Publications by authors named "Satyasuna Kafle"
Introduction: Fear and anxiety is a natural response during crisis. From constant worry of getting infected, death of loved ones, transitioning of lifestyle to loss of social connection; there can be several psychological triggers. The effect on mental health on the general population could be greater than those affected by the infection itself during the pandemic.
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- A systematic review and meta-analysis was conducted to evaluate the increased occurrence of pulmonary barotrauma (like pneumothorax and pneumomediastinum) in hospitalized COVID-19 patients, revealing significant data on its prevalence.
- Out of 4488 studies reviewed, 118 case reports and 15 observational studies were included, showing barotrauma rates of 4.2% in hospitalized patients and 18.4% in those on invasive ventilation, indicating a direct correlation with disease severity.
- The findings highlight that COVID-19 pneumonia significantly raises the risk of barotrauma, leading to extended hospital and ICU stays, higher mortality rates, and necessitating the need for more research to
Pneumomediastinum and subcutaneous emphysema have been reported in COVID-19 around the world except for Nepal. We report a case of a 44-year-old male infected with COVID-19 who developed pneumomediastinum and subcutaneous emphysema during his eighth day of intubation at the hospital. He was managed with remdesivir, antibiotics, mechanical ventilation, steroid, and heparin following which he recovered well.
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