Covid 19 Critical Care Training Surge Experience for Physicians in Riyadh Health Cluster One, Saudi Arabia

Af, Mady; Ramdan, O; Yousef, Rana; Ishag, A; Bakirova, Gultakin; Kuhail, Ahmed; Shahzad, Sana; El-Etreby, W; Mumtaz, Shahzad; Almozainy, S; Palacio, Karen; Aldamahshi, D; Alcazar, A; Alodat, Mohammed; Abdelrahman, Basheer Abdullah; Harthy, Abdulrahman Al

doi:10.54112/bcsrj.v2020i1.41

Cited by 7 publications

(1 citation statement)

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“…Coughing and sneezing, as well as direct contact with infected surfaces or items, are ways for this pandemic to spread from person to person. Latest studies have also shown that urine, feces, saliva and semen contain the virus (Kasinathan and Sathar, 2020;Mady et al, 2020;Siddique et al, 2020). SARS-CoV is spread by respiratory aerosol droplets or contact with contaminated objects (Cao et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Study of Covid-19 Patients and Their Inflammatory Markers in Tertiary Care Hospitals of Peshawar, Pakistan

IQBAL

Bashir

KHAN

et al. 2021

Bull. Biol. All. Sci. Res.

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Coronavirus is one of the pandemic diseases that infect millions of people worldwide. The aim of the study was a cross-sectional study of COVID-19 and its inflammatory markers in tertiary care hospitals in Peshawar, Pakistan. Samples of nasopharyngeal swabs were collected from 150 COVID-19 patients. Blood samples were collected aseptically in three different tubes to measure serum ferritin, D-dimer and CBC. The samples were further analysed at the PCR laboratory, Hayatabad Medical Complex, Peshawar. In the study, 100 samples were found positive based on PCR among 150 patients in which the D-dimer was reported to have a high relationship (95%) with inflammatory markers. Abnormal ferritin (87%), Hb (26%), neutrophil (73%) and abnormal lymphocytes were reported (63%) in patients. The relationship between the age factors with risk of inflammatory markers revealed that in the age group 61-80, ferritin, D-dimer, Hb, Neutrophil and lymphocytes were observed with abnormal levels 18, 20, 05, 14 and 13, respectively. The prevalence of COVID-19 infection was recorded as higher in males than females. The study showed that COVID-19 infection significantly affects the parameters, including abnormal ferritin levels in males 55% and females 32%. The male was reported with a high-level abnormal D-dimer (58%) than the female (37%). The other inflammatory markers, such as abnormal neutrophils and lymphocytes, counted 44 and 37% in males and females at 30 and 29%, respectively. The study concludes that an increase in inflammatory markers correlates with disease severity; this could be used as a significant prognostic factor of the disease. More advanced immunological studies need to explore the mechanism of COVID-19 with inflammatory markers.

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Section: Introductionmentioning

confidence: 99%

Cross-Sectional Study of Covid-19 Patients and Their Inflammatory Markers in Tertiary Care Hospitals of Peshawar, Pakistan

IQBAL

Bashir

KHAN

et al. 2021

Bull. Biol. All. Sci. Res.

View full text Add to dashboard Cite

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Mortality and Covid-19: A Snapshot of a Tertiary Care Facility in Pakistan

Rana¹,

Qayyum²,

Hashmi³

et al. 2021

Pak J Intens Care Med

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Background: Since SARS CoV-2 infection began in China and has evolved into a pandemic, mortality associated with this illness has been under discussion and hypercoagubility, severe acute respiratory syndrome and septicemia with multiple organ insufficiency have been cursed as potential causes of death in cases infected with the novel coronavirus. We did a retrospective analysis of cases admitted to our highly dependent and intensive care unit, and we tried to identify the leading cause of death in our cases. Methods: This is a single center retrospective study carried out at Bahria International Hospital Lahore over a 3-month period (May 10th to July 10th 2020) in which we analyzed the clinical and biochemical profiles of the COVID-19 patients who died during this period. Results: A total of 108 patients were admitted during this period out of which 11 patients died. 7 of them were men and 4 women. Majority of them had sudden cardiac arrest due to acute coronary syndrome followed by multiorgan dysfunction syndrome and acute respiratory distress syndrome. Conclusion: Acute coronary syndrome due to hypercoagubility was the leading cause of death in our patients.

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Beneficial Effects of Awake Prone Positioning in Covid-19 Patients With Moderate to Severe Hypoxemic Respiratory Failure

Rana

PERVAIZ

ARIF

et al. 2021

Pak J Intens Care Med

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Introduction: Coronavirus disease (COVID-19) is a leading cause of acute hypoxemic respiratory failure which can progress to acute respiratory distress syndrome (ARDS). These patients are deeply sedated, paralyzed and ventilated and prone positioning is known to help in these cases. Prone positioning has been known to help in ARDS cases, but they are ventilated deeply sedated and paralyzed. The aim of the current study was to assess the safety and potential benefits of awake prone positioning in COVID-19 patients with moderate to severe hypoxemic respiratory failure. Methods: This is a retrospective cohort study, performed at Bahira International Hospital Lahore. Record of confirmed COVID-19 patients with hypoxic respiratory failure was reviewed thoroughly to collect data. The duration, timing, frequency, tolerability, beneficial effects and adverse events during prone positioning were recorded from the medical records before and after self-prone positioning. Results: The current analysis showed that prone positioning is supportive to maintain good saturation (92%) as compared to keeping patients in spine position (82%). Conclusion: It can be concluded from the current study that prone position is helpful to maintain normal oxygen saturation even on low oxygen supply, helping in quick recovery and preventing oxygen induced damage to the lungs.

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Covid 19 Critical Care Training Surge Experience for Physicians in Riyadh Health Cluster One, Saudi Arabia

Cited by 7 publications

References 0 publications

Cross-Sectional Study of Covid-19 Patients and Their Inflammatory Markers in Tertiary Care Hospitals of Peshawar, Pakistan

Cross-Sectional Study of Covid-19 Patients and Their Inflammatory Markers in Tertiary Care Hospitals of Peshawar, Pakistan

Mortality and Covid-19: A Snapshot of a Tertiary Care Facility in Pakistan

Beneficial Effects of Awake Prone Positioning in Covid-19 Patients With Moderate to Severe Hypoxemic Respiratory Failure

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