Tashkent, Uzbekistan (UzDaily.com) – Peculiarities of the treatment of patients with coronavirus infection were discussed at an online webinar organized on 7 May 2020 by the National Chamber of Innovative Health Care of Uzbekistan together with Royal College of Physicians and Surgeons of Canada. This was reported by the press service of the National Chamber of Innovative Health of the Republic of Uzbekistan

The Canadian side was represented by Pierre Cardinal, professor of medicine at the University of Ottawa, who is also a senior lecturer at the Royal College of Physicians and Surgeons of Canada.

The participants in the webinar were welcomed by the chairman of the National Chamber, Rovshan Izamov, who thanked the Canadian partners for their desire to share their experience in fighting the pandemic. The record of this online meeting of specialists of the two countries, held in English and Russian, will be posted on the official website of the Canadian Clinic, which will expand the opportunity for doctors to familiarize themselves with the dialogue of specialists.

Directly at the National Chamber, such specialists as Ivan Fokin, head of the operational and anesthesiology department of the Republican Scientific Center for Emergency Medicine (RSCEM), Ravshan Yuldashev, a neurosurgeon, and head of the innovation department of the Republican Scientific Center for Neurosurgery participated in the webinar. In the format of video conferencing, more than 50 doctors became participants in the webinar, including anesthetists, resuscitators, epidemiologists, infectious disease specialists, therapists, residents from various regions of Uzbekistan.

The webinar began with a presentation by Pierre Cardinal, in which a leading Canadian specialist shared his experience in managing patients with COVID-19 in the Department of Resuscitation and Intensive Care (ICU). The professor noted that this pandemic is characterized by two main phenotypes of COVID-19-associated pneumonia - “L” and “H”, which has not been encountered so far. Moreover, for each phenotype there is a specific pathophysiology of hypoxemia, that is, the level of oxygen deficiency in the blood.

“So far I have not seen such pneumonia as with COVID-19,” the speaker noted. So one of the features is that with sufficiently strong indicators of hypoxemia, some patients can breathe on their own and feel good enough. According to the Canadian specialist, this is characterized by the phenotype “L”.

As for the second phenotype, then with it, patients are characterized by severe shortness of breath. P. Cardinal revealed the features of managing patients at different stages of the disease and answered questions in detail. In particular, I. Fokin asked about the opinion of the Canadian professor about whether the phenotypes “L” and “H” are the beginning and development of a patient with COVID-19 (that is, they progress one to another) or are these different types of the course of the disease. The question of how to determine one or another phenotype - using magnetic tomography or other methods, came from R. Yuldashev.

Experts discussed many issues that, most importantly, are relevant today. The webinar made it possible to show the latest experience in treating patients with COVID-19, exchange opinions with specialists from different countries.

The National Chamber will continue the cycle of such webinars, including with partners from around the world. It is planned that recordings of meetings of professionals will be available for wide familiarization to all interested.