Shukla Urvi, Chavali Siddharth, Mukta Prashant, Mapari Amol, Vyas Anjali
Department of Intensive Care, Symbiosis University Hospital and Research Centre, Symbiosis International (Deemed) University, Lavale, Pune, Maharashtra, India.
Department of Neurosciences, Aditya Birla Memorial Hospital, Chinchwad, Maharashtra, India.
Indian J Crit Care Med. 2020 Jul;24(7):509-513. doi: 10.5005/jp-journals-10071-23477.
The novel coronavirus, named SARS-CoV-2, was first described in December 2019 as a cluster of pneumonia cases in Wuhan, China. It has since been declared a pandemic, with substantial mortality.
In our case series, we describe the clinical presentation, characteristics, and outcomes of our initial experience of managing 24 critically ill COVID-19 patients at a designated COVID-19 ICU in Western India.
Median age of the patients was 54 years, and 58% were males. All patients presented with moderate to severe acute respiratory distress syndrome (ARDS); however, only 37.5% failed trials of awake proning and required mechanical ventilation. Patients who received mechanical ventilation typically matched the H-phenotype of COVID-19 pneumonia, and 55.5% of these patients were successfully extubated.
The most common reason for ICU admission in our series of 24 patients with severe COVID-19 was hypoxemic respiratory failure, which responded well to conservative measures such as awake proning and oxygen supplementation. Mortality in our case series was 16.7%.
Shukla U, Chavali S, Mukta P, Mapari A, Vyas A. Initial Experience of Critically Ill Patients with COVID-19 in Western India: A Case Series. Indian J Crit Care Med 2020;24(7):509-513.
新型冠状病毒，名为严重急性呼吸综合征冠状病毒2（SARS-CoV-2），于2019年12月首次在中国武汉作为一组肺炎病例被描述。此后它被宣布为大流行病，造成了大量死亡。
在我们的病例系列中，我们描述了在印度西部一家指定的新冠肺炎重症监护病房管理24例危重新冠肺炎患者的初始经验，包括临床表现、特征和结果。
患者的中位年龄为54岁，58%为男性。所有患者均表现为中度至重度急性呼吸窘迫综合征（ARDS）；然而，只有37.5%的患者清醒俯卧位试验失败并需要机械通气。接受机械通气的患者通常符合新冠肺炎肺炎的H表型，其中55.5%的患者成功拔管。
在我们这组24例重症新冠肺炎患者中，入住重症监护病房的最常见原因是低氧性呼吸衰竭，其对清醒俯卧位和补充氧气等保守措施反应良好。我们病例系列中的死亡率为16.7%。
舒克拉U、查瓦利S、穆克塔P、马帕里A、维亚斯A。印度西部危重新冠肺炎患者的初始经验：病例系列。《印度重症监护医学杂志》2020年；24(7):509 - 513。
