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Airway management, procedural data, and in-hospital mortality records of patients undergoing surgery for mucormycosis associated with coronavirus disease (COVID-19).
Sirohiya, Prashant; Vig, Saurabh; Mathur, Tanmay; Meena, Jitendra Kumar; Panda, Smriti; Goswami, Gitartha; Gupta, Raghav; Konkimalla, Abhilash; Kondamudi, Dheeraj; Gupta, Nishkarsh; Ratre, Brajesh Kumar; Singh, Ram; Kumar, Balbir; Pandit, Anuja; Sikka, Kapil; Thakar, Alok; Bhatnagar, Sushma.
  • Sirohiya P; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Vig S; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Mathur T; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Meena JK; Department of Preventive Oncology, All India Institute of Medical Sciences, New Delhi, India.
  • Panda S; Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
  • Goswami G; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Gupta R; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Konkimalla A; Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
  • Kondamudi D; Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
  • Gupta N; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Ratre BK; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Singh R; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Kumar B; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Pandit A; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India.
  • Sikka K; Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
  • Thakar A; Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, New Delhi, India.
  • Bhatnagar S; Department of Onco-anaesthesia and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, India. Electronic address: sushmabhatnagar1@gmail.com.
J Mycol Med ; 32(4): 101307, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-1914842
ABSTRACT

PURPOSE:

Although unexpected airway difficulties are reported in patients with mucormycosis, the literature on airway management in patients with mucormycosis associated with Coronavirus disease is sparse.

METHODS:

In this retrospective case record review of 57 patients who underwent surgery for mucormycosis associated with coronavirus disease, we aimed to evaluate the demographics, airway management, procedural data, and in-hospital mortality records.

RESULTS:

Forty-one (71.9%) patients had a diagnosis of sino-nasal mucormycosis, fourteen (24.6%) patients had a diagnosis of rhino-orbital mucormycosis, and 2 (3.5%) patients had a diagnosis of palatal mucormycosis. A total of 44 (77.2%) patients had co-morbidities. The most common co-morbidities were diabetes mellitus in 42 (73.6%) patients, followed by hypertension in 21 (36.8%) patients, and acute kidney injury in 14 (28.1%) patients. We used the intubation difficulty scale score to assess intubating conditions. Intubation was easy to slightly difficult in 53 (92.9%) patients. In our study, mortality occurred in 7 (12.3%) patients. The median (range) mortality time was 60 (27-74) days. The median (range) time to hospital discharge was 53.5 (10-85) days. The median [interquartile range] age of discharged versus expired patients was 47.5 [41,57.5] versus 64 [47,70] years (P = 0.04), and median (interquartile range) D-dimer levels in discharged versus expired patients was 364 [213, 638] versus 2448 [408,3301] ng/mL (P = 0.03).

CONCLUSION:

In patients undergoing surgery for mucormycosis associated with the coronavirus disease, airway management was easy to slightly difficult in most patients. Perioperative complications can be minimized by taking timely and precautionary measures.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Mucormycosis Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: J Mycol Med Year: 2022 Document Type: Article Affiliation country: J.mycmed.2022.101307

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Mucormycosis Type of study: Experimental Studies / Observational study / Prognostic study Topics: Long Covid Limits: Humans Language: English Journal: J Mycol Med Year: 2022 Document Type: Article Affiliation country: J.mycmed.2022.101307