Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
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J Coll Physicians Surg Pak · Oct 2020
Case ReportsA Patient with COVID-19 Treated with ECMO for 26 Days.
In December 2019, an outbreak of a novel coronavirus disease 2019 (COVID-19) was reported in Wuhan, China, which was subsequently reported in other countries worldwide. COVID-19 is typically an acute self-limited disease that can rarely be fatal with a 5.6% case mortality rate (May, 2020), mainly due to substantial damage to pulmonary alveolar structures, and subsequent respiratory failure. Given the previous experience, extracorporeal membrane oxygenation (ECMO) has been proven to be an effective therapy in the treatment of respiratory failure or acute respiratory distress syndrome (ARDS). ⋯ We, herein, describe a COVID-19 pneumonia patient, a 77-year female，who was treated with ECMO for 26 days. The hospitalisation costs of the patient were highest in Jilin Province. Key Words: COVID-19, ECMO, Pneumonia.
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J Coll Physicians Surg Pak · Oct 2020
Effect of Ramadan Fasting on Thyroid Hormone Levels in Patients on Levothyroxine Treatment.
To evaluate the changes in thyroid functions in Ramadan, and compare late evening and pre-seheri use of levothyroxine in patients with hypothyroidism. ⋯ Increase in TSH was not significant after Ramadan. While there was an insignificant increase in median TSH, about one-third of patients had lower TSH, indicating for the need to evaluate every patient individually and follow closely during Ramadan. Clinical studies with larger sample sizes will be helpful to determine the optimal time for levothyroxine use during Ramadan. Key Words: Thyroid functions, Ramadan fasting, Hypothyroidism, Levotyhroxine.
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J Coll Physicians Surg Pak · Oct 2020
Modifying Surgical Practice in the Times of Current COVID-19 Pandemic.
In the times of current coronavirus disease 2019 (COVID-19) pandemic, the surgical practice is suffering. The present report summarises the impact of this pandemic on our surgical services and the changes that have been promulgated for the resumption of services with the purpose of providing valuable information for our surgical colleagues worldwide. ⋯ We need to find ways to continue providing essential medical services to patients, while fighting with this pandemic since it might take longer than expected to end. Key Words: COVID-19, Pandemic, Surgery, Personal protective equipment, N95 masks.
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To determine clinical features and biochemical markers in COVID-19 patients at a tertiary care hospital, in Multan. ⋯ Pakistani patients with COVID-19 disease showed variable pattern of clinical features. Specific biochemical markers, particularly serum ferritin, may help in diagnosis. Key Words: Covid-19, Clinical features, Biochemical features, Multan, Pakistan.
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J Coll Physicians Surg Pak · Oct 2020
Surgical Management of Penetrating Duodenal Injury: Role of Primary Repair.
To evaluate the outcome of primary repair in penetrating duodenal injuries. ⋯ Associated intra-abdominal organ and vascular injuries were predictive factors of overall mortality in duodenal injuries. Duodenum-related mortality was low, for this reason minimally invasive procedures such as primary repair will be more accurate in surgical management of penetrating duodenal injuries. Key Words: Duodenal injury, Primary repair, Surgical management.