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Importance of respiratory airway management as well as psychological and
rehabilitative treatments to COVID-19 patients
#MMPMID32601006
Jiang Y
; Chen J
; Cen F
; Li X
; Song Z
; Peng M
; Liu X
Am J Emerg Med
2020[Aug]; 38
(8
): 1698.e1-1698.e4
PMID32601006
show ga
The clinical therapy for severe 2019 coronavirus disease (i.e., COVID-19)
sufferers is relatively challenging. Herein, the processes involving salvage of a
critical COVID-19 patient were retrospectively analyzed. The condition of an
obese female critical COVID-19 sufferer progressively worsened in the initial
period after admission. According to her symptoms and examination reports,
endotracheal intubation and mechanical ventilation were timely conducted and
meanwhile high-dose sedatives and analgesics were administrated. In the later
therapeutic phase, however, sedative and analgesic dosages were gradually
reduced, and psychological and rehabilitative therapies were conducted,
concomitantly with enhancement of airway care to facilitate sputum expectoration.
Eventually, the endotracheal tube was feasibly removed after intubation for
18 days and subsequently replaced with noninvasive ventilation and a high-flow
nasal cannula oxygen therapy. Intensive airway care alongside psychological and
rehabilitative therapies can shorten the mechanical ventilation time and improve
the prognosis of COVID-19 sufferers.
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