Review Article
Volume 5 Issue 2 - 2020
Impact of COVID-19 on Surgery and Anaesthesia: Fighting Another Unique War on ARDS Relevant to Covid-19 Pandemic
Ahmed N Ghanem*
Retired Consultant Urologist Surgeon and Independent Investigator, El-Mansoura University, Faculty of Medicine, Mansoura, Egypt
*Corresponding Author: Ahmed N Ghanem, Retired Consultant Urologist Surgeon and Independent Investigator, El-Mansoura University, Faculty of Medicine, Mansoura, Egypt.
Received: November 26, 2020; Published: January 30, 2021


This article reports the on the impact of Covid-19 pandemic on a retired Urologist Surgeon who was forced into home isolation while already busy fighting a parallel relevant war on the acute respiratory distress syndrome (ARDS) of another because that is important, unrecognized, and underestimated. The corona virus kills its victims by causing ARDS. I have been fighting my solo unique self-financed war against ARDS of a different cause that is no less common, important, or serious than ARDS of Covid-19 and sepsis. The home confinement self-isolation imposed by Covid-19 has been invested intensively and usefully in finalizing may unique solo self-financed war against another type ARDS. Sepsis and Covid-19 are well-recognized causes of ARDS. However, there is another important cause for ARDS that remains unrecognized and under-estimated. Once revealed and recognized it becomes obvious and easily provable. It has not been easy to recognize because it complicates other recognized shocks during its intravenous fluid therapy of shock and acutely ill patients.

Volumetric overload (VO) inducing shock reported as VO shock (VOS) or volume kinetic shocks is iatrogenic complication of fluid therapy that cause ARDS. This type of ARDS is usually attributed to sepsis, but recent evidence demonstrates that sepsis in most cases is most probably as innocent as the wolf in Josef’s story. Although my war against ARDS induced by VOS started 40 years ago, it has been emphasized over the last 4 years and finalized, concluded, and triumphantly won in 2021. My war against ARDS of VOS has been won but this can only be triumphantly declared when the scientific and medical world acknowledge my related discoveries in physics, physiology, biochemistry, and medicine.

Keywords: COVID-19; Volumetric Overload (VO); VO Shock (VOS); Acute Respiratory Distress Syndrome (ARDS)


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Citation: Ahmed N Ghanem. “Impact of COVID-19 on Surgery and Anaesthesia: Fighting Another Unique War on ARDS Relevant to Covid-19 Pandemic”. EC Emergency Medicine and Critical Care 5.2 (2021): 40-52.

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