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Updated: Dec 9, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Acute cerebrovascular event in a COVID-19 positive patient immediately after commencing non-invasive ventilation
Julia Burkert1, Shashank Patil2
1Emergency Department, Chelsea and Westminster Healthcare NHS Foundation Trust, London, UK julia.burkert@chelwest.nhs.uk.
Abstract:
A 71-year-old man presented to the emergency department (ED) with low oxygen saturations and symptoms consistent with COVID-19 infection. Apart from a small left-sided ischaemic stroke 10 years prior with very minor residual deficit, he had been well and in full-time employment until development of symptoms. Within minutes of commencing non-invasive ventilation (NIV) in the ED, he developed a complete left-sided paralysis and hemineglect. This case highlights the significance of the prothrombotic complications associated with COVID-19 infection. It also raises the question whether pressure changes upon commencing NIV could lead to clot migration.
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