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Table of Contents
EDITORIAL
Year : 2020  |  Volume : 17  |  Issue : 3  |  Page : 133

Editorial


Department of Pediatrics, Indraprastha Apollo Hospitals, New Delhi, India

Date of Submission06-Aug-2020
Date of Acceptance07-Aug-2020
Date of Web Publication31-Aug-2020

Correspondence Address:
Rajendra N Srivastava
Department of Pediatrics, Indraprastha Apollo Hospitals, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/am.am_100_20

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How to cite this article:
Srivastava RN. Editorial. Apollo Med 2020;17:133

How to cite this URL:
Srivastava RN. Editorial. Apollo Med [serial online] 2020 [cited 2020 Sep 19];17:133. Available from: http://www.apollomedicine.org/text.asp?2020/17/3/133/294090

The present issue and a supplement of the Journal are devoted to various COVID-19 virus-related issues. The pandemic has posed serious challenges in the management of patients requiring hospital inpatient care. COVID-19-induced illnesses include a spectrum of disorders, varying from mild to life-threatening with multiorgan involvement. Elderly patients suffering from COVID infection often have comorbidities that greatly increase the problems in the management. Individual hospitals have established guidelines that are followed once a patient reaches the facility and COVID-positive patients are separated from the rest. The resident medical staff, nurses, and other health-care workers must adhere to strict hospital protocols and guidelines. They have to closely look after the patients, often over prolonged periods, and are heavily stressed but carry out their work with compassion and fortitude.

Laboratory diagnosis of COVID infection presents several challenges, in acute situations as well as for mass screening. The reliability of various tests and cost factors have to be considered. These are succinctly reviewed.

The Journal contains reviews by eminent experts on several aspects of treatment in different specialties. Adequate management of serious illnesses and emergencies, whether related to COVID infection or otherwise, has to be carried out while the epidemic is raging and thereafter. Renal support therapy may be required in patients with hemodynamic compromise. Neurological involvement and emergencies are being increasingly recognized and require prompt treatment. Various endocrinopathies and complications of diabetes have to be appropriately managed. The COVID infection is reportedly less common in children, but occasional cases of pediatric inflammatory multisystem disease require intensive care. Complex surgical procedures must be performed with utmost care and precautions. Prolonged surgical interventions, especially orthopedic surgery, carry greater risks. Obese patients are reportedly more prone to complications from the COVID infection. Minimally access surgical interventions and robotic surgery are being successfully employed in several specialties and may be preferred as procedures of choice. Anesthetic practices have to be modified while managing COVID-positive patients. Issues of contraception and pregnant mothers need to be addressed. All of these topics have been clearly elaborated in the articles in the present issue.

Telemedicine has an important role in the delivery of acute care and emergencies as well as for long-term management, and is increasingly being adopted by the clinicians in various disciplines. COVID illness in persons with some form of disability also presents greater difficulties.

Various preventive measures against the COVID infection must be undertaken until an effective and safe vaccine is produced and administered widely. Global efforts are being to find a safe and effective vaccine, which is expected to be available in the early 2021.

The role of current technological advances in health-care monitoring and biosensor technologies in the diagnosis and management of COVID problems has been discussed in two of the articles. Their application needs to be further examined.

Anesthetic challenges are reported in a COVID-positive pregnant patient undergoing cesarean section, and in a premature infant who required emergency laparatomy. In a brief report, the COVID-19 protocol of management followed at a tertiary care hospital is described.

A shortage of hospital beds for COVID-positive patients has led to the creation of facilities in a variety of places including railway coaches. However, the current guidelines for observation of COVID-positive patients with mild symptoms have mostly avoided their utilization.

We are most grateful to all experts who have contributed to this special issue of Apollo Medicine. The information provided should be of use to the readers in their practice. We welcome comments and suggestions.






 

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