Journal article
Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series
Indian journal of critical care medicine, Vol.24(7), pp.509-513
07/01/2020
DOI: 10.5005/jp-journals-10071-23477
PMCID: PMC7482330
PMID: 32963432
Abstract
Background: The novel coronavirus, named SARS-CoV-2, was first described in December 2019 as a cluster of pneumonia cases in Wuhan, China. It has since been declared a pandemic, with substantial mortality.
Materials and methods: In our case series, we describe the clinical presentation, characteristics, and outcomes of our initial experience of managing 24 critically ill COVID-19 patients at a designated COVID-19 ICU in western India.
Results: Median age of the patients was 54 years, and 58% were males. All patients presented with moderate to severe acute respiratory distress syndrome (ARDS); however, only 37.5% failed trials of awake proning and required mechanical ventilation. Patients who received mechanical ventilation typically matched the H-phenotype of COVID-19 pneumonia, and 55.5% of these patients were successfully extubated.
Conclusion: The most common reason for ICU admission in our series of 24 patients with severe COVID-19 was hypoxemic respiratory failure, which responded well to conservative measures such as awake proning and oxygen supplementation. Mortality in our case series was 16.7%.
Details
- Title: Subtitle
- Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series
- Creators
- Urvi Shukla - Symbiosis International UniversitySiddharth Chavali - Aditya Birla Memorial HospitalPrashant Mukta - Symbiosis International UniversityAmol Mapari - Aditya Birla Memorial HospitalAnjali Vyas - Symbiosis International University
- Resource Type
- Journal article
- Publication Details
- Indian journal of critical care medicine, Vol.24(7), pp.509-513
- DOI
- 10.5005/jp-journals-10071-23477
- PMID
- 32963432
- PMCID
- PMC7482330
- NLM abbreviation
- Indian J Crit Care Med
- ISSN
- 0972-5229
- eISSN
- 1998-359X
- Publisher
- Jaypee Brothers Medical Publishers Pvt Ltd
- Number of pages
- 5
- Language
- English
- Date published
- 07/01/2020
- Academic Unit
- Anesthesia
- Record Identifier
- 9984772261302771
Metrics
6 Record Views