FACE MASKS IN COVID- 19- POTENTIAL SIDE EFFECTS
COVID- 19 ; Important potential side effects of wearing face masks . SOURCE- BMJ2020;369 m2003 doi; 10, 1136/ BMI.m2003( Published 21 May 2020) . 1.Wearing a mask may give a false sense of security and make people adopt a reduction in compliance with other important infection control measures. 2.People must avoid touching their masks and adopt other management measures, otherwise masks are counter productive 3.The quality and volume of speech between people wearing masks is considerably compromised and they may unconsciously come closer 4.Wearing a mask makes the exhaled air go into the eyes. This generates an impulse to touch the eyes. If your hands are contaminated, you are infecting yourself 5.MOST IMPORTANT- Face masks make breathing more difficult. Moreover, a fraction of carbon dioxide previously exhaled is inhaled at each respiratory cycle. Those phenomena increase breathing frequency and deepness and they may worsen the burden of COVID- 19, if infected people wearing masks spread more contaminated air. This may also worsen the clinical condition of infected people if the enhanced breathing pushes the viral load down into their lungs. The innate immunity 's efficacy is highly dependent on the viral load. If masks determine a humid habitat where SARS- COV- 2 can remain active because of the water vapour continuously provided by breathing and captured by the mask fabric, they determine an increase in viral load ( by re- inhaling exhaled viruses) and therefore they can cause a defeat of the innate immunity and an increase in infections THANKS. - An editing of earlier post - and this is from authentic SOURCE- BMJ published yesterday
Very nice post sir At places where there is no aerosolisation and well ventilated space with 3 feet distance between patient and doctor Surgical mask can be used to prevent hypoxia and hypercarbia caused by N 95 mask
Helpful post sir. Hypothetically correct. But every one is protecting themselves with most of the contagious respiratory illnesses by wearing face mask. 2ndly chances of misconception, about of use of mask ,should not go in society which is very important at this time. Better to avoid going out of home in Lock down. Use of mask os must whenever going out. Healthcare workers should wear mask and face shield. Lastly we should learn to live with this.. Thank you sir.
It is very decently shown the opposite side of mask. I and many mor request to give all norms of masks for Doctor community.
Doctor must sit in a cabin no direct communication patient may be examined by a robot a special program is necessary so robot can transfer data to doctor for diagnosis and treatment .if we cannot accept this procedure there will be shortage of doctors and patients will not be ready to send their offspring to medical college .no society can afford premature death of class people. This was proved in 2012.that operation is known as Charles Lindenberg operation .
Social Distance,Hand Hygiene & Immunity boosting is the only way to manage not only covid but hundreds of diseases on d way to come in future
100% Agree
Thanks break myth of mask use
Cases that would interest you
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PATHOPHYSIOLOGY OF AKI IN COVID- 19 PATIENTS. AKI appears to involve a complex process driven by virus-mediated injury, cytokine storm, AngII pathway activation, dysregulation of complement, hypercoagulation, and microangiopathy interacting with common and known risk factors for AKI . There is paucity of data regarding clinical and laboratory characteristics of AKI in patients with COVID-19. We urge that further studies describing and analyzing the clinical course of patients with COVID-19 include appropriate indices of kidney function and diagnosis of AKI in their analyses, including kidney injury markers, urine microscopy, quantified urine protein, urine output, and urine electrolytes. Markers of macrophage activation, coagulation, microangiopathy, and complement activation, as well as kidney imaging and need for KRT (with relevant details), are important data needed to further our understanding of AKI pathophysiology associated with COVID-19. Rates of reversibility of, or partial improvement in, kidney function and any kidney biopsy results (including immunofluorescence and electron microscopy) should be reported. In the rush to report medical complications of COVID-19, we are missing valuable clinical information. Speculation about specific interventions would not be appropriate until we obtain appropriate information. We advocate for a complete and standardized appraisal of the clinical and laboratory picture so that preventative and therapeutic strategies for AKI can be appropriately designed and implemented.
Dr. Parveen Yograj13 Likes15 Answers - Login to View the image
30 year old male, 10 day history of diarrhoea and reduced oral intake, presented with lethargy and ongoing abdominal cramps. No respiratory symptoms, but O2 sats noted to be on the lower side, exertional O2 sats dropped to 86%. No past medical history of note, normal white cell count, not lymphopenic, urea 18.9 mmol/L, creatinine: 489 µmol/L, amylase 600 (30-118), ALT: 65, CRP: 100, Trop I 267 (0-46). Chest X-ray as shown. What do you think the patient is suffered from?
Dr. Somi Suyal2 Likes18 Answers - Login to View the image
41 year old male presents to the ED with SOB x5 days. He was in contact with a COVID+ patient. He reports fever highest 102.3. States he has body aches and chills. Denies cough or sore throat. Places on 6L/min via NC and sats increased to 91%. History of Hypertension Hypothyroidism Morbid obesity Prediabetes. what do you suggest?
Dr. Narendra Kumar5 Likes17 Answers - Login to View the image
81 years old male, known COPD, presents with high grade fever, cough n SOB for last 6 days. His CRP is normal. D dimer, FERRITIN awaited. Anaemia present otherwise normal hemogram. Chest auscultation revealed bilateral expiratory rhonchi n RT LZ CREPITATIONS. Spo2 95% on air. Normal Temperature, BP n Pulse. His SARS COV 2 RT PCR came positive. Kindly discuss further management plan for this patient.
Dr. Viral Patel20 Likes17 Answers - Login to View the image
AYUSH System approach in COVID-19 by AYUSH Ministry Source-https://www.ayush.gov.in/docs/125.pdf
Dr. Pushker Mehra29 Likes19 Answers
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