Many patients with dyspnea quickly get worse



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The expert committee evaluates patients with rapid progression, lung damage already exists, requires some additional tests, an additional HFNC machine (high-flow oxygen ventilator, a form of non-invasive mechanical ventilation); increase the dose of the drug; flap, tummy, change of position for the patient; Consider invasive respiratory conditions. Along with that, patients should increase the use of antiviral drugs.

“In case of ineffectiveness, clinicians may consider intubating this patient,” suggested the consultation team.

Experts consulted seriously ill patients with Covid-19 at the top of the Ministry of Health.  Photo: Le Hao.

Experts consulted seriously ill patients with Covid-19 at the top of the Ministry of Health. Image: Le Hao.

Another serious case at Hai Duong Field Hospital No. 2 was that of “patient 1863”, a 58-year-old male. This person has a history of hepatitis B, he was transferred to the Intensive Care Area due to increased dyspnea on February 6. Chest CT scans showed more lung damage and increased white blood cells. The patient is currently awake, breathing HFNC.

According to professional advice, this male patient has made rapid progress, but the doctors at Field Hospital 2 in Hai Duong are on the right track in the treatment regimen.

Field Hospital 1 located at Chi Linh Medical Center currently treats 30 patients with lung damage. Doctors assess the patient’s condition for stability, closely monitored by experts from the Central Hospital for Tropical Diseases.

The No. 2 Field Hospital in Quang Ninh is currently treating 24 Covid-19 patients. In which “patient 1562”, female, 55 years old, on day 9 of treatment, fever. Currently, the patient has relieved fatigue, fever break, and HFNC breathing. Professional advice recommends that the hospital keep the treatment, change the position of the patient’s belly.

A patient in very serious condition, in critical condition, is a 79-year-old grandmother imported from the United States, who is being treated at Danang Lung Hospital. This is “patient 1536” who has undergone 25 days of treatment, has high blood pressure, continues to maintain sedation, low doses of muscle relaxants, intravenous nutrition … According to professional advice, the disease was applied all treatments, including ECMO on day 5.

From January 28 to date, the country has registered 418 cases of Covid-19 in the community, in 12 provinces.

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