CME INDIA Presentation – (Personal communication to Dr N.K. Singh)
We value observation data and experiences at this desperate time
I am sharing experiences of a frontline specialist from a reputed COVID dedicated ICU…
This can help …
⭕Been working in the COVID ICU.
⭕Just thought to share my experience.
⭕Irrespective of giving the TOCI and Remdesivir I feel there was no difference to the outcomes in terms of clinical picture.
⭕SGOT and SGPT have always been raised at baseline and in many patients keep rising.
⭕The best treatment has been steroids especially methylprednisolone drip. Patients who were clinically not doing good respond dramatically. 👍👍
⭕Anti coagulation works 👍👍
⭕Have found no effect of Doxycycline, Ivermecitin, Azithromycin etc. Possibly in mild cases they may be good.
⭕Co morbidities especially diabetes. Majority of the patients have raised blood sugars and I have been treating patient with intravenous insulin with excellent results.
⭕Once the patient is weaned off or on room air prior to be shifting them out of ICU Metformin and DPP4 INHIBITORS do really good.
⭕Have observed raised blood sugars in many non-diabetic admission, but all of them are on steroids.
⭕Complications observed during the patient stay.
- Cardiac Involvement in terms of hypertension emergencies, arrthymias, suspected MI changes on ECG.
- Sudden Hypotension difficult to explain.
- Patients undergoing desaturation again sudden onset but respond well to oxygen intervention and yes again to IV MPS.
- ICU Psychosis.
⭕ I am not an intensivist but felt like sharing some of my experiences.
⭕Hope it may help people treating Covid.
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