Clinical Management of Critical COVID-19 Patients: Insights from the Literature and "On the Field" Experience

被引：2

作者：

Alessandri, Francesco ^{[1
]}

Bilotta, Federico ^{[1
]}

Ceccarelli, Giancarlo ^{[2
]}

Ruberto, Franco ^{[1
]}

Araimo, Fabio ^{[1
]}

Imperiale, Carmela ^{[1
]}

Pugliese, Francesco ^{[1
]}

机构：

[1] Sapienza Univ Rome, Dept Anesthesia & Intens Care Med, Policlin Umberto 1, Rome, Italy

[2] Univ Rome Sapienza, Dept Publ Hlth & Infect Dis, Policlin Umberto Rome 1, Rome, Italy

来源：

JOURNAL OF NEUROANAESTHESIOLOGY AND CRITICAL CARE | 2020年 / 7卷 / 02期

关键词：

clinical management; COVID-19; patients; on the field" experience; RESPIRATORY-DISTRESS-SYNDROME; FLOW NASAL CANNULA; NONINVASIVE VENTILATION; HOSPITALIZED-PATIENTS; FLUID-MANAGEMENT; OXYGEN-THERAPY; ILL PATIENTS; DISEASE; MORTALITY; STRATEGIES;

D O I：

10.1055/s-0040-1713016

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The recent outbreak of the coronavirus disease (COVID-19) is a health emergency all over the world. Several health care professionals are currently putting their best efforts to deal with this situation. The aim of this review is to report insights from the literature and "on the field" experience in clinical management of critical COVID-19 patients. Respiratory support varies from high flow nasal cannula (HFNC) to noninvasive and invasive mechanical ventilation, often associated with nitric oxide, prone position, and extracorporeal membrane oxygenation (ECMO). Experienced specialists have to manage the airways minimizing any contamination and virus spread. The hemodynamic management of critical COVID-19 patients requires not only an accurate fluid strategy, but also an appropriate use of vasopressors and inotropes. Various adjuvant treatments have been proposed: antiviral drugs, immunomodulators, anticoagulants, antibiotics, and nutrition.

引用

页码：54 / 61

页数：8

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