Incidental Finding of Mediastinal Mass in A Patient with A Confirmed Diagnosis of Moderate to Severe COVID-19: Case Report

Abstract

Positive airway pressure ventilation systems are a therapeutic option in patients with confirmed SARS-CoV2 infection, who meet both clinical and biochemical criteria to be classified as moderate to severe cases, in order to avoid and / or delay progression to acute ventilatory failure. However, its success largely depends on a correct selection of the clinical setting. We present the case of a patient taken to non-invasive mechanical ventilation with slow positive end-expiratory pressure (PEEP) titration indicated in the event of persistent tachypnea despite correcting hypoxemia with conventional oxygen therapy, subsequently documenting a large mass in the anterior mediastinum, unknown to date. The patient had a favorable evolution from the clinical point of view. At the end, the eligibility criteria for considering the use of non-invasive mechanical ventilation in patients with COVID-19 will be discussed in a concise manner.

Monitoring the Occurrence of Alarms in High Flow Nasal Cannula (HNFC) Using IoT-Based Thinger.io Platform for COVID-19 Isolation Room

“…Measurement of each parameter, flow from 30 -60 LPM, and pressure were all repeated 5 times. The average measurement value is obtained using the mean or average using equation (1). :…”

“…The High Flow Nasal Cannula (HFNC) is a non-invasive ventilation system that has been shown to provide a lot of promise in a number of patient conditions requiring emergency respiratory assistance. [1]. However, it is feared that the aerosol produced by HFNC will have a high impact on transmission to other patients, especially medical personnel treating these patients.…”

“…Monitoring with IoT technology is also very necessary for monitoring to identify failures on HFNC devices due to the low risk of intubation, nosocomial infection and patient comfort. [1].…”

Monitoring the Occurrence of Alarms in IoT-Based HFNC With Analysis of Signal Increase Before Blockages Error Occurs (Pressure Parameters)

“…Covid-19 has become a virus that has become a worldwide pandemic and this virus causes mass deaths because medical personnel find it difficult to treat patients when oxygen levels in the blood have dropped to critical levels. Several solutions to increase oxygen in the blood have been successfully carried out, including the use of a ventilator [8][9] [10], but due to the increasing number of patients making the availability of ventilators [11] [12][13]very limited to be given to all patients in need, therefore several studies were carried out to provide a solution to this, one of the recommendations in this study was the use of HFNC to support the body to maintain oxygen concentrations in the body. in the blood, so the patient does not enter a critical period [4] [5].…”