 
        Department of Anaesthetics, May Pen Hospital, Southern Regional Health Authority, May Pen, Jamaica
 Research   
								
																Does Nebulized Unfractionated Heparin Cause Changes in Derived  Neutrophil to Lymphocyte Ratios in Severe COVID-19 Pneumonitis? 
																Author(s): Cecily W Thompson*, Stacey-Ann M Robinson, Jevonne J McIntosh, Jodian S Risden, Dwayne R White, Keri S Morgan and Tamara S Beecher             
								
																
						 Background: COVID-19 a multi systemic disorder caused by the SARS-CoV-2 virus with deleterious and often
  fatal effects on respiratory function. Many therapeutic but expensive options have been presented. Unfractionated
  heparin is widely available and has been shown to have antiviral properties in vitro (by inhibiting the interaction of
  the spike protein of the coronavirus with ACE2), as well as anti-inflammatory, mucolytic and anticoagulant effects.
Objective: To conduct a retrospective cohort study on COVID-19 patients admitted to an isolation ward in Jamaica
  to determine if nebulized unfractionated heparin delivered to patients with severe COVID-19 pneumonitis would
  influence the derived Neutrophil to Lymphocyte Ratio (dNLR), a predictor of infection severity that was routinely
  measured.
Methods: St.. View more»