Discover and read the best of Twitter Threads about #Proning

Most recents (7)

#IndiaFightsCorona

đź“Ť#Oxygen Therapy in COVID-19

➡️15% of #COVID19 patients may have moderate disease; #Oxygen saturation level may go < 94%

➡️5% of #COVID patients may have severe disease where once O2 level goes < 90%

- Dr. Ravichandra, National Tuberculosis Institute

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#IndiaFightsCorona

Measuring O2 level with a #PulseOximeter

It measures the oxygen saturation or % of O2 in patient’s blood

A @WHO training manual says if oxygen saturation is 93% or lower, patient needs to be treated quickly

Saturation < 90% is a clinical emergency

2/6 Image
#DidYouKnow

You can measure respiratory rate without any device

Respiratory rate = No. of breaths a person takes per minute

Keep your palm on your chest, measure your respiratory rate for 1 minute

< 24/min, O2 level is safe
> 30/min, O2 level is low

#IndiaFightsCorona

3/6 Image
Read 6 tweets
Even as a grim second wave of the coronavirus pandemic grips India and overwhelms its healthcare infrastructure, an inspiring story of recovery has come to the fore from Uttar Pradesh. It’s about 82-year-old Vidya Devi from Alinagar, Gorakhpur. #COVID
newsbytesapp.com/news/india/82-…
Vidya Devi won the battle against the fatal infection in just 12 days with the support of her family and their doctor's advice. Her elder son, Hari Mohan, said that her oxygen level had dipped to 79 one day. "Everyone in the family got worried." #Corona2ndWave #Covid19IndiaHelp
He said they then asked her to sleep in the "prone" position, adding that it helped improve her oxygen level to 94 in four days. "She is now fully healthy and her oxygen level is 97 these days." #proning #Corona2ndWave #IndiaFightsCorona #IndiaFightsBack
Read 5 tweets
1/5
#NewAIIMSGuidelines (22.04) for #COVID19India Mangmt

Small but IMPORTANT thread for ALL.
Note : My thread is CROSS VERIFIED BY DOCTORS.
Pls amplify. 🙏

#Plasma #TOCILIZUMAB & #REMDESIVIR are NOW in EUA/Off-label usage under CERTAIN circumstances ONLY !

Pls Understand🙏
2/5
Plasma & Remdesivir benefits HAVE NO CONCLUSIVE PROOF ( Tweeted many times on this)

Don't SELF MEDICATE !
STOP RUNNING BEHIND THEM .

Instead, LEARN #Proning .Recommended by doctors also.
NOTE : THIS ACTUALLY WORKS !

Video shared
👇
3/5
Some basic pointers on #COVID19
In non medical language . I have shared my experience & some Do's and Don'ts - HOW TO WEAR MASK , WHICH MASK etc (* again cross verified by doctors)

Pls read this
👇
Read 7 tweets
It was a privilege to share the (virtual) stage with an amazing panel discussion of differences between PICU and MICU care by #POPCoRNet. Thanks to @DrPhilipVerhoef @DeannaMarie208 @davidshoremd @DoctorVig @MihirAtreya @ArunK_MD @PfarrMarie @annaberry29 for arranging. #FOAMcc 1/3
We covered some important adult and pediatric ICU topics including #Pain/#Anxiety/#Delirium (PAD) treatment, #COVIDairway management, #ARDS #ventilator strategy, #proning, #vasopressors, & how to perform #ACLS while wearing PPE. I've attached some relevant OnePagers. 2/3 ImageImageImage
Very thankful to the amazing international audience who contributed great comments and discussion. Bottom line: adults are just big kids and there are some great pediatric intensivists out there who are ready care for adults with #COVID thanks to #POPCoRNetwork resources. 3/3
Read 4 tweets
Starting a series on clinical Pearls I am gathering in #COVID19 patients based on experiences of many experts

Will add as we go along

Feel free to add your own observations/experiences

#covidclinicalpearls /1
Anosmia is likely the most specific #COVID19 related symptom
30% of patients have anosmia as their 1st symptom
#covidclinicalpearls /2
Around 90% of patients have fever.
50% maybe afebrile at the time of presentation
Fever tends to be very resistant to routine measures in hospitalized patients
There is no consensus that NSAIDs are to be avoided in #COVID2019 patients

#covidclinicalpearls /3
Read 66 tweets
1/21 After caring for patients in the ICU with #COVID for the last week, the time seems right for a #pulmonology #tweetorial on #Proning or #PronePositioning

@sanjayvdesai @OslerResidency @JHUPCCMFellows @CPSolvers @thecurbsiders @cardionerds @tony_breu @david_furfaro @chadhoc
2/ Let’s begin with a question: how does prone positioning improve oxygenation in patients with severe Acute Respiratory Distress Syndrome (ARDS)?
3/ First, some history. Prone positioning was first proposed in the 1970’s as a method to improve gas exchange in resp. failure and has long been shown to improve Pa/FiO2 in mechanically ventilated patients with severe ARDS.

ncbi.nlm.nih.gov/pubmed/?term=1…
ncbi.nlm.nih.gov/pubmed/3383620
Read 21 tweets
With the #COVID19 outbreak, it is important to use language responsibly. Here is the first entry of our new #ContagiousWords series, defining the buzzwords and terminology dominating today's conversation. #Pandemic #PandemicsCost
@ilariacapua Language is powerful, so we must be sure and accurate in the ways we communicate science. #Epidemic #ContagiousWords #COVID19
Read 64 tweets

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