DISCOVERIES REPORTS (ISSN 2393249X), 2021, volume 4

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CITATION: Kumari S, Karim HMR, Arora P, Nadirsha A. Bain’s circuit as continuous positive airway pressure device in a postoperative COVID-19 associated mucormycosis patient with type-1 respiratory failure: a case report. Discoveries Reports 2021, 4: e22. DOI: 10.15190/drep.2021.7  Submitted: June 17, 2021; Revised and Accepted: June 30, 2021; Published: June 30, 2021.

Bain’s circuit as continuous positive airway pressure device in a postoperative COVID-19 associated mucormycosis patient with type-1 respiratory failure: a case report

Snigdha Kumari (1), Habib Md Reazaul Karim (1,*), Prateek Arora (1), Arshad Nadirsha (1)

(1) Department of Anaesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences Raipur, India.

* Corresponding author: Habib Md Reazaul Karim, MD, DNB, IDCCM, FNIV. Faculty Room A001, Block A, AIIMS Raipur Hospital Complex, GE Road, Tatibandh, Raipur, 492099, India. Email: drhabibkarim@gmail.com

Abstract

The surge in coronavirus disease of 2019 (COVID-19) pneumonia cases has brought about a wave of COVID-19 associated mucormycosis, especially in patients with diabetes and those on immunosuppressive drugs. In addition, the antifungal therapy and the residual cardiopulmonary illness bring about an array of challenges in the perioperative period. Most often, such patients are far from optimized and need urgent surgical intervention. Regardless to say, many need some form of respiratory assistance in the postoperative period as well. With the pandemic already throttling the existing resources, such as ventilators and oxygen supply, it may be prudent to use devices from an anesthetist's armamentarium to aid patient's oxygenation and ventilation in the perioperative period. The authors describe one such case using Bain's circuit and a noninvasive ventilation mask to function as a continuous positive airway pressure device.

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