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Successful weaning of a patient with severe COVID-19 pneumonia under prolonged midazolam sedation using morphine.
Kunimasa, Kei; Ohashi, Yoshifumi; Okawa, Megumi; Iida, Hiroshi; Sonoda, Shunji; Hiuge, Yuki; Hachimine, Masaaki; Yamamura, Ai; Kawamura, Takahisa; Inoue, Takako; Tamiya, Motohiro; Kuhara, Hanako; Nishino, Kazumi; Nakamoto, Naoki; Kumagai, Toru; Tanigami, Hironobu.
Afiliación
  • Kunimasa K; Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
  • Ohashi Y; Department of Anesthesiology, Osaka International Cancer Institute, Osaka, Japan.
  • Okawa M; Department of Anesthesiology, Osaka International Cancer Institute, Osaka, Japan.
  • Iida H; Department of Anesthesiology, Osaka International Cancer Institute, Osaka, Japan.
  • Sonoda S; Department of Anesthesiology, Osaka International Cancer Institute, Osaka, Japan.
  • Hiuge Y; Department of Anesthesiology, Osaka International Cancer Institute, Osaka, Japan.
  • Hachimine M; Department of Anesthesiology, Osaka International Cancer Institute, Osaka, Japan.
  • Yamamura A; Department of Anesthesiology, Osaka International Cancer Institute, Osaka, Japan.
  • Kawamura T; Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
  • Inoue T; Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
  • Tamiya M; Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
  • Kuhara H; Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
  • Nishino K; Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
  • Nakamoto N; Department of Emergency and Critical Care, Osaka General Medical Center, Osaka, Japan.
  • Kumagai T; Department of Thoracic Oncology, Osaka International Cancer Institute, Osaka, Japan.
  • Tanigami H; Department of Anesthesiology, Osaka International Cancer Institute, Osaka, Japan.
Oxf Med Case Reports ; 2022(6): omac051, 2022 Jun.
Article en En | MEDLINE | ID: mdl-35769183
The coronavirus disease 2019 (COVID-19) pandemic continues to spread around the world. In April 2021, Japan experienced a fourth wave of COVID-19 infections, which led to the breakdown of the medical system. Osaka, Japan, was particularly affected, with many severe cases and the highest number of COVID-19-associated deaths in Japan. Herein, we present a patient with severe COVID-19 infection who received prolonged midazolam (MDZ) treatment since propofol was not available due to shortage of medical resources. Moreover, the duration of mechanical ventilation was extended due to the development of a pneumothorax. When MDZ tapering was initiated, tachypnea was observed, which resulted failure in ventilator weaning. However, the use of continuous morphine infusion led a successful weaning off the ventilator. We suggest that the administration of morphine may allow for a smoother weaning process for some patients with severe COVID-19 infection.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Oxf Med Case Reports Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Oxf Med Case Reports Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido