German recommendations for critically ill patients with COVID‑19

Since December 2019, a novel coronavirus (severe acute respiratory syndrome—coronavirus 2, SARS-CoV-2) has rapidly spread around the world resulting in an acute respiratory illness pandemic. The majority of patients presents with mild symptoms of coronavirus disease 2019 (COVID-19). However, about 5...

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Autor principal: Kluge, Stefan, et al.
Formato: Published Article
Publicado: 2020-04-14
Materias:
Acceso en línea:https://doi.org/10.1007/s00063-020-00689-w
https://hdl.handle.net/20.500.12663/1292
id PAO-20.500.12663-1292
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spelling Kluge, Stefan, et al.
2020-05-04T16:29:07Z
2020-05-04T16:29:07Z
2020-04-14
https://doi.org/10.1007/s00063-020-00689-w
https://hdl.handle.net/20.500.12663/1292
Since December 2019, a novel coronavirus (severe acute respiratory syndrome—coronavirus 2, SARS-CoV-2) has rapidly spread around the world resulting in an acute respiratory illness pandemic. The majority of patients presents with mild symptoms of coronavirus disease 2019 (COVID-19). However, about 5% become critically ill and require intensive care treatment. Acute hypoxemic failure with severe dyspnea and an increased respiratory rate (>30/min) usually leads to ICU admission. At that point, bilateral pulmonary infiltrates are typically seen. Patients often develop a severe acute respiratory distress syndrome (ARDS). To date there is no specific treatment available—the main goal of supportive therapy is to ascertain adequate oxygenation. Early intubation and repeated prone positioning are key elements in treating hypoxemic COVID-19 patients. Strict adherence to basic infection control measures (including hand hygiene) and use of personal protection equipment (PPE) are essential in the care of patients. Procedures that lead to formation of aerosols should be avoided where possible and carried out with utmost precaution.
English
COVID-19
Coronavirus
Infectious Diseases
Critical Illness
German recommendations for critically ill patients with COVID‑19
Medizinische Klinik – Intensivmedizin und Notfallmedizin
Others
Clinical characterization and management
Published Article
Save Lives / Salvar Vidas
elec_str_mv Organización Panamericana de la Salud
collection Organización Panamericana de la Salud
title German recommendations for critically ill patients with COVID‑19
spellingShingle German recommendations for critically ill patients with COVID‑19
Kluge, Stefan, et al.
COVID-19
Coronavirus
Infectious Diseases
Critical Illness
title_short German recommendations for critically ill patients with COVID‑19
title_full German recommendations for critically ill patients with COVID‑19
title_fullStr German recommendations for critically ill patients with COVID‑19
title_full_unstemmed German recommendations for critically ill patients with COVID‑19
title_sort german recommendations for critically ill patients with covid‑19
author Kluge, Stefan, et al.
author_facet Kluge, Stefan, et al.
topic COVID-19
Coronavirus
Infectious Diseases
Critical Illness
topic_facet COVID-19
Coronavirus
Infectious Diseases
Critical Illness
publishDate 2020-04-14
format Published Article
description Since December 2019, a novel coronavirus (severe acute respiratory syndrome—coronavirus 2, SARS-CoV-2) has rapidly spread around the world resulting in an acute respiratory illness pandemic. The majority of patients presents with mild symptoms of coronavirus disease 2019 (COVID-19). However, about 5% become critically ill and require intensive care treatment. Acute hypoxemic failure with severe dyspnea and an increased respiratory rate (>30/min) usually leads to ICU admission. At that point, bilateral pulmonary infiltrates are typically seen. Patients often develop a severe acute respiratory distress syndrome (ARDS). To date there is no specific treatment available—the main goal of supportive therapy is to ascertain adequate oxygenation. Early intubation and repeated prone positioning are key elements in treating hypoxemic COVID-19 patients. Strict adherence to basic infection control measures (including hand hygiene) and use of personal protection equipment (PPE) are essential in the care of patients. Procedures that lead to formation of aerosols should be avoided where possible and carried out with utmost precaution.
url https://doi.org/10.1007/s00063-020-00689-w
https://hdl.handle.net/20.500.12663/1292
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