Management of Critically Ill Patients with COVID-19: What We Learned and What We Do.
Identifieur interne : 000B99 ( Main/Corpus ); précédent : 000B98; suivant : 000C00Management of Critically Ill Patients with COVID-19: What We Learned and What We Do.
Auteurs : Ata Mahmoodpoor ; Kamran Shadvar ; Ali Akbar Ghamari ; Mojtaba Mohammadzadeh Lameh ; Roghayeh Asghari Ardebili ; Masood Hamidi ; Hassan SoleimanpourSource :
- Anesthesiology and pain medicine [ 2228-7523 ] ; 2020.
Abstract
There are many unknown questions and puzzle pieces that should describe the clinical course of COVID-19 and its complications, especially ARDS. We provide the initial immediate surge response to allow every patient in need of an ICU bed to receive one. Till our knowledge is improved, the most important intervention in the treatment of critically ill patients with COVID-19 seems to be the level of standard care and appropriate and early diagnosis and treatment. It seems that each center should have its protocol on the management of critically ill COVID-19 patients regarding prevention, diagnosis, and treatment. This treatment should now be performed regardless of the reason which lies behind the pathophysiology of this disease, which is yet unknown. In this report, we share our experience in the management of critically ill COVID-19 patients during the 2 months in our intensive care unit.
DOI: 10.5812/aapm.104900
PubMed: 32944565
PubMed Central: PMC7472789
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Ghamari</name><affiliation><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Mohammadzadeh Lameh, Mojtaba" sort="Mohammadzadeh Lameh, Mojtaba" uniqKey="Mohammadzadeh Lameh M" first="Mojtaba" last="Mohammadzadeh Lameh">Mojtaba Mohammadzadeh Lameh</name><affiliation><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Asghari Ardebili, Roghayeh" sort="Asghari Ardebili, Roghayeh" uniqKey="Asghari Ardebili R" first="Roghayeh" last="Asghari Ardebili">Roghayeh Asghari Ardebili</name><affiliation><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Hamidi, Masood" sort="Hamidi, Masood" uniqKey="Hamidi M" first="Masood" last="Hamidi">Masood Hamidi</name><affiliation><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Soleimanpour, Hassan" sort="Soleimanpour, Hassan" uniqKey="Soleimanpour H" first="Hassan" last="Soleimanpour">Hassan Soleimanpour</name><affiliation><nlm:affiliation>Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32944565</idno><idno type="pmid">32944565</idno><idno type="doi">10.5812/aapm.104900</idno><idno type="pmc">PMC7472789</idno><idno type="wicri:Area/Main/Corpus">000B99</idno><idno 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Ali Akbar" uniqKey="Ghamari A" first="Ali Akbar" last="Ghamari">Ali Akbar Ghamari</name><affiliation><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Mohammadzadeh Lameh, Mojtaba" sort="Mohammadzadeh Lameh, Mojtaba" uniqKey="Mohammadzadeh Lameh M" first="Mojtaba" last="Mohammadzadeh Lameh">Mojtaba Mohammadzadeh Lameh</name><affiliation><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Asghari Ardebili, Roghayeh" sort="Asghari Ardebili, Roghayeh" uniqKey="Asghari Ardebili R" first="Roghayeh" last="Asghari Ardebili">Roghayeh Asghari Ardebili</name><affiliation><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Hamidi, Masood" sort="Hamidi, Masood" uniqKey="Hamidi M" first="Masood" last="Hamidi">Masood Hamidi</name><affiliation><nlm:affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author><author><name sortKey="Soleimanpour, Hassan" sort="Soleimanpour, Hassan" uniqKey="Soleimanpour H" first="Hassan" last="Soleimanpour">Hassan Soleimanpour</name><affiliation><nlm:affiliation>Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Anesthesiology and pain medicine</title><idno type="ISSN">2228-7523</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">There are many unknown questions and puzzle pieces that should describe the clinical course of COVID-19 and its complications, especially ARDS. We provide the initial immediate surge response to allow every patient in need of an ICU bed to receive one. Till our knowledge is improved, the most important intervention in the treatment of critically ill patients with COVID-19 seems to be the level of standard care and appropriate and early diagnosis and treatment. It seems that each center should have its protocol on the management of critically ill COVID-19 patients regarding prevention, diagnosis, and treatment. This treatment should now be performed regardless of the reason which lies behind the pathophysiology of this disease, which is yet unknown. In this report, we share our experience in the management of critically ill COVID-19 patients during the 2 months in our intensive care unit.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32944565</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2228-7523</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Anesthesiology and pain medicine</Title><ISOAbbreviation>Anesth Pain Med</ISOAbbreviation></Journal><ArticleTitle>Management of Critically Ill Patients with COVID-19: What We Learned and What We Do.</ArticleTitle><Pagination><MedlinePgn>e104900</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5812/aapm.104900</ELocationID><Abstract><AbstractText>There are many unknown questions and puzzle pieces that should describe the clinical course of COVID-19 and its complications, especially ARDS. We provide the initial immediate surge response to allow every patient in need of an ICU bed to receive one. Till our knowledge is improved, the most important intervention in the treatment of critically ill patients with COVID-19 seems to be the level of standard care and appropriate and early diagnosis and treatment. It seems that each center should have its protocol on the management of critically ill COVID-19 patients regarding prevention, diagnosis, and treatment. This treatment should now be performed regardless of the reason which lies behind the pathophysiology of this disease, which is yet unknown. In this report, we share our experience in the management of critically ill COVID-19 patients during the 2 months in our intensive care unit.</AbstractText><CopyrightInformation>Copyright © 2020, Author(s).</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mahmoodpoor</LastName><ForeName>Ata</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shadvar</LastName><ForeName>Kamran</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghamari</LastName><ForeName>Ali Akbar</ForeName><Initials>AA</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mohammadzadeh Lameh</LastName><ForeName>Mojtaba</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Asghari Ardebili</LastName><ForeName>Roghayeh</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hamidi</LastName><ForeName>Masood</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soleimanpour</LastName><ForeName>Hassan</ForeName><Initials>H</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-1311-4096</Identifier><AffiliationInfo><Affiliation>Emergency Medicine Research Team, Tabriz University of Medical Sciences, Tabriz, Iran.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Anesth Pain Med</MedlineTA><NlmUniqueID>101585412</NlmUniqueID><ISSNLinking>2228-7523</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Acute Respiratory Distress Syndrome</Keyword><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Corticosteroid</Keyword><Keyword MajorTopicYN="N">Critically Ill Patients</Keyword><Keyword MajorTopicYN="N">Hemoperfusion</Keyword><Keyword MajorTopicYN="N">Hydroxychloroquine</Keyword></KeywordList><CoiStatement>Conflict of Interests: Authors declare no conflict of interest.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>18</Day><Hour>5</Hour><Minute>51</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32944565</ArticleId><ArticleId IdType="doi">10.5812/aapm.104900</ArticleId><ArticleId IdType="pmc">PMC7472789</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>JAMA. 2020 Apr 7;323(13):1239-1242</Citation><ArticleIdList><ArticleId IdType="pubmed">32091533</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2020 Apr 21;323(15):1499-1500</Citation><ArticleIdList><ArticleId IdType="pubmed">32159735</ArticleId></ArticleIdList></Reference><Reference><Citation>J Clin Anesth. 2020 May 26;66:109917</Citation><ArticleIdList><ArticleId IdType="pubmed">32473503</ArticleId></ArticleIdList></Reference><Reference><Citation>JAMA. 2020 Apr 28;323(16):1582-1589</Citation><ArticleIdList><ArticleId 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