Management of COVID-19 at the pandemic's first wave in Ecuador.

Autor:	Briones-Claudett KH; Faculty of Medical Sciences, University of Guayaquil, Guayaquil, Ecuador.; Physiology and Respiratory-Center Briones-Claudett, Guayaquil, Ecuador.; Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador., Murillo Vásconez RA; Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador.; Intensive Care Unit, OMNI-Hospital, Guayaquil, Ecuador., Rivera Salas CDR; Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador.; Intensive Care Unit, OMNI-Hospital, Guayaquil, Ecuador., Briones-Zamora KH; Physiology and Respiratory-Center Briones-Claudett, Guayaquil, Ecuador.; Universidad de Especialidades Espiritu Santo, Samborondón, Ecuador., Briones-Márquez DC; Faculty of Medical Sciences, University of Guayaquil, Guayaquil, Ecuador.; Physiology and Respiratory-Center Briones-Claudett, Guayaquil, Ecuador., Icaza-Freire A; School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador., Grunauer M; School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador.; Critical Care Department, Hospital de los Valles, Quito, Ecuador.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2021 Sep 13; Vol. 9, pp. 2050313X211045232. Date of Electronic Publication: 2021 Sep 13 (Print Publication: 2021).
DOI:	10.1177/2050313X211045232
Abstrakt:	During March and April 2020, Ecuador was the country with the highest death toll in Latin America due to the coronavirus disease 2019 pandemic. Simultaneously, research was being developed and published globally, and to a certain extent, guided therapeutic approaches in real time, mostly in under-resourced settings. We present the case of a 59-year-old male physician residing in Guayaquil, who presented with severe coronavirus disease 2019, in which mechanical ventilation, prone position, and pulmonary protective ventilatory strategy were used. We discuss the clinical management of the first reported case in the literature of a physician in Ecuador who survived severe acute respiratory syndrome coronavirus 2 infection, as well as the topic of self-medication within health professionals, the management approach that was emerging at the moment in scientific publications and guiding treatment, the role of responsible research and its worldwide impact, and the emotional burdens of the care team who had to make very difficult decisions in extremely adverse circumstances. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Disclosure statements: Appropriate written informed consent was obtained for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal. (© The Author(s) 2021.)
Databáze:	MEDLINE
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