Really appreciate this video . Was much needed . Please make more videos to cover more extensively the pathophysiology and treatment protocols - grade wise .
If the patient is fever-less for 4 days after treatment , but still with inflammatory markers raised (il6 + crp), should steroids be administered or no?
Why remdesivir is not recommended in mild cases...? As it an antiviral drug...in lower virus load it can be effective right ?! Then the paitent may not enter the next moderate to severe states...
Sir, Nowadays many are following this type of categorization of a COVID-19 case into Mild , Moderate and Severe based on the findings in CT scan chest . What is the guideline on this ?
Sir What about mucormicosis ? Is it a complication due to steroids use in covid patients !!!??. If so, you continue using with steroids ?or is it that patients imptove with steroids a priority ?
Please do one for "COVID in pregnancy". Why Remdesivir is C/I in pregnancy & when should it be used in pregnancý? Why has AIIMS guidelines recommended 1-2 mg/kg Methylprednisolone in severe COVID.
As common ppl we want to know what treatment you gave to Dr. Kk Agarwal as he admitted to you hospital on 30th April on his 5 day of positive . What happened to him
its day 21 my mother had Covid, she was not admitted to hospital. she had fever for 7/8 days one day I felt some swelling in her lungs stomach area. I measured her spo2 from the start on day 5 or 6 it was around 94,93 now her spo2 is around 96,97 always now she has fatigue and cough should I be worried? does she had pneumonia? is that pneumonia curable by it self? what should I do I am so confused I live in a remote place no medical facility pls guide.
What about high risk pt with mild symptom shall we start wd flaviperaavir and anticoagulant and steroid at home. If yes what will be dose of steroid and can ecosprin or eliques be started?
after certain period of time almost all the cells will be infected with the virus... then what will be that role of antiviral that period? i mean by the time patient reach to moderate to severe condition
In HRTC there is consolidation in right & left lower lobe nd CT severity score is 12/15, how much time it will take to recover. Following drugs are used Antibiotics Steroid Supplements Anticoagulants Thank you
Which drug your giving to reduce viral load in intial stages ..? why you want patient to wait in home to make him moderate and severe and then bring him to hospital with low oxygen levels and make him die with Experiments on his body ...
Ivermectin is most effective when it is given early. It should be taken at the first sign of symptoms without waiting for the test result. According to flccc, the dosage is based on body weight, 0.2-04mg/kg. Use the upper end for regions with aggressive variants. Take one dose daily for 5 days or until recovered. Take it with or after meal. The flccc prevention and treatment guide is available here, covid19criticalcare.com/covid-19-protocols/i-mask-plus-protocol/.
What about Clopidogrel 75 mg + Aspirin 75 mg OD starting on day1-2-3 of onset of symptoms ? Relatively safe without going into D_ dimer and INR lab monitoring
@@prags9819 one study has confirmed that aspirin can inhibit virus replication by inhibiting prostaglandin E2 (PGE2) in macrophages and upregulation of type I interferon production. clinicaltrials.gov/ct2/show/NCT04365309
@@prags9819 Aspirin has the triple effects of inhibiting virus replication, anticoagulant and anti-inflammatory properties. Clinical trial in US - link given below - may give you better understanding clinicaltrials.gov/ct2/show/NCT04365309
Oxygen level in 70s and also fluctuating . CT score 16/25 . Age 62... Home isolated ... On oxygen... Sir what will be the flow of oxygen should i give... How can the oxygen level will improve. Sir please help me...
You should start with 10 litre and keep reducing if he maintains 93+ saturation Add methyl prednisolone , revoroxaban . 2-3hours (2-3 times ) in a day make the person sleep in prone position . If he is active can ask him do respiratory exercises like in spirometry . Gradually he will improve .
@@madhushekar4329 my father age 62 diabetic. He is in ICU SO2 85 in bipap.. 100% flow. Doc gave bevacizumab and crp came from 75 to 15. What will happen next? I am Very sacred.
Note-This only question for public not for doctors. Kya cancer Doctors chor hai /silent killer hai.? Ye toxic drug ko therapy ka tag 🔖 de kr patients ki body ko adverse side effects dete hai. ,,,,,,?????
@@arunmehta8234 My experience and lots of trials and study results... Even aiims has given it as only a trial drug... Even it was working clearly then why didnt they add it as a definitive management... And why is it not in WHOs protocol??
Kya?? Doctor flu ka reason environment change ko btaate hai Kya massive exposure kiya jaa rahaa hai radiation ka (massive ☢️nuclear radiation exposure due to change in environment by artificial radiation) Kya corona ka link 🔗 iske saath hai please comment karo/reply karo Kya aap modi ji ko appeal kr skte hai Mass media ka lockdown lgya jaaye....
It's my 12 days I am managing saturation around 91-92 without oxygen support with proning. I have been taking for 10 days dexamethasone 12 mg and low molecular weight heparin and antibiotics. I am 34 with no comorbidities. Should I stay in hospital or take discharge. Are there chances that my saturation will fall ?
Consult your doc. 12 days of dexa must have decreased your inflammation markers. Check CRP IL-6 etc. Do you physically feel any better now on the 12th day?
Do some respiratory exercises , sleep in prone position or side way sleeping . Continue steroids and anticoagulant ...your blood investigations decides your stay , make sure your d dimer CRP platelets are normal .
Favipiravir is anti viral drug....it has shown to reduce viral load only if given within the first 72hrs of disease...if started after that shows no benefit... Loading dose 3600mg followed by 1600mg i.e 800mg BD MORNING AND EVENING...and will reduce viral load only if continued for 14 days ...
Yes it is very effective. Even the covid management at AIIMS nagpur is very bad. It seems they are far away from reality or under pressure from pharma companies. Half truth half lies.
Do not reduce fever with antipyrectic drugs in any infection including Corona disease. Because fever is protective mechanism of body during any infection state by which patient's body mobilize the body's immunity system. More the fever more the good for patient's body. Dr kalyan basnet. Senior physician Ktm Nepal.
@@johnsnow7684 ek aur namuna aa gaya. Baar baar video mein dexamethasone, lmwh ka mention kiya gaya hai. Agar kuch samajh aate to yeh comment likhta? Bams, ayush waale ho ka?
Doctor MUST have a goal of preventing further progress of the mild covid of a patient coming within a couple of days into a moderate or severe form. This doctor, adopting the brutal strategy of americans , wouldn't help a patient of mild covid , he would leave him to mercy of God, doing nothing . After a week, if patient deteriorates and falls in the stage of moderate covid ( pulmonary damage started ) or severe covid, then only he will try to treat. God save those patients who consults this doctor.
This is how our teachers should teach us medical college.👍 Thank you sir
Nice and simple presentation sir 🙏
Thank you so much sir. It was brief but comprehensive. Really appreciate your efforts!
Thanks for summarising and explaining briefly !
Excellent crisp presentation Thank you sir
Thanks sir for this informative lecture 🙏
Thanks for protocol and clarifications sir
Covered all essential points expertly sir. And in 30 min too. 👌👌
Really helpful thanku sir
Beautifully explained sir
This is by far the best lecture I've heard on COVID-19. Thank you Sir for the beautiful presentation!
Kya Mass media ventilator pr.
Mass media work on the principle to stablize the human mind/public mind....
Agree
Nice initiative by premium institute of India
Very crisp...to the point and practical..Thanks for the update👍
Kya Mass media ventilator pr.
Mass media work on the principle to stablize the human mind/public mind...
Really appreciate this video . Was much needed . Please make more videos to cover more extensively the pathophysiology and treatment protocols - grade wise .
Kya Mass media ventilator pr.
Mass media work on the principle to stablize the human mind/public mind...
Very relevant...🙏
Great review...
Much needed
Thank you sir..very helpful
thank you very much from srilanka
Thank you Dr
Awesome sir hats off great work!!🙏
Thanks a lot SIR and AIIMS TEAM
Q. is aspirin given for the prophylaxis other than LMWH
Sir you’ve said @ 15:28 that Remdesivir has not shown any significant role, then why have you added in treatment @ 15:37?
Very essential during this crisis.
If the patient is fever-less for 4 days after treatment , but still with inflammatory markers raised (il6 + crp), should steroids be administered or no?
Why remdesivir is not recommended in mild cases...? As it an antiviral drug...in lower virus load it can be effective right ?! Then the paitent may not enter the next moderate to severe states...
Very well covered topic.Systematic and clearly stated
Kya cancer Doctors chor hai .?
Ye toxic drug ko therapy ka tag 🔖 de kr patients ki body ko adverse side effects dete hai. ,,,,,,?????
Thank you sir..
A query to ask sir
What is the duration of prophylactic anticoagulation that must be given?
Thank you so much
This isd great thanks. Dr Roy, can you share the ppt please?
Sir, Nowadays many are following this type of categorization of a COVID-19 case into Mild , Moderate and Severe based on the findings in CT scan chest . What is the guideline on this ?
Thank you very much sir
👏👏👏👏🙏🏼🙏🏼🙏🏼🙌🏾Thank you sir for sharing your valuable knowledge!! Aiims team great work!
NICE INFO
Please conduct sessions on managing of covid in pregnancy and Pediatric age group patients
Kindly update covid in obg
Thanks a ton sir
👌👌👌
Sir
What about mucormicosis ? Is it a complication due to steroids use in covid patients !!!??. If so, you continue using with steroids ?or is it that patients imptove with steroids a priority ?
Is remdesevir contraindicated in children < 12 yrs?
Great effort sir.
Thankyou sir
Great
Thanks Doc 🙏
Kya Mass media ventilator pr.
Mass media work on the principle to stablize the human mind/public mind....
No mention of favipiravir ??
Thank u🙏sir
Thanks
Greetings from Iraq
Tq sir
It would be great if you have added the resources sir.. thank you for the update.
Kya Mass media ventilator pr.
Mass media work on the principle to stablize the human mind/public mind..
Please sir
One home one doctor policy peh discussion kiya jaaye....
Please do one for "COVID in pregnancy". Why Remdesivir is C/I in pregnancy & when should it be used in pregnancý?
Why has AIIMS guidelines recommended 1-2 mg/kg Methylprednisolone in severe COVID.
What is answer for third case??
👌
nice
As common ppl we want to know what treatment you gave to Dr. Kk Agarwal as he admitted to you hospital on 30th April on his 5 day of positive . What happened to him
its day 21 my mother had Covid,
she was not admitted to hospital. she had fever for 7/8 days one day I felt some swelling in her lungs stomach area. I measured her spo2 from the start on day 5 or 6 it was around 94,93 now her spo2 is around 96,97 always now she has fatigue and cough should I be worried? does she had pneumonia? is that pneumonia curable by it self?
what should I do I am so confused I live in a remote place no medical facility pls guide.
Post covid effect.. monitor her 02 temperature and breathing exercises.. if cough present give her mucolytics
What about high risk pt with mild symptom shall we start wd flaviperaavir and anticoagulant and steroid at home.
If yes what will be dose of steroid and can ecosprin or eliques be started?
It depends on their blood investigations ..thn based on weight start steroids
after certain period of time almost all the cells will be infected with the virus... then what will be that role of antiviral that period? i mean by the time patient reach to moderate to severe condition
Fever 98.8 last 10 days what I do
In HRTC there is consolidation in right & left lower lobe nd CT severity score is 12/15, how much time it will take to recover.
Following drugs are used
Antibiotics
Steroid
Supplements
Anticoagulants
Thank you
It depends on blood investigations and how the person responding to oxygen therapy
How to go about post covid pulmonary thrombosis, even if the pt us on LMWH
Apixaban 5mg daily may helpful
4 apples a day
I have post covid complications like chest pain due to 10% involvement and fibrosus with gglo, chest pain... What is the treatment
take steam once a day , do light breathing exercises.
in medical 👣👣👣👣trails..
Impression is poisoning
Expression is medicine.... /healthy health. ...
Sir after how many days can a previously covid +ve person be vaccinated?
4-8 weeks after recovery
@@shruti295 thank you
@@shruti295 thanks ❤
Which drug your giving to reduce viral load in intial stages ..? why you want patient to wait in home to make him moderate and severe and then bring him to hospital with low oxygen levels and make him die with Experiments on his body ...
Ivermectin is most effective when it is given early. It should be taken at the first sign of symptoms without waiting for the test result.
According to flccc, the dosage is based on body weight, 0.2-04mg/kg. Use the upper end for regions with aggressive variants. Take one dose daily for 5 days or until recovered. Take it with or after meal.
The flccc prevention and treatment guide is available here, covid19criticalcare.com/covid-19-protocols/i-mask-plus-protocol/.
What about Clopidogrel 75 mg + Aspirin 75 mg OD starting on day1-2-3 of onset of symptoms ? Relatively safe without going into D_ dimer and INR lab monitoring
Yaa I too have this question,, answer please
@@prags9819 one study has confirmed that aspirin can inhibit virus replication by inhibiting prostaglandin E2 (PGE2) in macrophages and upregulation of type I interferon production.
clinicaltrials.gov/ct2/show/NCT04365309
@@prags9819 Aspirin has the triple effects of inhibiting virus replication, anticoagulant and anti-inflammatory properties. Clinical trial in US - link given below - may give you better understanding
clinicaltrials.gov/ct2/show/NCT04365309
Oxygen level in 70s and also fluctuating . CT score 16/25 . Age 62... Home isolated ... On oxygen... Sir what will be the flow of oxygen should i give... How can the oxygen level will improve. Sir please help me...
You should start with 10 litre and keep reducing if he maintains 93+ saturation
Add methyl prednisolone , revoroxaban . 2-3hours (2-3 times ) in a day make the person sleep in prone position .
If he is active can ask him do respiratory exercises like in spirometry . Gradually he will improve .
@@madhushekar4329 my father age 62 diabetic. He is in ICU SO2 85 in bipap.. 100% flow. Doc gave bevacizumab and crp came from 75 to 15. What will happen next? I am Very sacred.
@@ranendrapratapbadumahapatr1748 what about Other values ? That also matters ..D dimer ?
@@madhushekar4329 before bevacizumab d-dimer was 370. After bevacizumab I can only find crp -15 no d- dimer available in reports.🥺
@@ranendrapratapbadumahapatr1748 steroids + anticoagulant + antifibrotics + antibiotics + O2 + prone position will be the line of treatment
why :steroid is double edge sword
How about iv vitamin c for patients on detioriarating levels of Oxygen
No use as per recent evidence
@@anupamhalder475 what about barinictib 4 mg for patients with oxygen depleting levels
Note-This only question for public not for doctors.
Kya cancer Doctors chor hai /silent killer hai.?
Ye toxic drug ko therapy ka tag 🔖 de kr patients ki body ko adverse side effects dete hai. ,,,,,,?????
Sir ! Please Don't ignore IVM, Vit. D First line and front line of treatment.
Who told? 😂
@@dr.marvel7592 this is proved and have enough data. as IVM block the RdRP enzyme of SARS COV-2
@@dr.marvel7592 who told you that these are not working????
@@arunmehta8234 My experience and lots of trials and study results... Even aiims has given it as only a trial drug... Even it was working clearly then why didnt they add it as a definitive management... And why is it not in WHOs protocol??
And how does even vitamin d act against a virus ?? 😂
Kya?? Doctor flu ka reason environment change ko btaate hai
Kya massive exposure kiya jaa rahaa hai radiation ka (massive ☢️nuclear radiation exposure due to change in environment by artificial radiation)
Kya corona ka link 🔗 iske saath hai please comment karo/reply karo
Kya aap modi ji ko appeal kr skte hai Mass media ka lockdown lgya jaaye....
It's my 12 days
I am managing saturation around 91-92 without oxygen support with proning.
I have been taking for 10 days dexamethasone 12 mg and low molecular weight heparin and antibiotics.
I am 34 with no comorbidities.
Should I stay in hospital or take discharge.
Are there chances that my saturation will fall ?
Consult your doc.
12 days of dexa must have decreased your inflammation markers. Check CRP IL-6 etc.
Do you physically feel any better now on the 12th day?
Are u a medico . If not consult a doc through phone call and shift to the covid care center . Don't take a chance .
Do some respiratory exercises , sleep in prone position or side way sleeping . Continue steroids and anticoagulant ...your blood investigations decides your stay , make sure your d dimer CRP platelets are normal .
Sir, even if it's not in the guidelines but can you please show some light on Favipiravir? A short informative video or something? Thank you🙏
Favipiravir is anti viral drug....it has shown to reduce viral load only if given within the first 72hrs of disease...if started after that shows no benefit...
Loading dose 3600mg followed by 1600mg i.e 800mg BD MORNING AND EVENING...and will reduce viral load only if continued for 14 days ...
Yes it is very effective. Even the covid management at AIIMS nagpur is very bad.
It seems they are far away from reality or under pressure from pharma companies. Half truth half lies.
Do not reduce fever with antipyrectic drugs in any infection including Corona disease. Because fever is protective mechanism of body during any infection state by which patient's body mobilize the body's immunity system. More the fever more the good for patient's body.
Dr kalyan basnet. Senior physician Ktm Nepal.
By dr. Senior physician, Ktm, Nepal.
Kya Mass media ventilator pr.
Mass media work on the principle to stablize the human mind/public mind..
Needles are misused for commercial. Sorry.
Iss guideline mhe No feviflu no steroid no blood thinners Agar mild se moderate huo gaya tho
Moderate has steroid(dexa)
And blood thinner (anticoagulant)
But fabiflu was never protocol
lol kuch samajh aya video dekh ke?? ki aise hi comment kar di???
@@shawnlynch9658 arre nahi ek tumi tho akalmand paida hue huo baki sab tho aise hi hai
@@johnsnow7684 ek aur namuna aa gaya. Baar baar video mein dexamethasone, lmwh ka mention kiya gaya hai. Agar kuch samajh aate to yeh comment likhta? Bams, ayush waale ho ka?
@@shawnlynch9658 mera comment fir se padh tab samajh mhe ayega manbuddi kayi kha
Kya doctors drug dealer hote hai.?
Doctor MUST have a goal of preventing further progress of the mild covid of a patient coming within a couple of days into a moderate or severe form. This doctor, adopting the brutal strategy of americans , wouldn't help a patient of mild covid , he would leave him to mercy of God, doing nothing . After a week, if patient deteriorates and falls in the stage of moderate covid ( pulmonary damage started ) or severe covid, then only he will try to treat. God save those patients who consults this doctor.
The tricky pyramid complimentarily suppose because rub clinicopathologically jump opposite a first witness. rampant, exciting exclusive guarantee
It seems the Dr is totally confused. The covid management at AIIMS nagpur is also worst.
Thank you so much sir
Thank you sir
Please sir
One home one doctor policy peh discussion kiya jaaye...
Thank you sir