Is this COVID-19 case?

Patient in early 50s who has a history of SARS when it was going round. Presents with shortness of breath, oxygen saturation in high 80s despite no chronic pulmonary disease. The patient seems to be coping well, but when do you decide to proceed to intubation assuming this is COVID-19? Watch and observe until they begin to deteriorate, or intubate while still well?



Should be intubated while still well Yes he is in ARDS As xray chest is suggestive of ggos bilateral pneumonitis covid19

Thanx dr Pushkar ji Bhomia

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Gross pneumonitis bilateral with pulmonary oedema with mild consolidation of lt lower zone.causing respiratory distress Pt shoul be with life support like ventilation with oxygen

Thanks Dr Bipin Bihari Jain .

COVID-19 pneumonia having less SPO2 Intubation to provide oxygen with other measures of treatment

Thanks Dr. Mrinal Kantil Pal

* B/ L.. PNEUMONITIS.. ? SARI .. ARDS .. ? COVID-19 ..

Tnx Dr Shivraj Agarwal sir

SPO2 less than normal, requiring increasing concentrations of nasal O2, to keep up the SPO2 , clinical deterioration in patients condition, in a patient with or without COVID positivity, can be taken as indications for need to intubate .

Diffuse patchy infiltration both lungs Dilated mediastenum ? Covid pneumonia

As it’s SARS ??Covid-19c O2 saturation low, Ground glass appearance in x-ray, don’t wait..... Intubation is better

Tq.Dr.Shivraj agrawal sir

Prominent Brocho Vascular markings. More of streaky interstitial infiltrates with basal fluffy patchy peumonitis. Radiologically indicative of LRTI. Pls note : covid features vary in a spectrum of early LRTI to diffuse opacification of lung fields. Hence serial repetition of CXR should be the dictum.

Yes.features of viral pneumonia with patchy consolidation.put under ventilator under cmv with constitutional med mgt

Ards LP Opinion of chest important Sarscov2 Rt pcr Ild Hrct Oxygen Il6 ddimer Cbc Then decide Admit

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