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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
sedation and paralysis, VAP etc
To have a dedicated and motivated team of nurses and attendants is the backbone of ICU care. I was lucky to have a great team but every shift needs the same !
The most difficult part was not the duties but being in #quarantine which really played on my psyche and it’s even more difficult for the patients to have no #family around and seeing everyone in #PPE
I was offered money to get chai from a 70 year old who later needed drugs as he wanted to run away home! I was offered the biggest notes by another one just because I helped him dial his son’s number :(
In layers of PPE we forget talking to the patients, anxious patients do not recover! So counsel and reassure :)

#StayHomeStaySafe #COVID19India #coronavirus
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