Common and uncommon chest computed tomography findings at hospital admission with COVID-19 pneumonia
We present computed tomography chest images of patients hospitalized with suspicion of COVID-19 pneumonia and point out the common and uncommon features on imaging to assist management of these patients. (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Rohit Gupta Maruti Kumaran Parth Rali Source Type: research

Electronic intensive care unit: A perspective amid the COVID-19 era & #8211; Need of the day!
This article showcases the concept, advantages, and challenges of e-ICU in India, with a glimpse of the future. (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Karthikeyan P Iyengar Rakesh Garg Vijay Kumar Jain Nipun Malhotra Pranav Ish Source Type: research

Pulmonary function testing during the COVID-19 pandemicin
Devasahayam Jesudas Christopher, B V Murali Mohan, Rupak Singla, Parvaiz A KoulLung India 2021 38(7):92-96 (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Devasahayam Jesudas Christopher B V Murali Mohan Rupak Singla Parvaiz A Koul Source Type: research

Guidance for nebulization during the COVID-19 pandemic
Rajesh Swarnakar, Neeraj M Gupta, Indranil Halder, Gopi C KhilnaniLung India 2021 38(7):86-91 (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Rajesh Swarnakar Neeraj M Gupta Indranil Halder Gopi C Khilnani Source Type: research

COPD Management during the COVID-19 pandemic
Sundeep Santosh Salvi, Raja Dhar, PA Mahesh, Zarir Farooq Udwadia, Digambar BehraLung India 2021 38(7):80-85 (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Sundeep Santosh Salvi Raja Dhar PA Mahesh Zarir Farooq Udwadia Digambar Behra Source Type: research

Home versus institutional isolation of mild COVID-19 patients
Devasahayam Jesudas Christopher, Barney TJ Isaac, Balamugesh ThangakunamLung India 2021 38(7):78-79 (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Devasahayam Jesudas Christopher Barney TJ Isaac Balamugesh Thangakunam Source Type: research

Guidance to physicians on managing asthma during the ongoing pandemic
Raja Dhar, Virendra Singh, JK Samaria, Sundeep Salvi, Deepak TalwarLung India 2021 38(7):74-77 (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Raja Dhar Virendra Singh JK Samaria Sundeep Salvi Deepak Talwar Source Type: research

Novel coronavirus (COVID-19) pneumonia: Portable chest X-ray or computed tomography ? An Italian perspective
Maria Antonietta Mazzei, Susanna Guerrini, Matteo Zanoni, Federico Franchi, Serafina Valente, Maria Grazia Cusi, Bruno Frediani, Luca Volterrani, Siena COVID-UnitLung India 2021 38(7):72-73 (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Maria Antonietta Mazzei Susanna Guerrini Matteo Zanoni Federico Franchi Serafina Valente Maria Grazia Cusi Bruno Frediani Luca Volterrani Siena COVID-Unit Source Type: research

Use of endobronchial valve to treat COVID-19 adult respiratory distress syndrome-related alveolopleural fistula
Vikas Pathak, John Waite, Som Nath ChaliseLung India 2021 38(7):69-71 Coronavirus disease-2019 (COVID-19) pneumonia is one of the severe and most dreaded forms of illness caused by severe acute respiratory syndrome coronavirus 2. It often progresses to respiratory failure and acute respiratory distress syndrome (ARDS) requiring mechanical ventilation. ARDS can lead to multiple complications while on mechanical ventilation due to positive airway pressures in a fibrotic lung, one such complication is the development of alveolopleural fistula. Alveolopleural fistula has high morbidity and mortality. We used endobronchial val...
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Vikas Pathak John Waite Som Nath Chalise Source Type: research

COVID-19 progression, frailty, and use of prolonged continuous positive airway pressure as a ward-based treatment: Lessons to be learnt from a case
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. (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Dominic L Sykes Ahalya Parthasarthy Oliver I Brown Michael G Crooks Shoaib Faruqi Source Type: research

Fibrotic interstitial lung disease occurring as sequelae of COVID-19 pneumonia despite concomitant steroids
Zarir Farokh Udwadia, Priyanka Kisan Pokhariyal, Awatansh Kumar Rajkumar Tripathi, Anirudh KohliLung India 2021 38(7):61-63 A 75-year-old female with no history of lung disease developed severe pulmonary fibrosis within 1 month of acute severe COVID-19 pneumonia. She developed dry basal crackles, hypoxia needing home oxygen, and computed tomography changes which dramatically evolved from acute ground-glass opacities to honeycombing and traction bronchiectasis. Interestingly, these changes occurred despite her being on steroids through most of her hospital stay. She is being commenced on pirfenidone and her responses are c...
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Zarir Farokh Udwadia Priyanka Kisan Pokhariyal Awatansh Kumar Rajkumar Tripathi Anirudh Kohli Source Type: research

Peripheral ischemic limb necrosis (Acro-ischemia) associated with severe COVID-19 patients (COVID-19 limbs): A report of three cases
We report three patients who were admitted to our respiratory ICU with acute severe respiratory distress syndrome (ARDS) requiring mechanical ventilation due severe acute respiratory syndrome coronavirus 2 infection, who developed severe limb ischemia during the course of the disease. (Source: Lung India)
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Khaled Khattab Axel Tobias Kempa Riza Atas Harun Asani Ahmed Ehab Source Type: research

Coagulopathy in COVID-19
Ka U Lio, Parth RaliLung India 2021 38(7):53-57 Hemostatic derangement is a hallmark in severe COVID-19. Markedly elevation of D-dimer and fibrinogen degradation product levels were observed in patients with severe COVID-19 higher and 71.4% of nonsurvivors met the International Society of Thrombosis and Haemostasis criteria of disseminated intravascular coagulation (DIC). Although the clinical and epidemiological features of COVID-19 have been well-described, the underlying mechanism influencing disease severity remains to be elucidated. Herein, the aim of this review article is to evaluate hemostasis in the pa...
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Ka U Lio Parth Rali Source Type: research

Flexible bronchoscopy during the COVID-19 pandemic: A concise clinical review and practical recommendations
Girish Sindhwani, Mayank Mishra, Mihir Raman Gangakhedkar, Karan Madan, Ruchi Dua, Prakhar Sharma, Lokesh Kumar SainiLung India 2021 38(7):48-52 Bronchoscopy is an extremely useful diagnostic and therapeutic procedure that finds an invaluable place in Pulmonology practice. Due to aerosol generation, bronchoscopy carries a high risk of infection transmission to health care workers and other patients. This fact is even more important in the present times of COVID-19 pandemic owing to its droplet- (and possibly aerosol-) mediated spread. With this background, a working group extracted literature through electronic search of ...
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Girish Sindhwani Mayank Mishra Mihir Raman Gangakhedkar Karan Madan Ruchi Dua Prakhar Sharma Lokesh Kumar Saini Source Type: research

Post-COVID lung fibrosis: The tsunami that will follow the earthquake
Zarir F Udwadia, Parvaiz A Koul, Luca RicheldiLung India 2021 38(7):41-47 The SARS-CoV-2 pandemic has already infected in excess of 50 million people worldwide and resulted in 1.2 million deaths. While the majority of those infected will not have long-term pulmonary sequelae, 5%–10% will develop severe COVID-19 pneumonia and acute respiratory distress syndrome (ARDS). The natural history of these severely affected patients is unclear at present, but using our knowledge of closely related coronavirus outbreaks like severe acute respiratory distress syndrome (SARS) and middle east respirat...
Source: Lung India - March 6, 2021 Category: Respiratory Medicine Authors: Zarir F Udwadia Parvaiz A Koul Luca Richeldi Source Type: research