordinator- stocks and
monitors PPE. RN or >
1 PCCM team
1 Charge RN (ICU preferred)**
1 COVID Coordinator**
2 ICU RNs
1 RTs*
3 IMU RNs
10 patients
Bedside RN ICU Model #2
> 250 ventilators
33 additional ICU RN
33 additional non ICU RNs
33 CCP, MA or LVNs
**Extra available staff (including
students) deploy based on acuity
Pyramid
1 CCP, MA, or LVN**
Have the capacity to run ~330 – 400
COVID Critical Care beds total
17. Laboratory diagnosis
Indications for testing ICU patients for SARS CoV-2
• every critically ill patient arriving with respiratory infection should be
considered potentially infected with SARS-CoV-2.
• (RT-PCR) is the gold standard for similar viral infections,
• extended incubation period poses diagnostic challenges
• viral shedding prior to the onset of symptoms.
European Society of Intensive Care Medicine and the Society of Critical Care Medicine 2020
26. High Flow Nasal Cannula
chest.2020.03.043
HVNI therapy can be substantially slowed
using a surgical facemask in place
increasing flow rate if the patient is
displaying increased work of breathing.
precautions must considered while
managing patients on HVNI
31. Joint Statement on Multiple
Patients Per Ventilator
March 26, 2020 12:00 p.m.
The Society of Critical Care Medicine
(SCCM),
American Association for Respiratory
Care (AARC),
American Society of Anesthesiologists
(ASA),
Anesthesia Patient Safety Foundation
(ASPF),
American Association of Critical-Care
Nurses (AACN),
American College of Chest Physicians
(CHEST)
32. Reasons include:
Volumes would go to the most compliant lung
segments.
• PEEP would be impossible to manage.
• measuring pulmonary mechanics would be
challenging, if not impossible.
• Alarm monitoring and management would
not be feasible.
• Individualized management for clinical
improvement or deterioration would be
impossible.
• In the case of a cardiac arrest, ventilation to
all patients would need to be
• Additional external monitoring would be
required.
• patients deteriorate and recover at different
rates,
• The greatest risks occur with sudden
deterioration of a single patient (e.g.,
pneumothorax, kinked endotracheal tube),
with the balance of ventilation distributed to
the other patients.
33. Nonsedation or light
sedation in critically
ill vented patients.
•Daily sedation breaks
•fewer ICU days
•fewer days on the vent.
35. ECMO
• should be offered to patients with a good prognosis
• advanced age, multiple co-morbidities, or multiple
organ failure
• observing no lung or cardiac recovery after
approximately 21 days* on ECMO can be considered
futile
51. Management of bronchial asthma with COVID-19
• continue all inhaled medication, including inhaled corticosteroids,
• acute asthma attacks / short course of oral corticosteroids to prevent serious consequences.
• long-term treatment with (OCS) should be continued in the lowest possible dose
• Biologic therapies should be used in severe asthma patients who qualify
• Nebulisers should,be avoided / increased risk of disseminating COVID-19
• (pMDI) via a spacer is the preferred treatment
• allergic rhinitis should continue to take their nasal corticosteroids,
• Routine spirometry testing should be suspended
58. Hydroxychloroquine sulfate for COVID-19.
studies are all small
randomized 30 patients to
hydroxychloroquine plus usual care, or
usual care alone,
hydroxychloroquine group did not do
better,
with a primary outcome of negative viral
testing at 7 days.
more study is needed.
59.
60.
61.
62. Anticoagulations.
Heparin treatment has
been recommended for
COVID-19, however, its
efficacy remains to be
validated.
• 28-day mortality of heparin users were lower than
nonusers In patients with D-dimer > 3.0 ug/mL.
• Heparin treatment appears to be associated with
better prognosis in severe COVID-19 patients with
coagulopathy.
63. Angiotensin
II for the
treatment of
COVID-19-
related
vasodilatory
shock.
This is a perspective.
exogenous AngII might be
very helpful in treating
COVID-19 patients shock.
65. Treatment of 5 critically ill pts with COVID-19 with convalescent plasma.
JAMA
• 5 Donors
• lab-confirmed SARS-CoV-2 positive
• turned negative
• asymptomatic for at least 10 days
• high levels of SARS-CoV-2-specific
antibodies.
• Recipients
• lab-confirmed COVID-19,
• severe PNA with rapid progression
• and P:F <300,
• on vent.
The authors say that three patients had no detectable virus by day 3