| Popis: |
Background: First outbreak of COVID 19 started in Wuhan, China at December 2019 and since then, it spread globally but information regarding critically ill COVID 19 patients is still limited. The role of Intensive care unit(ICU) has been described in several studies. But in Bangladesh, we have very limited research-based information regarding the role of ICU in the management of patients with COVID 19. Aim of the study: The aim of this study was to assess the role of ICU in the management of patients with COVID 19. Methods: This prospective observational study was conducted in the Department of Anesthesia & ICU, Mugda Medical College Hospital, Dhaka., Bangladesh during the period from 26 March 2021 to 21 July 2022. In total 67 ICU admitted COVID 19 patients were enrolled in this study as study subjects. Proper written consents were taken from all the participants before data collection. As per the inclusion criteria of this study, only RT-PCR confirmed COVID 19 patients were included. All the demographic and clinical information of the participants were recorded. All data were processed, analyzed and disseminated by using MS Excel and SPSS version 23.0 program as per necessity. Results: In this study, mean day from hospital to ICU admission of the participants was 1 day ranging from 0 to 3 days and mean day from symptoms to ICU admission was 5 days ranging from 3 to 7 days. During ICU care, for majority of the cases (51%) mechanical ventilation was used. As medicine, hydroxychloroquine was used in 72% cases and corticosteroids were used in 25% cases. The mean ICU length and hospital staying in day were 10.25 ±2.33 and 17.47 ±3.75 days respectively. Among total 67 cases 46% (n=31) survived whereas 54% (n=36) died. Conclusion: As per the procedure and findings of this study we can conclude that, adequate ventilation facilities along with ICU is necessary to manage such pandemic. Prompt hospitalization and diagnosis may safe more life and can reduce the sufferings .... |
