COVID-19: Five Things to Know About/CMAJ Online – July 2020
■ Chest imaging in patients with suspected COVID-19
– Chest imaging is not routinely recommended to diagnose coronarivurs 2019 (COVID-19) in patients with mild features
– In patientes with risk factors for disease progression chest radiography, together with clinical, symptoms, may inform whether to follow up in the communit or to refer to secondary care
– A normal chest radiography or CT sean does not rule out COVID-19
– Chest CT should be considered for some patients
– Repeat imaging is not indicated unless there is a change in clinical ed for some patients status, such as increased respiratory distress, or complications are suspected
Scott J Adams, C Dennie
CMAJ June 2020, vol 192 (25): E67619 (COVID-19)
https://www.cmaj.ca/content/192/25/E676
■ Diagnostic testing for SARS-CoV-2
– Test sensitivity depends on timing of sample colletion
– Test sensitivity varies according to specimen type and disease severity
– Test positivity does not alwals entail infectivity
– Point-of-care testing provides rapide diagnosis but is limited by ¨low throughput¨
– Positively serology does not equate with lifelong immunity
C Boodman, P Lagacé-Wiens, J Bullard
CMAJ 2020, vol 192 (26): E713
https://www.cmaj.ca/content/192/26/E713
■ Tracheal intubation in patients with COVID-19
Laura V Duggan, G Mastoras and Gregory L Bryson
CMAJ 2020, vol 192 (22): E6013
– Prepare outside the patients´s room: assign team roles, check equipment and review the airway strategy
– Don personal protective equipment (PPE) and cross-check team members
– Videolaryngoscopy may have benefits over direct laryngoscopy
– During intubation: anticipate rapid oxygen desaturation and associated emergencies
– Removing PPE carries a high-risk of self-contamination
L V Duggan, G Mastoras and Gregory L Bryson
CMAJ 2020, vol 192 (22): E60
https://www.cmaj.ca/content/192/22/E607
■ COVID-19 & Diabetes Mellitus (COVID-19 & Diabetes Mellitus)
Arquivo Blog Internet Médica – july 2020
https://internetmedica.com.br/covid-19-diabetes-mellitus-online-covid-19-diabetes-mellitus/
■ Dr Paulo Fernando Leite
Cardiologia/Prevenção Cardiovascular
Estratificação de Risco Cardiovascular
Consultório: Rua Padre Rolim 815/sala 601 – Belo Horizonte/MG/Brasil
Tel: 33245518
CRMMG: 7026
Email: pfleite1873@gmail.com
Blog Internet Médica – www.internetmedica.com.br
Data: julho 2020