The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice

被引：242

作者：

Sorbello, M. ^{[1
]}

El-Boghdadly, K. ^{[2
]}

Di Giacinto, I ^{[3
]}

Cataldo, R. ^{[4
]}

Esposito, C. ^{[5
]}

Falcetta, S. ^{[6
]}

Merli, G. ^{[7
]}

Cortese, G. ^{[8
]}

Corso, R. M. ^{[9
]}

Bressan, F. ^{[10
]}

Pintaudi, S. ^{[11
,12
]}

Greif, R. ^{[13
]}

Donati, A. ^{[14
]}

Petrini, F. ^{[15
]}

机构：

[1] AOU Policlin San Marco Univ Hosp, Anesthesia & Intens Care, Catania, Italy

[2] Guys & St Thomas NHS Fdn Trust, Dept Anaesthesia, London, England

[3] Azienda Osped Univ St Orsola Malpighi Alma Mater, Anesthesia & Intens Care, Anestesia & Terapia Intens Polivalente, Bologna, Italy

[4] Biomed, Anesthesia & Intens Care, Anestesia Terapia Intens eTerapia Dolore, Univ Campus, Rome, Italy

[5] Osped Colli, Dipartimento Area Crit Osped Monaldi, Anesthesia & Intens Care, Naples, Italy

[6] Clin Anestesia & Rianimaz Osped Riuniti Ancona, Anesthesia & Intens Care, Ancona, Italy

[7] Osped Maggiore Crema, Anesthesia & Intens Care, Dipartimento Anestesia & Terapia Intens, Milan, Italy

[8] AOU Citta Salute & Sci, Anesthesia & Intens Care, Dipartimento Anestesia Rianimaz Emergenze, Turin, Italy

[9] Osped GB Morgagni & L Pierantoni, Anesthesia & Intens Care, Dipartimento Chirur Anestesia & Rianimaz, Forli, Italy

[10] Osped Santo Stefano Prato, Anestesia & Rianimaz, Anesthesia & Intens Care, Prato, Italy

[11] ARNAS Garibaldi Catania, Anesthesia & Intens Care, Catania, Italy

[12] ARNAS Garibaldi Catania, Dipartimento Emergenza Anesthesia & Intens Care, Catania, Italy

[13] Univ Bern, Bern Univ Hosp, Dept Anaesthesiol & Pain Therapy, Bern, Switzerland

[14] Univ Politecn Marche, Ancona, Italy

[15] Univ G dAnnunzio, Osped Chieti, Anesthesia & Intens Care, Dipartimento Med Perioperatoria Dolore Terapia In, Chieti, Italy

来源：

ANAESTHESIA | 2020年 / 75卷 / 06期

关键词：

COVID-19; critical care; tracheal intubation; ventilation; TRACHEAL INTUBATION; GUIDELINES; MANAGEMENT;

D O I：

10.1111/anae.15049

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Novel coronavirus 2019 is a single-stranded, ribonucleic acid virus that has led to an international pandemic of coronavirus disease 2019. Clinical data from the Chinese outbreak have been reported, but experiences and recommendations from clinical practice during the Italian outbreak have not. We report the impact of the coronavirus disease 2019 outbreak on regional and national healthcare infrastructure. We also report on recommendations based on clinical experiences of managing patients throughout Italy. In particular, we describe key elements of clinical management, including: safe oxygen therapy; airway management; personal protective equipment; and non-technical aspects of caring for patients diagnosed with coronavirus disease 2019. Only through planning, training and team working will clinicians and healthcare systems be best placed to deal with the many complex implications of this new pandemic.

引用

页码：724 / 732

页数：9

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