Discover and read the best of Twitter Threads about #niv

Most recents (5)

1/
I want to thank all my colleagues for the wonderful #COVID19 research they published during these months: >200 PubMed-indexed articles from @SanRaffaeleMI @SRAnesthesiaICU @MyUniSR @azangrillo
I’ll summarize few of them in this thread.
2/
In February, before the start of #COVID19 in Europe, we suggested the use of helmet to deliver #CPAP #NIV in emergency departments. This can be a key issue to prevent future spread of respiratory pandemics in emergency departments.
thelancet.com/journals/lance…
3/
As soon as #COVID19 spread in Lombardy we helped other centers to manage their worst patients: 39 patients from other centers were admitted in our ICUs. The H was reshaped to cope with the new situation. The manusc cited 38 times in the first 4 months.
Read 19 tweets
My experience: #Covid_19 ICU rotation at #SGPGI #Lucknow

1. All patients were >35 years of age with majority being males

2. Apart from the usual comorbidities, central #obesity without over #diabetes or #hypertension also predisposed to #SARI
3. #Lymphopenia was a great marker of severity and a rising trend predicted clinical recovery

4. #recoverytrial further reiterated the use of steroids for patients with severe disease which many centers including ours was already practising
5. Although initially we had a guarded approach towards it, but #NIV with low pressures worked wonders avoiding intubation

6. Once intubated, outcomes aren’t great. Multiple reasons: severity of disease, nursing care and feeding becomes suboptimal, bradycardia associated with
Read 7 tweets
Starting a series on clinical Pearls I am gathering in #COVID19 patients based on experiences of many experts

Will add as we go along

Feel free to add your own observations/experiences

#covidclinicalpearls /1
Anosmia is likely the most specific #COVID19 related symptom
30% of patients have anosmia as their 1st symptom
#covidclinicalpearls /2
Around 90% of patients have fever.
50% maybe afebrile at the time of presentation
Fever tends to be very resistant to routine measures in hospitalized patients
There is no consensus that NSAIDs are to be avoided in #COVID2019 patients

#covidclinicalpearls /3
Read 66 tweets
If done well, contact tracing and case isolation is enough to control a #COVID19 in India over 3 months. Delays in identifying cases and incomplete contact tracing results in decreased probability of interrupting the transmission. thelancet.com/journals/langl… 1ofn #Covid19India
Under best-case assumptions, screening will miss more than half of infected people. Most cases missed by screening are undetectable because they have not yet developed symptoms, are unaware they were exposed or have taken paracetamol to mask fever. ncbi.nlm.nih.gov/pmc/articles/P… 2ofn
#India has done exceptionally well in changing the course of what could have been a potentially devastating outbreak. Thanks to @ProfBhargava @ICMRDELHI @icmr_nie @Director_NCDC for the extraordinary measures and leadership in tackling the evolving situation. #Covid19India 3ofn
Read 13 tweets
1/11
Short #Tweetorial

How did we started with heated humified high flow nasal cannula in 🇺🇾 ?

Easy explanation of 3 #HHHFNC homemade models #HFNC devices?

(No COI to declare)

#PedsICU #SoMe4MV #historyofmedicine @WFPICCS
2/
It is really easy.
You can get information of its uses and applications in this nice review in @respcare ▶️ncbi.nlm.nih.gov/pubmed/27016353

This is basically the diagram 👇
3/
So back in 2012 in our country we wanted to try some kind of respiratory support for the youngest infants in which interfases for #NIV was difficult.

SO we came up with an idea: What if we dismantle the old ventilators we do not use any more?

Like this ones 👇
Read 13 tweets

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