Intubation and mechanical ventilation of patients with COVID-19: what should we tell them?
Identifieur interne : 000164 ( Main/Exploration ); précédent : 000163; suivant : 000165Intubation and mechanical ventilation of patients with COVID-19: what should we tell them?
Auteurs : Nicholas Zareifopoulos [Oman] ; Maria Lagadinou [Grèce] ; Anastasia Karela [Grèce] ; Gerasimos Karantzogiannis [Oman] ; Dimitrios Velissaris [Oman]Source :
- Monaldi archives for chest disease = Archivio Monaldi per le malattie del torace [ 1122-0643 ] ; 2020.
Descripteurs français
- KwdFr :
- Consentement libre et éclairé (éthique), Humains, Infections à coronavirus (), Infections à coronavirus (mortalité), Infections à coronavirus (épidémiologie), Intubation trachéale, Pandémies (éthique), Pneumopathie virale (), Pneumopathie virale (mortalité), Pneumopathie virale (épidémiologie), Prise de décision clinique (éthique), Pronostic, Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (mortalité), Syndrome respiratoire aigu sévère (étiologie), Ventilation artificielle (mortalité), Ventilation artificielle (éthique).
- MESH :
- mortalité : Infections à coronavirus, Pneumopathie virale, Syndrome respiratoire aigu sévère, Ventilation artificielle.
- épidémiologie : Infections à coronavirus, Pneumopathie virale.
- éthique : Consentement libre et éclairé, Pandémies, Prise de décision clinique, Ventilation artificielle.
- étiologie : Syndrome respiratoire aigu sévère.
- Humains, Infections à coronavirus, Intubation trachéale, Pneumopathie virale, Pronostic, Syndrome respiratoire aigu sévère.
English descriptors
- KwdEn :
- Clinical Decision-Making (ethics), Coronavirus Infections (epidemiology), Coronavirus Infections (mortality), Coronavirus Infections (therapy), Humans, Informed Consent (ethics), Intubation, Intratracheal, Pandemics (ethics), Pneumonia, Viral (epidemiology), Pneumonia, Viral (mortality), Pneumonia, Viral (therapy), Prognosis, Respiration, Artificial (ethics), Respiration, Artificial (mortality), Severe Acute Respiratory Syndrome (etiology), Severe Acute Respiratory Syndrome (mortality), Severe Acute Respiratory Syndrome (therapy).
- MESH :
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- ethics : Clinical Decision-Making, Informed Consent, Pandemics, Respiration, Artificial.
- etiology : Severe Acute Respiratory Syndrome.
- mortality : Coronavirus Infections, Pneumonia, Viral, Respiration, Artificial, Severe Acute Respiratory Syndrome.
- therapy : Coronavirus Infections, Pneumonia, Viral, Severe Acute Respiratory Syndrome.
- Humans, Intubation, Intratracheal, Prognosis.
Abstract
Severe COVID-19 illness is characterised by the development of Acute Respiratory Distress Syndrome (ARDS), for which the mainstay of treatment is represented by mechanical ventilation. Mortality associated with ARDS due to other causes is in the range of 40-60%, but currently available data are not yet sufficient to draw safe conclusions on the prognosis of COVID-19 patients who require mechanical ventilation. Based on data from cohorts of the related coronavirus-associated illnesses, that is to say Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS), prognosis would seem to be worse than ARDS due to other causes such as trauma and other infections. Discussion of prognosis is central to obtaining informed consent for intubation, but in the absence of definitive data it is not clear exactly what this discussion should entail.
DOI: 10.4081/monaldi.2020.1296
PubMed: 32268719
Affiliations:
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Le document en format XML
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Mortality associated with ARDS due to other causes is in the range of 40-60%, but currently available data are not yet sufficient to draw safe conclusions on the prognosis of COVID-19 patients who require mechanical ventilation. Based on data from cohorts of the related coronavirus-associated illnesses, that is to say Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS), prognosis would seem to be worse than ARDS due to other causes such as trauma and other infections. Discussion of prognosis is central to obtaining informed consent for intubation, but in the absence of definitive data it is not clear exactly what this discussion should entail.</div></front></TEI><affiliations><list><country><li>Grèce</li><li>Oman</li></country></list><tree><country name="Oman"><noRegion><name sortKey="Zareifopoulos, Nicholas" sort="Zareifopoulos, Nicholas" uniqKey="Zareifopoulos N" first="Nicholas" last="Zareifopoulos">Nicholas Zareifopoulos</name></noRegion><name sortKey="Karantzogiannis, Gerasimos" sort="Karantzogiannis, Gerasimos" uniqKey="Karantzogiannis G" first="Gerasimos" last="Karantzogiannis">Gerasimos Karantzogiannis</name><name sortKey="Velissaris, Dimitrios" sort="Velissaris, Dimitrios" uniqKey="Velissaris D" first="Dimitrios" last="Velissaris">Dimitrios Velissaris</name></country><country name="Grèce"><noRegion><name sortKey="Lagadinou, Maria" sort="Lagadinou, Maria" uniqKey="Lagadinou M" first="Maria" last="Lagadinou">Maria Lagadinou</name></noRegion><name sortKey="Karela, Anastasia" sort="Karela, Anastasia" uniqKey="Karela A" first="Anastasia" last="Karela">Anastasia Karela</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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