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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I have witnessed, some of my patients, who were not a known diabetics, even on recent records, within 1 to 3 months of periods, prior to getting Covid, have been showing abnormal BGL.
They are also showing poor responses to the insulin. What could be the reason?I don’t digest, it with only 6 mg of Dexa. for 3 to 5 days!!