Challenges in the delivery of critical care in India during the COVID-19 pandemic

被引:11
作者
Vijayaraghavan, Bharath Kumar Tirupakuzhi [1 ,2 ,3 ]
Myatra, Sheila Nainan [4 ]
Mathew, Meghena [1 ]
Lodh, Nirmalyo [4 ]
Divatia, Jigeeshu Vasishtha [4 ]
Hammond, Naomi [5 ,6 ]
Jha, Vivekanand [3 ,7 ,8 ]
Venkatesh, Balasubramanian [5 ,9 ,10 ]
机构
[1] Apollo Hosp, Dept Crit Care, Greams Rd, Chennai, Tamil Nadu, India
[2] Asia Pacific Sepsis Alliance, Newton, NSW, Australia
[3] George Inst Global Hlth, New Delhi, India
[4] Tata Mem Hosp, Homi Bhabha Natl Inst, Dept Anaesthesiol Crit Care & Pain, Mumbai, Maharashtra, India
[5] Univ New South Wales, George Inst Global Hlth, Div Crit Care, Sydney, NSW, Australia
[6] Royal North Shore Hosp, Malcom Fisher Dept Intens Care Med, St Leonards, NSW, Australia
[7] Imperial Coll, Sch Publ Hlth, London, England
[8] Manipal Acad Higher Educ, Manipal, India
[9] Univ Queensland, Dept Crit Care Med, St Lucia, Qld, Australia
[10] Wesley Hosp, Brisbane, Qld, Australia
关键词
COVID-19; critical care; India;
D O I
10.1177/1751143720952590
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Coronavirus disease 2019 cases in India continue to increase and are expected to peak over the next few weeks. Based on some projection models, India is expected to have more than 10 million cases by September 2020. The spectrum of disease can vary from mild upper respiratory tract symptoms to life-threatening acute respiratory distress syndrome and multi-organ failure requiring intensive care. Even if less than 5% of patients require critical care services, this will still rapidly overwhelm the healthcare system in a country, where intensive care services and resources are scarce and unevenly distributed. In this perspective article, we highlight the critical care preparedness of India for the pandemic and the associated challenges.
引用
收藏
页码:342 / 348
页数:7
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