Initial experience of critically ill patients with COVID-19 in western India: A case series

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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%.

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Shukla, U., Chavali, S., Mukta, P., Mapari, A., & Vyas, A. (2020). Initial experience of critically ill patients with COVID-19 in western India: A case series. Indian Journal of Critical Care Medicine, 24(7), 509–513. https://doi.org/10.5005/jp-journals-10071-23477

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