Symptomatic and optimal supportive care of critical COVID-19: A case report and literature review

World J Clin Cases. 2020 Dec 6;8(23):6181-6189. doi: 10.12998/wjcc.v8.i23.6181.

Abstract

Background: Coronavirus disease 2019 (COVID-19) severity is classified as asymptomatic, mild, moderate, severe, and critical. Mild cases account for a large percentage of cases in the epidemic and typically exhibit a favorable prognosis. However, a 49%-67% mortality is noted in critical cases. No COVID-19-specific drug has been reported to date, and symptomatic and optimal supportive care, including oxygenation, anti-coinfection treatments, and ventilation, represent the mainstay of treatment for this disease, especially in critical patients.

Case summary: In the above-mentioned context, we share our experience with the treatment of one critical COVID-19 case and review the relevant literature.

Conclusion: Timely tracheal intubation, reasonable mechanical ventilation support, appropriate anti-infection treatment, and early anticoagulation and immunity support are key factors in the successful treatment of this case.

Keywords: COVID-19; Case report; Critical case; Literature review; Mechanical ventilation support; Supportive treatment.

Publication types

  • Case Reports