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As With COVID, Patients Needing ICU Care And Ventilated. Patient

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Posted on Sat, 6 Feb 2021
Question: As with COVID, patients needing ICU care and ventilated. Patient is Critical, currently at 40% o2 and peep of 5, lung x-ray shows pneumonia which hasn't really changed in the last 2-3 weeks. The DDimer and CRP fluctuates a lot. She had cytokine storm which has been treated. She is not on steroids or paralytics just heavy sedation. She contacted a bacterial pneumonia which in hospital and is being treated with broad spectrum antibiotics. They have tried to wean her off ventilator but she gets too agitated and they increase sedation. She has been intubated since 12/31 and tracheostomy has been scheduled 5 days for now. What's her prognosis?
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Prognosis is guarded

Detailed Answer:
Hi.
Noted your history about a patient in ICU, noted the details you have provided.
As per the history you have provided the case seems to be serious.
Prognosis in such cases is guarded.
Since there is bacterial infection also the outcome with antibiotics will decide the outcome.

I hope this answers your query.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (4 minutes later)
Generally, with a patient that has improved being able to maintain an 02 sat in the 90s with 40% the lungs must have somewhat recovered partially?
doctor
Answered by Dr. T Chandrakant (3 hours later)
Brief Answer:
Review CT scan or X-ray

Detailed Answer:
Review CT scan/X-ray of chest only can tell about improvement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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As With COVID, Patients Needing ICU Care And Ventilated. Patient

Brief Answer: Prognosis is guarded Detailed Answer: Hi. Noted your history about a patient in ICU, noted the details you have provided. As per the history you have provided the case seems to be serious. Prognosis in such cases is guarded. Since there is bacterial infection also the outcome with antibiotics will decide the outcome. I hope this answers your query.