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Importance of respiratory airway management as well as psychological and rehabilitative treatments to COVID-19 patients.
Jiang, Yichun; Chen, Jun; Cen, Fulan; Li, Xu; Song, Zhi; Peng, Mian; Liu, Xueyan.
  • Jiang Y; Department of Critical Care Medicine, Shenzhen People's Hospital, Shenzhen, China.
  • Chen J; Department of Critical Care Medicine, Shenzhen People's Hospital, Shenzhen, China; School of Environmental and Biological Engineering, Nanjing University of Science and Technology, Nanjing, China.
  • Cen F; Shenzhen Third People's Hospital, Shenzhen, China.
  • Li X; The University of Hong Kong-Shenzhen Hospital, Shenzhen, China.
  • Song Z; Shenzhen University General Hospital, Shenzhen, China.
  • Peng M; The Third Affiliated Hospital of Shenzhen University, Shenzhen, China.
  • Liu X; Department of Critical Care Medicine, Shenzhen People's Hospital, Shenzhen, China. Electronic address: 13554843721@163.com.
Am J Emerg Med ; 38(8): 1698.e1-1698.e4, 2020 08.
Article in English | MEDLINE | ID: covidwho-625343
ABSTRACT
The clinical therapy for severe 2019 coronavirus disease (i.e., COVID-19) sufferers is relatively challenging. Herein, the processes involving salvage of a critical COVID-19 patient were retrospectively analyzed. The condition of an obese female critical COVID-19 sufferer progressively worsened in the initial period after admission. According to her symptoms and examination reports, endotracheal intubation and mechanical ventilation were timely conducted and meanwhile high-dose sedatives and analgesics were administrated. In the later therapeutic phase, however, sedative and analgesic dosages were gradually reduced, and psychological and rehabilitative therapies were conducted, concomitantly with enhancement of airway care to facilitate sputum expectoration. Eventually, the endotracheal tube was feasibly removed after intubation for 18 days and subsequently replaced with noninvasive ventilation and a high-flow nasal cannula oxygen therapy. Intensive airway care alongside psychological and rehabilitative therapies can shorten the mechanical ventilation time and improve the prognosis of COVID-19 sufferers.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Airway Management Type of study: Case report / Diagnostic study / Prognostic study Limits: Adult / Female / Humans Language: English Journal: Am J Emerg Med Year: 2020 Document Type: Article Affiliation country: J.ajem.2020.04.055

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Airway Management Type of study: Case report / Diagnostic study / Prognostic study Limits: Adult / Female / Humans Language: English Journal: Am J Emerg Med Year: 2020 Document Type: Article Affiliation country: J.ajem.2020.04.055