Prolonged treatment of COVID-19 pneumonia with high-flow nasal oxygen: A story of oxygen and resilience.

Audley, G G; Frankenfeld, P; Dlamini, S; Raubenheimer, P; Hoare, J; Cairncross, L; Van den Berg, R; Gule, M V; Calligaro, G

Audley, G G; Frankenfeld, P; Dlamini, S; Raubenheimer, P; Hoare, J; Cairncross, L; Van den Berg, R; Gule, M V; Calligaro, G.

Audley GG; Department of General Medicine, Faculty of Health Sciences, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa. ggaudley@gmail.com.

S Afr Med J ; 110(12): 1168-1171, 2020 10 08.

Article in English | MEDLINE | ID: covidwho-948164

ABSTRACT

ABSTRACT

The COVID-19 pandemic has placed significant strain on the oxygen delivery infrastructure of health facilities in resource-constrained health systems. In this case report, we describe a patient with severe COVID-19 pneumonia who was managed with high-flow nasal oxygen for 40 days, with an eventual successful outcome. We discuss the oxygen delivery infrastructure needed to offer this intervention, as well as the psychosocial impact on those undergoing treatment.

Subject(s)

Anticoagulants/therapeutic use; COVID-19/therapy; Glucocorticoids/therapeutic use; Hypoxia/therapy; Oxygen Inhalation Therapy/methods; Oxygen/supply & distribution; Patient Positioning/methods; Psychosocial Support Systems; Anti-Bacterial Agents/therapeutic use; Anxiety/psychology; Anxiety/therapy; Blood Gas Analysis; COVID-19/blood; COVID-19/physiopathology; COVID-19/psychology; Cannula; Citalopram/therapeutic use; Counseling; Dexamethasone/therapeutic use; Disease Progression; Enoxaparin/therapeutic use; Factor Xa Inhibitors/blood; Female; Healthcare-Associated Pneumonia/complications; Healthcare-Associated Pneumonia/diagnosis; Healthcare-Associated Pneumonia/drug therapy; Hematoma/chemically induced; Humans; Hypoxia/blood; Hypoxia/physiopathology; Middle Aged; Oxygen Inhalation Therapy/psychology; Patient Care Team; Patient Positioning/psychology; Piperacillin, Tazobactam Drug Combination/therapeutic use; Prone Position; Psychiatry; Resilience, Psychological; SARS-CoV-2; Selective Serotonin Reuptake Inhibitors/therapeutic use; Severity of Illness Index; Social Work Department, Hospital; Thigh; Treatment Outcome

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Oxygen / Oxygen Inhalation Therapy / Patient Positioning / Psychosocial Support Systems / COVID-19 / Glucocorticoids / Hypoxia / Anticoagulants Type of study: Case report / Diagnostic study / Prognostic study / Qualitative research Topics: Long Covid Language: English Journal: S Afr Med J Year: 2020 Document Type: Article Affiliation country: Samj.2020.v110i12.15325

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