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Trimming the need for invasive ventilation: pragmatic critical care during the COVID-19 pandemic.
Oates, Connor P; Goldman, Sarah A; Giustino, Gennaro; Goldman, Martin E.
  • Oates CP; Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA connor.oates@mountsinai.org.
  • Goldman SA; Albert Einstein College of Medicine, Bronx, New York, USA.
  • Giustino G; Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
  • Goldman ME; Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
BMJ Case Rep ; 13(9)2020 Sep 08.
Article in English | MEDLINE | ID: covidwho-751541
ABSTRACT
COVID-19 has challenged all medical professionals to optimise non-invasive positive pressure ventilation (NIV) as a means of limiting intubation. We present a case of a middle-aged man with a voluminous beard for religious reasons who developed progressive hypoxic respiratory failure secondary to COVID-19 infection which became refractory to NIV. After gaining permission to trim the patient's facial hair by engaging with the patient, his family and religious leaders, his mask fit objectively improved, his hypoxaemia markedly improved and an unnecessary intubation was avoided. Trimming of facial hair should be considered in all patients on NIV who might have any limitations with mask fit and seal that would hamper ventilation, including patients who have facial hair for religious reasons.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Insufficiency / Coronavirus Infections / Critical Care / Noninvasive Ventilation / Betacoronavirus Type of study: Case report Topics: Long Covid Limits: Aged / Humans / Male Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-237597

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Insufficiency / Coronavirus Infections / Critical Care / Noninvasive Ventilation / Betacoronavirus Type of study: Case report Topics: Long Covid Limits: Aged / Humans / Male Language: English Year: 2020 Document Type: Article Affiliation country: Bcr-2020-237597