Dr Fusun Oner Eyuboglu (Turkey) responds:
Early start of antiviral treatment is effective to reduce ICU need.
Dr Fusun Oner Eyuboglu (Turkey) responds:
The outbreak may have several peaks until development of vaccine.
Dr Fusun Oner Eyuboglu (Turkey) responds:
Adequate MV support and ARDS treatment
Dr Ser Hon Puah (Singapore) responds:
We are beginning to prescribe physiotherapy sessions within ICU itself and post discharge to the ward as some patients can remain symptomatic and have presence of exertional desaturation.
Dr Fusun Oner Eyuboglu (Turkey) responds:
pulmonary rehab is significant particularly in patients with severe pneumonia to avoid pulmonary fibrosis
Dr Camilo C Roa (Philippines) responds:
probably minimal as dynamic hyperinflation is not a common feature in the respiratory failure phenotype of COVID-19. It adds to the complexity of ventilatory strategy among COPD patients with sticken with COVID-19.
Dr Fusun Oner Eyuboglu (Turkey) responds:
preexisting small airway obstruction worsens in COVID
Dr Fusun Oner Eyuboglu (Turkey) responds:
Not sooner than a year
Dr Fusun Oner Eyuboglu (Turkey) responds:
It would take years for a high population country to get herd immunity
Dr Ser Hon Puah (Singapore) responds:
This will likely vary around the world depending on the country's resources.
Dr Fusun Oner Eyuboglu (Turkey) responds:
Chineese colleauges would reply this
Dr Fusun Oner Eyuboglu (Turkey) responds:
so far in Turkey cohort studies between the isolated and nonisolated group will start soon
Dr Ser Hon Puah (Singapore) responds:
I don't think there are any "best" practices. We just advise for early proning even before intubation. Once intubated, to follow as per ARDS protocol.
Dr Fusun Oner Eyuboglu (Turkey) responds:
Q is not clear
Please see YouTube youtu.be/7PEfxLxFGVc.
Dr Fusun Oner Eyuboglu (Turkey) responds:
No idea
Dr Fusun Oner Eyuboglu (Turkey) responds:
not that similar
Dr Fusun Oner Eyuboglu (Turkey) responds:
several mutations is repoted
Dr Fusun Oner Eyuboglu (Turkey) responds:
pulmonary rehab is important after hospitalization
Dr Fusun Oner Eyuboglu (Turkey) responds:
early start of HCQ, faviparvir, remdesivir, anticoagulant treatment,high flow oksigen and prone position seems significant factors of treatment outcome
Dr Camilo C Roa (Philippines) responds:
After the lockdown has reduced the number of infected cases, going back to work with mitigation measures like social distancing, use of mask in public places, compulsive hand washing and test-contact trace-isolate should be done to revive the economy.
Dr Fusun Oner Eyuboglu (Turkey) responds:
Very difficult to ignore
Dr Ser Hon Puah (Singapore) responds:
In Singapore, we isolate all positive patients and we treat all health care workers similar to all patients. Contact tracing will occur after that.
Dr Fusun Oner Eyuboglu (Turkey) responds:
Healt careworkers should wear adequate PPE
Dr Fusun Oner Eyuboglu (Turkey) responds:
Not so much is known
Dr Fusun Oner Eyuboglu (Turkey) responds:
satartin anticoagulant treatment is very important to reducearterial and venous thrombosis
Dr Fusun Oner Eyuboglu (Turkey) responds:
not a lot known I guess
Dr Fusun Oner Eyuboglu (Turkey) responds:
Immunity after covıd would be protective sor some time
Dr Camilo C Roa (Philippines) responds:
just observe
Dr Fusun Oner Eyuboglu (Turkey) responds:
I would offer and see weather they become negative
Dr Camilo C Roa (Philippines) responds:
When the global number of cases no longer overwhelms the county's health capacity and when there is consistent down trending of the test positivity rate (% of the total tested), case fatality rate and the reproductive number of the infection trnsmision is R0 < 1, then the pandemic is deemed to have turned around. The disease however, may still show localized outbreaks but there are much less in number and more mangeable. The infection can go on for years as a "seasonal" disease for decades until it is finally decimated either by herd immunity, widespread vacination or the occurence of another organism (like H2N2 in 1957) that can become the next dominant infection of the very host of the circulating residual H1N1 of Spanish flu (this is how H1N1 totally disappeared).
Dr Camilo C Roa (Philippines) responds:
yes
Dr Fusun Oner Eyuboglu (Turkey) responds:
I agree
Dr Fusun Oner Eyuboglu (Turkey) responds:
We have no experience about that
Dr Camilo C Roa (Philippines) responds:
no
Dr Fusun Oner Eyuboglu (Turkey) responds:
I would start end see the result
Dr Fusun Oner Eyuboglu (Turkey) responds:
I have no idea
Dr Camilo C Roa (Philippines) responds:
ideally
Dr Ser Hon Puah (Singapore) responds:
In Singapore, we isolate all positive patients and we treat all health care workers similar to all patients. Contact tracing will occur after that.
Dr Fusun Oner Eyuboglu (Turkey) responds:
It is recommended
(No reponse yet)
Dr Fusun Oner Eyuboglu (Turkey) responds:
So far in Turkey cit is not promising.
Dr Camilo C Roa (Philippines) responds:
yes, case fatality rate
Dr Fusun Oner Eyuboglu (Turkey) responds:
Definitely right. Cases should include definite and possible ones who received treatment.
Dr Ser Hon Puah (Singapore) responds:
We have performed a few pulmonary angiograms for patients with persistent or profound hypoxemia. We think there is a role.
Dr Fusun Oner Eyuboglu (Turkey) responds:
when suspected yes
Dr Ser Hon Puah (Singapore) responds:
Not for us. None of our patients received NIV.
Dr Fusun Oner Eyuboglu (Turkey) responds:
No
Dr Ser Hon Puah (Singapore) responds:
Currently due to the lack of convincing evidence.
Dr Fusun Oner Eyuboglu (Turkey) responds:
ICU specialists would answer this Q