COVID-19 in the intensive care unit. Analysis of the experience during the first month of pandemic

被引:0
作者
Carboni Bisso, Indalecio [1 ]
Huespe, Ivan [1 ]
Lockhart, Carolina [1 ]
Masso, Agustin [1 ]
Gonzalez Anaya, Julieta [1 ]
Hornos, Micaela [1 ]
San Roman, Eduardo [1 ]
Las Heras, Marcos [1 ]
机构
[1] Hosp Italiano Buenos Aires, Terapia Intens Adultos, Buenos Aires, DF, Argentina
关键词
COVID-19; critical care; Argentina; pandemic;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This is an analysis of clinical characteristics, images findings. laboratory variables and respiratory mechanics in patients with coronavirus disease 2019 (COVID-19) during the first month of the pandemic outbreak in Buenos Aires. In this descriptive case study of a single-centre, we included all confirmed cases of COVID-19 hospitalized in intensive care unit (ICU). All cases were confirmed by reverse transcription polymerase chain reaction. A total of 7 patients with confirmed COVID-19 were referred to out ICU. The median age was 71 years (interquartile range 52-75), including 4 men and 3 women. Patients most common clinical manifestations were fever (7), cough (5), asthenia (4) and shortness of breath (3). Among the radiological findings, five of them showed interstitial opacities and one patient had bilateral pulmonary consolidation. Five required invasive mechanical ventilation and multiple prone sessions. None died during hospitalization, although three still remain in the ICU. According to imaging examination, 71.4% showed interstitial opacities and one patient bilateral consolidation. Five patients required invasive mechanical ventilation and multiple prone sessions. None of them died during hospitalization, although three still remain in the ICU.
引用
收藏
页码:25 / 30
页数:6
相关论文
共 14 条
[1]   COVID-19: community CPAP and NIV should be stopped unless medically necessary to support life [J].
Barker, Joseph ;
Oyefeso, Oluwatobiloba ;
Koeckerling, David ;
Mudalige, Nadeesha Lakmal ;
Pan, Daniel .
THORAX, 2020, 75 (05) :367-367
[2]   Covid-19 in Critically Ill Patients in the Seattle Region - Case Series [J].
Bhatraju, Pavan K. ;
Ghassemieh, Bijan J. ;
Nichols, Michelle ;
Kim, Richard ;
Jerome, Keith R. ;
Nalla, Arun K. ;
Greninger, Alexander L. ;
Pipavath, Sudhakar ;
Wurfel, Mark M. ;
Evans, Laura ;
Kritek, Patricia A. ;
West, T. Eoin ;
Luks, Andrew ;
Gerbino, Anthony ;
Dale, Chris R. ;
Goldman, Jason D. ;
O'Mahony, Shane ;
Mikacenic, Carmen .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 382 (21) :2012-2022
[3]   Pathogenic human coronavirus infections: causes and consequences of cytokine storm and immunopathology [J].
Channappanavar, Rudragouda ;
Perlman, Stanley .
SEMINARS IN IMMUNOPATHOLOGY, 2017, 39 (05) :529-539
[4]  
De Vito EL, 2020, NOTICIAS FALSAS COVI
[5]   Protecting healthcare workers from SARS-CoV-2 infection: practical indications [J].
Ferioli, Martina ;
Cisternino, Cecilia ;
Leo, Valentina ;
Pisani, Lara ;
Palange, Paolo ;
Nava, Stefano .
EUROPEAN RESPIRATORY REVIEW, 2020, 29 (155) :1-10
[6]   COVID-19 pneumonia: different respiratory treatments for different phenotypes? [J].
Gattinoni, Luciano ;
Chiumello, Davide ;
Caironi, Pietro ;
Busana, Mattia ;
Romitti, Federica ;
Brazzi, Luca ;
Camporota, Luigi .
INTENSIVE CARE MEDICINE, 2020, 46 (06) :1099-1102
[7]   A distinct name is needed for the new coronavirus [J].
Jiang, Shibo ;
Shi, Zhengli ;
Shu, Yuelong ;
Song, Jingdong ;
Gao, George F. ;
Tan, Wenjie ;
Guo, Deyin .
LANCET, 2020, 395 (10228) :949-949
[8]   The SARS, MERS and novel coronavirus (COVID-19) epidemics, the newest and biggest global health threats: what lessons have we learned? [J].
Peeri, Noah C. ;
Shrestha, Nistha ;
Rahman, Md Siddikur ;
Zaki, Rafdzah ;
Tan, Zhengqi ;
Bibi, Saana ;
Baghbanzadeh, Mahdi ;
Aghamohammadi, Nasrin ;
Zhang, Wenyi ;
Haque, Ubydul .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2020, 49 (03) :717-726
[9]   Similarity in Case Fatality Rates (CFR) of COVID-19/SARS-COV-2 in Italy and China [J].
Porcheddu, Rossella ;
Serra, Caterina ;
Kelvin, David ;
Kelvin, Nikki ;
Rubino, Salvatore .
JOURNAL OF INFECTION IN DEVELOPING COUNTRIES, 2020, 14 (02) :125-128
[10]   Acute Respiratory Distress Syndrome The Berlin Definition [J].
Ranieri, V. Marco ;
Rubenfeld, Gordon D. ;
Thompson, B. Taylor ;
Ferguson, Niall D. ;
Caldwell, Ellen ;
Fan, Eddy ;
Camporota, Luigi ;
Slutsky, Arthur S. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 307 (23) :2526-2533