Open AccessCOVID-19 progression, frailty, and use of prolonged continuous positive airway pressure as a ward-based treatment: Lessons to be learnt from a case
Author(s) -
Dominic L Sykes,
Ahalya Parthasarthy,
Oliver Brown,
Michael Crooks,
Shoaib Faruqi
Publication year - 2021
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/lungindia.lungindia_583_20
Subject(s) - medicine , continuous positive airway pressure , covid-19 , positive airway pressure , intensive care medicine , mechanical ventilation , airway , positive pressure , positive end expiratory pressure , disease , anesthesia , infectious disease (medical specialty) , pathology , outbreak , obstructive sleep apnea
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.