The Lancet- Treatment for severe acute respiratory distress syndrome from COVID-19

Treatment for severe acute respiratory distress syndrome from COVID-19 In The Lancet Respiratory Medicine, Kollengode Ramanathan and colleagues provide excellent recommendations for the use of extracorporeal membrane oxygenation (ECMO) for patients with respiratory failure from acute respiratory distress syndrome (ARDS) secondary to coronavirus disease 2019 (COVID-19). The authors describe pragmatic approaches to the challenges of delivering ECMO to patients with COVID-19, including training health-care personnel, resolving equipment and facilities issues, implementing systems for infection control and personal protection, providing overall support for health-care staff, and mitigating ethical issues. For patients with COVID-19 who require endotracheal intubation, use of low tidal volume (6 mL/kg per predicted bodyweight) with a plateau airway pressure of less than 30 cm H2O, and increasing the respiratory rate to 35 breaths per min as needed, is the mainstay of lung-protective ventilation. If the hypoxaemia progresses to a PaO2:FiO2 ratio of less than 100–150 mm Hg, there are several therapeutic options. The level of positive end-expiratory pressure can be increased by 2–3 cm H2O every 15–30 min to improve oxygen saturation to 88–90%, with the goal of maintaining a plateau airway pressure of less than 30 cm H2O. Lower driving pressures (plateau airway pressure minus positive end-expiratory pressure) with a target of 13–15 cm H2O can also be used. To read more- Source- The Lancet Authors- Michael A Matthay, J Matthew Aldrich, Jeffrey E Gotts


A very informative article for Drs. working in the ICU ,or in the casualty.This can save precious lives of people suffering from ARDS due to COVID - 19.
Very good knowledge but we want what is treatment in Homoeopathic medicine
A very useful article for each and every Doctors. Thanks sir.
Nice update sir Beautiful info.
Nice information
Gud update
All measure are being taken to prevent COVID 19 infection the best way to increase the immunity of body.As I know the law of cure in homoeopathy is just similar to law of immunity. So I think if we give a dose of CAMPHOR 200 or INFLUENZINIUM 200 it will work as preventiv and curating too. Dr.Maharaj kumar General Practice (Homoeopathy)
This is a herpes zoster case Treatment is tab occuvir 800mg 4 times dailtab dolostat sp 1tds
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