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1.
BMJ Case Rep ; 14(10)2021 Oct 13.
Article in English | MEDLINE | ID: covidwho-1467681

ABSTRACT

COVID-19 presents with a spectrum of severity, ranging from asymptomatic or mild symptoms to those with acute respiratory distress syndrome. Corticosteroids are widely used for their efficacy in reducing inflammatory responses. However, its use may be limited to patients with immunosuppression. An adjunct therapy for cytokine storm in COVID-19 is extracorporeal blood purification therapies using high adsorptive filters, such as oXiris, to remove cytokines. We share our experience in using continuous renal replacement therapy with oXiris haemofilter as a temporising measure to high-dose corticosteroids in managing cytokine storm in a deteriorating COVID-19 patient with concomitant bacterial infection.


Subject(s)
Bacterial Infections , COVID-19 , Respiratory Distress Syndrome , Adrenal Cortex Hormones , Humans , SARS-CoV-2
2.
BMJ Case Rep ; 14(6)2021 Jun 08.
Article in English | MEDLINE | ID: covidwho-1262388

ABSTRACT

Tracheostomy is an aerosol-generating procedure and performing it in patients with COVID-19 requiring mechanical ventilation raises significant concerns of infection risk to healthcare workers. We herein report a case of tracheostomy in a critically ill patient with severe COVID-19 acute respiratory distress syndrome. This article depicts the use of personal protective equipment, highlighting the common challenges it presents and ways to address them.


Subject(s)
COVID-19 , Obesity, Morbid , Humans , Obesity, Morbid/complications , Personal Protective Equipment , SARS-CoV-2 , Tracheostomy
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