1. COVID-19 progression, frailty, and use of prolonged continuous positive airway pressure as a ward-based treatment: Lessons to be learnt from a case
- Author
-
Oliver I. Brown, Dominic L Sykes, Shoaib Faruqi, Ahalya Parthasarthy, and Michael G. Crooks
- Subjects
Pulmonary and Respiratory Medicine ,Mechanical ventilation ,lcsh:RC705-779 ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,business.industry ,medicine.medical_treatment ,Public health ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Case Report ,Disease ,lcsh:Diseases of the respiratory system ,acute respiratory distress syndrome ,medicine.disease_cause ,respiratory tract diseases ,Full recovery ,covid-19 ,medicine ,Continuous positive airway pressure ,Intensive care medicine ,business ,continuous positive airway pressure ,Coronavirus - Abstract
Coronavirus disease 19 (COVID-19) poses the greatest public health threat in 100 years, with cases rising rapidly in many countries around the world. We report a case of a 78-year-old female who exhibited a biphasic course of COVID-19; showing initial clinical improvement followed by deterioration before making a full recovery. The patient was managed with prolonged continuous positive airway pressure (CPAP) and supportive care. In total, 24 days of treatment with CPAP was administered. We emphasize the role of CPAP in the management of severely hypoxemic patients who are inappropriate for mechanical ventilation and describe the role of adequate nutrition and hydration for such patients.
- Published
- 2021