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10.1136/bcr-2020-237597

http://scihub22266oqcxt.onion/10.1136/bcr-2020-237597
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32907872!7481076!32907872
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suck abstract from ncbi


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pmid32907872      BMJ+Case+Rep 2020 ; 13 (9): ä
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  • Trimming the need for invasive ventilation: pragmatic critical care during the COVID-19 pandemic #MMPMID32907872
  • Oates CP; Goldman SA; Giustino G; Goldman ME
  • BMJ Case Rep 2020[Sep]; 13 (9): ä PMID32907872show ga
  • 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.
  • |*Betacoronavirus[MESH]
  • |Aged[MESH]
  • |Brain Diseases/etiology[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/complications/*therapy[MESH]
  • |Critical Care/*methods[MESH]
  • |Hair[MESH]
  • |Humans[MESH]
  • |Intubation, Intratracheal[MESH]
  • |Male[MESH]
  • |Noninvasive Ventilation/*methods[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/complications/*therapy[MESH]
  • |Religion and Medicine[MESH]
  • |Respiratory Insufficiency/etiology/*therapy[MESH]
  • |SARS-CoV-2[MESH]


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