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Wyświetlanie 1-4 z 4
Tytuł:
Spontaneous pneumothorax and pneumomediastinum - clinical onset of COVID-19 pneumonia: a case report.
Autorzy:
De Rosa, Rosanna Carmela
Gallifuoco, Michele
Angelone, Manuela
Saracco, Elisabetta
Romanelli, Antonio
Powiązania:
https://bibliotekanauki.pl/articles/1918268.pdf
Data publikacji:
2021-09-30
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
COVID-19
pneumothorax
pneumomediastinum
case report
Opis:
Typical radiological findings in patients with SARS-CoV-2 pneumonia consist of the presence of bilateral pulmonary opacities (both ground-glass attenuations and consolidations) with a peripheral or subpleural distribution, often involving the posterior regions of both lungs specifically. Although interstitial pneumonia represents the hallmark of COVID-19, the clinician should remember that sudden worsening gas exchange may have different aetiology. Pneumothorax and pneumomediastinum are well-known complications of invasive mechanical ventilation. However, since the beginning, the development of spontaneous pneumothorax and pneumomediastinum was reported in COVID-19 patients, without risk factors. The exact mechanism for the development of spontaneous pneumothorax and pneumomediastinum in COVID-19 patients is still unclear, and findings suggest that these clinical manifestations can be interpreted as an index of lung disease severity associated with complicated hospital courses, worst prognosis and increase in mortality rate. We report a case of a SARS-CoV-2 infected obese male patient, in quarantine and without risk factors, presenting to the emergency department for severe dyspnea due to COVID-19 pneumonia complicated by spontaneous pneumothorax and pneumomediastinum.
Źródło:
Critical Care Innovations; 2021, 4, 3; 33-40
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
COVID-19 patients in myasthenic crisis managed successfully with noninvasive positive pressure ventilation: a case series.
Autorzy:
Mustahsin, Mohd
Choubey, Sanjay
Malhotra, Varun
Powiązania:
https://bibliotekanauki.pl/articles/1918248.pdf
Data publikacji:
2021-09-30
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Myasthenic crisis
COVID-19
noninvasive ventilation
NIV
case report
Opis:
The management of respiratory failure during the present pandemic has been a challenging issue for the intensivists. There have been few case series and case reports on myasthenic crisis precipitated by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. The combination of coronavirus disease-19 (COVID-19) pneumonia and myasthenic crisis can result in increased morbidity and mortality if not managed efficiently. The choice of ventilation ranges from non-invasive to invasive. However a lack of proper understanding of pathophysiology of myasthenia gravis and also the COVID-19 could make the decision of selecting the modality of ventilation a real difficult one. Although invasive ventilation is traditionally indicated when the myasthenia gravis patient presents in myasthenic crisis, there is emerging evidence for use of non-invasive ventilation with BiPAP mode in these patients. We present two cases of myasthenic crisis precipitated by SARS-CoV-2 which were successfully managed on non-invasive ventilation, thereby avoiding intubation and complications of invasive mechanical ventilation.
Źródło:
Critical Care Innovations; 2021, 4, 3; 27-32
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Kounis syndrome associated with Moxifloxacin infusion in a patient with COVID-19 pneumonia: a case report
Autorzy:
Tverdokhlib, Ivan
Skakun, Oleksiy
Fedorov, Sergiy
Verbovska, Olga
Kozlova, Irena
Martyniv, Ilona
Powiązania:
https://bibliotekanauki.pl/articles/29432072.pdf
Data publikacji:
2021-06
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
Kounis syndrome
acute coronary syndrome
COVID-19
coronary vasospasm
case report
Opis:
Kounis syndrome (KS) is an acute coronary syndrome developing as a consequence of an anaphylactic or allergic reaction. Multiple mediators (especially histamine) released by mast cells, platelets, and some immune cells may lead to coronary vasospasm or thrombosis and cause an acute coronary syndrome. A clinical case of the KS in a hospitalized patient being treated for the COVID-19-associated pneumonia is presented. A 62-year-old woman was treated for COVID-19-associated pneumonia. In 15 min after the beginning of the Moxifloxacin infusion, the patient complained of severe headache, crushing chest pain, abdominal pain, severe general weakness, shortness of breath. Hypotension and decrease in SpO2 developed. Immediately performed ECG showed the ST-segment elevation in leads I and aVL. There were reciprocal changes in leads III, aVF, V3-V6. Troponin I was slightly elevated. Coronary angiography showed no hemodynamically significant coronary artery lesions. The KS type 1 was diagnosed. Repeated ECG in 2 hours showed isoelectric ST segments in all leads. It may be difficult to diagnose KS. Clinical signs of an allergic or anaphylactic reaction should raise the suspicion of KS. Moxifloxacin as well as other fluoroquinolones may be associated with the development of KS. We suggest a possible association of COVID-19 with KS. However, this issue requires further observation.
Źródło:
Critical Care Innovations; 2021, 4, 2; 32-37
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Physiological mechanism of resistant hypoxemia during dialysis of COVID 19 patient: a case report.
Autorzy:
Kumar, Amarjeet
Kumar, Ajeet
Kumar, Abhyuday
Sinha, Chandni
Kumari, Poonam
Kumar Singh, Prabhat
Powiązania:
https://bibliotekanauki.pl/articles/1918249.pdf
Data publikacji:
2021-09-30
Wydawca:
Towarzystwo Pomocy Doraźnej
Tematy:
COVID-19
chronic kidney disease
haemodialysis
non-invasive ventilation
case report
Opis:
Chronic kidney disease (CKD) is characterized by loss of kidney function and generally it is associated with several alterations in pulmonary functions, including restriction, obstruction, and impaired diffusion capacity. It became challenging to maintain oxygenation in a CKD patient associated with COVID 19 on non-invasive ventilation (NIV). In patients with end stage renal disease (ESRD), several factors likes, fluid overload, anaemia, immune suppression, extraosseous calcification, malnutrition, electrolyte imbalance, and acid-base disorder affecting the lungs indirectly. Here we are reporting NIV failure in two COVID 19 patients during dialysis. Both patients were stable on NIV before starting dialysis and underwent oxygen desaturation and shifted to invasive mechanical ventilation during hemodialysis. The possible mechanism of the oxygen desaturation is alveolar hypoventilation in the absence of hypercapnia, which may be due to the removal of CO2 from the body by some route (dialysate) other than the lungs.
Źródło:
Critical Care Innovations; 2021, 4, 3; 15-19
2545-2533
Pojawia się w:
Critical Care Innovations
Dostawca treści:
Biblioteka Nauki
Artykuł
    Wyświetlanie 1-4 z 4

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