Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19)
Identifieur interne : 000191 ( 2020/Analysis ); précédent : 000190; suivant : 000192Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19)
Auteurs : Waleed Alhazzani [Canada] ; Morten Hylander M Ller [Danemark] ; Yaseen M. Arabi ; Mark Loeb [Canada] ; Michelle Ng Gong [États-Unis] ; Eddy Fan [Canada] ; Simon Oczkowski [Canada] ; Mitchell M. Levy [États-Unis] ; Lennie Derde [Pays-Bas] ; Amy Dzierba [États-Unis] ; Bin Du [République populaire de Chine] ; Michael Aboodi [États-Unis] ; Hannah Wunsch ; Maurizio Cecconi [Italie] ; Younsuck Koh [Corée du Sud] ; Daniel S. Chertow [États-Unis] ; Kathryn Maitland [Royaume-Uni] ; Fayez Alshamsi [Émirats arabes unis] ; Emilie Belley-Cote [Canada] ; Massimiliano Greco [Italie] ; Matthew Laundy [Royaume-Uni] ; Jill S. Morgan [États-Unis] ; Jozef Kesecioglu [Pays-Bas] ; Allison Mcgeer [Canada] ; Leonard Mermel [États-Unis] ; Manoj J. Mammen [États-Unis] ; Paul E. Alexander [Canada] ; Amy Arrington [États-Unis] ; John E. Centofanti [Canada] ; Giuseppe Citerio [Italie] ; Bandar Baw [Canada, Arabie saoudite] ; Ziad A. Memish ; Naomi Hammond [Australie] ; Frederick G. Hayden [États-Unis] ; Laura Evans [États-Unis] ; Andrew Rhodes [Royaume-Uni]Source :
- Intensive Care Medicine [ 0342-4642 ] ; 2020.
Abstract
The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a rapidly spreading illness, Coronavirus Disease 2019 (COVID-19), affecting thousands of people around the world. Urgent guidance for clinicians caring for the sickest of these patients is needed.
We formed a panel of 36 experts from 12 countries. All panel members completed the World Health Organization conflict of interest disclosure form. The panel proposed 53 questions that are relevant to the management of COVID-19 in the ICU. We searched the literature for direct and indirect evidence on the management of COVID-19 in critically ill patients in the ICU. We identified relevant and recent systematic reviews on most questions relating to supportive care. We assessed the certainty in the evidence using the
The Surviving Sepsis Campaign COVID-19 panel issued 54 statements, of which 4 are best practice statements, 9 are strong recommendations, and 35 are weak recommendations. No recommendation was provided for 6 questions. The topics were: (1) infection control, (2) laboratory diagnosis and specimens, (3) hemodynamic support, (4) ventilatory support, and (5) COVID-19 therapy.
The Surviving Sepsis Campaign COVID-19 panel issued several recommendations to help support healthcare workers caring for critically ill ICU patients with COVID-19. When available, we will provide new recommendations in further releases of these guidelines.
The online version of this article (10.1007/s00134-020-06022-5) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1007/s00134-020-06022-5
PubMed: 32222812
PubMed Central: 7101866
Affiliations:
- Arabie saoudite, Australie, Canada, Corée du Sud, Danemark, Italie, Pays-Bas, Royaume-Uni, République populaire de Chine, Émirats arabes unis, États-Unis
- Hovedstaden, Lombardie, Rhode Island, Virginie, État de New York
- Copenhague, Milan, Pékin
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PMC:7101866Le document en format XML
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type="wicri:Area/2020/Extraction">000191</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Surviving Sepsis Campaign: guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19)</title><author><name sortKey="Alhazzani, Waleed" sort="Alhazzani, Waleed" uniqKey="Alhazzani W" first="Waleed" last="Alhazzani">Waleed Alhazzani</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.25073.33</institution-id><institution-id institution-id-type="ISNI">0000 0004 1936 8227</institution-id><institution>Department of Medicine,</institution><institution>McMaster University,</institution></institution-wrap>Hamilton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Hamilton</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id 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institution-id-type="GRID">grid.17063.33</institution-id><institution-id institution-id-type="ISNI">0000 0001 2157 2938</institution-id><institution>Department of Anesthesia and Interdepartmental Division of Critical Care Medicine,</institution><institution>University of Toronto,</institution></institution-wrap>Toronto, ON Canada</nlm:aff><wicri:noCountry code="subfield">ON Canada</wicri:noCountry></affiliation></author><author><name sortKey="Cecconi, Maurizio" sort="Cecconi, Maurizio" uniqKey="Cecconi M" first="Maurizio" last="Cecconi">Maurizio Cecconi</name><affiliation wicri:level="3"><nlm:aff id="Aff16"><institution-wrap><institution-id institution-id-type="GRID">grid.417728.f</institution-id><institution-id institution-id-type="ISNI">0000 0004 1756 8807</institution-id><institution>Department of Anesthesia and Intensive Care,</institution><institution>Humanitas Clinical and Research Center,</institution></institution-wrap>Rozzano, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Rozzano, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff17"><institution-wrap><institution-id institution-id-type="GRID">grid.452490.e</institution-id><institution>Department of Biomedical Science,</institution><institution>Humanitas University,</institution></institution-wrap>Pieve Emanuele, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Pieve Emanuele, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Koh, Younsuck" sort="Koh, Younsuck" uniqKey="Koh Y" first="Younsuck" last="Koh">Younsuck Koh</name><affiliation wicri:level="1"><nlm:aff id="Aff18"><institution-wrap><institution-id institution-id-type="GRID">grid.267370.7</institution-id><institution-id institution-id-type="ISNI">0000 0004 0533 4667</institution-id><institution>Department of Pulmonary and Critical Care Medicine, Asan Medical Center,</institution><institution>University of Ulsan College of Medicine,</institution></institution-wrap>Seoul, Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Chertow, Daniel S" sort="Chertow, Daniel S" uniqKey="Chertow D" first="Daniel S." last="Chertow">Daniel S. Chertow</name><affiliation wicri:level="1"><nlm:aff id="Aff19"><institution-wrap><institution-id institution-id-type="GRID">grid.419681.3</institution-id><institution-id institution-id-type="ISNI">0000 0001 2164 9667</institution-id><institution>Critical Care Medicine Department, National Institutes of Health Clinical Center and Laboratory of Immunoregulation,</institution><institution>National Institute of Allergy and Infectious Diseases,</institution></institution-wrap>Baltimore, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Baltimore</wicri:regionArea></affiliation></author><author><name sortKey="Maitland, Kathryn" sort="Maitland, Kathryn" uniqKey="Maitland K" first="Kathryn" last="Maitland">Kathryn Maitland</name><affiliation wicri:level="1"><nlm:aff id="Aff20"><institution-wrap><institution-id institution-id-type="GRID">grid.7445.2</institution-id><institution-id institution-id-type="ISNI">0000 0001 2113 8111</institution-id><institution>Faculty of 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Cote, Emilie" sort="Belley Cote, Emilie" uniqKey="Belley Cote E" first="Emilie" last="Belley-Cote">Emilie Belley-Cote</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.25073.33</institution-id><institution-id institution-id-type="ISNI">0000 0004 1936 8227</institution-id><institution>Department of Medicine,</institution><institution>McMaster University,</institution></institution-wrap>Hamilton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Hamilton</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff22"><institution-wrap><institution-id institution-id-type="GRID">grid.415102.3</institution-id><institution-id institution-id-type="ISNI">0000 0004 0545 1978</institution-id><institution>Population Health Research Institute,</institution></institution-wrap>Hamilton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Hamilton</wicri:regionArea></affiliation></author><author><name sortKey="Greco, Massimiliano" sort="Greco, Massimiliano" uniqKey="Greco M" first="Massimiliano" last="Greco">Massimiliano Greco</name><affiliation wicri:level="3"><nlm:aff id="Aff16"><institution-wrap><institution-id institution-id-type="GRID">grid.417728.f</institution-id><institution-id institution-id-type="ISNI">0000 0004 1756 8807</institution-id><institution>Department of Anesthesia and Intensive Care,</institution><institution>Humanitas Clinical and Research Center,</institution></institution-wrap>Rozzano, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Rozzano, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff17"><institution-wrap><institution-id institution-id-type="GRID">grid.452490.e</institution-id><institution>Department of Biomedical Science,</institution><institution>Humanitas University,</institution></institution-wrap>Pieve Emanuele, Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Pieve Emanuele, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Laundy, Matthew" sort="Laundy, Matthew" uniqKey="Laundy M" first="Matthew" last="Laundy">Matthew Laundy</name><affiliation wicri:level="1"><nlm:aff id="Aff23"><institution-wrap><institution-id institution-id-type="GRID">grid.451349.e</institution-id><institution>Microbiology and Infection Control,</institution><institution>St George’s University Hospitals NHS Foundation Trust & St George’s University of London,</institution></institution-wrap>London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Morgan, Jill S" sort="Morgan, Jill S" uniqKey="Morgan J" first="Jill S." last="Morgan">Jill S. Morgan</name><affiliation wicri:level="1"><nlm:aff id="Aff24"><institution-wrap><institution-id institution-id-type="GRID">grid.412162.2</institution-id><institution-id institution-id-type="ISNI">0000 0004 0441 5844</institution-id><institution>Emory University Hospital,</institution></institution-wrap>Atlanta, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Atlanta</wicri:regionArea></affiliation></author><author><name sortKey="Kesecioglu, Jozef" sort="Kesecioglu, Jozef" uniqKey="Kesecioglu J" first="Jozef" last="Kesecioglu">Jozef Kesecioglu</name><affiliation wicri:level="1"><nlm:aff id="Aff10"><institution-wrap><institution-id institution-id-type="GRID">grid.5477.1</institution-id><institution-id institution-id-type="ISNI">0000000120346234</institution-id><institution>Department of Intensive Care Medicine, University Medical Center Utrecht,</institution><institution>Utrecht University,</institution></institution-wrap>Utrecht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Utrecht</wicri:regionArea></affiliation></author><author><name sortKey="Mcgeer, Allison" sort="Mcgeer, Allison" uniqKey="Mcgeer A" first="Allison" last="Mcgeer">Allison Mcgeer</name><affiliation wicri:level="1"><nlm:aff id="Aff25"><institution-wrap><institution-id institution-id-type="GRID">grid.17063.33</institution-id><institution-id institution-id-type="ISNI">0000 0001 2157 2938</institution-id><institution>Division of Infectious Diseases,</institution><institution>University of Toronto,</institution></institution-wrap>Toronto, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Toronto</wicri:regionArea></affiliation></author><author><name sortKey="Mermel, Leonard" sort="Mermel, Leonard" uniqKey="Mermel L" first="Leonard" last="Mermel">Leonard Mermel</name><affiliation wicri:level="2"><nlm:aff id="Aff8"><institution-wrap><institution-id institution-id-type="GRID">grid.40263.33</institution-id><institution-id institution-id-type="ISNI">0000 0004 1936 9094</institution-id><institution>Warren Alpert School of Medicine,</institution><institution>Brown University,</institution></institution-wrap>Providence, RI USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Rhode Island</region></placeName><wicri:cityArea>Providence</wicri:cityArea></affiliation></author><author><name sortKey="Mammen, Manoj J" sort="Mammen, Manoj J" uniqKey="Mammen M" first="Manoj J." last="Mammen">Manoj J. Mammen</name><affiliation wicri:level="1"><nlm:aff id="Aff26"><institution-wrap><institution-id institution-id-type="GRID">grid.273335.3</institution-id><institution-id institution-id-type="ISNI">0000 0004 1936 9887</institution-id><institution>Department of Medicine, Jacobs School of Medicine and Biomedical Sciences,</institution><institution>State University of New York at Buffalo,</institution></institution-wrap>Buffalo, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Buffalo</wicri:regionArea></affiliation></author><author><name sortKey="Alexander, Paul E" sort="Alexander, Paul E" uniqKey="Alexander P" first="Paul E." last="Alexander">Paul E. Alexander</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.25073.33</institution-id><institution-id institution-id-type="ISNI">0000 0004 1936 8227</institution-id><institution>Department of Health Research Methods, Evidence, and Impact,</institution><institution>McMaster University,</institution></institution-wrap>Hamilton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Hamilton</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff27">GUIDE Research Methods Group, Hamilton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>GUIDE Research Methods Group, Hamilton</wicri:regionArea><wicri:noRegion>Hamilton</wicri:noRegion></affiliation></author><author><name sortKey="Arrington, Amy" sort="Arrington, Amy" uniqKey="Arrington A" first="Amy" last="Arrington">Amy Arrington</name><affiliation wicri:level="1"><nlm:aff id="Aff28"><institution-wrap><institution-id institution-id-type="GRID">grid.39382.33</institution-id><institution-id institution-id-type="ISNI">0000 0001 2160 926X</institution-id><institution>Houston Children’s Hospital,</institution><institution>Baylor College of Medicine,</institution></institution-wrap>Houston, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Houston</wicri:regionArea></affiliation></author><author><name sortKey="Centofanti, John E" sort="Centofanti, John E" uniqKey="Centofanti J" first="John E." last="Centofanti">John E. Centofanti</name><affiliation wicri:level="1"><nlm:aff id="Aff29"><institution-wrap><institution-id institution-id-type="GRID">grid.25073.33</institution-id><institution-id institution-id-type="ISNI">0000 0004 1936 8227</institution-id><institution>Department of Anesthesia,</institution><institution>McMaster University,</institution></institution-wrap>Hamilton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Hamilton</wicri:regionArea></affiliation></author><author><name sortKey="Citerio, Giuseppe" sort="Citerio, Giuseppe" uniqKey="Citerio G" first="Giuseppe" last="Citerio">Giuseppe Citerio</name><affiliation wicri:level="1"><nlm:aff id="Aff30"><institution-wrap><institution-id institution-id-type="GRID">grid.7563.7</institution-id><institution-id institution-id-type="ISNI">0000 0001 2174 1754</institution-id><institution>Department of Medicine and Surgery,</institution><institution>Milano-Bicocca University,</institution></institution-wrap>Milan, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Milan</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff31"><institution-wrap><institution-id institution-id-type="GRID">grid.415025.7</institution-id><institution-id institution-id-type="ISNI">0000 0004 1756 8604</institution-id><institution>ASST-Monza, Desio and San Gerardo Hospital,</institution></institution-wrap>Monza, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Monza</wicri:regionArea></affiliation></author><author><name sortKey="Baw, Bandar" sort="Baw, Bandar" uniqKey="Baw B" first="Bandar" last="Baw">Bandar Baw</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.25073.33</institution-id><institution-id institution-id-type="ISNI">0000 0004 1936 8227</institution-id><institution>Department of Medicine,</institution><institution>McMaster University,</institution></institution-wrap>Hamilton, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Hamilton</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff32"><institution-wrap><institution-id institution-id-type="GRID">grid.415254.3</institution-id><institution-id institution-id-type="ISNI">0000 0004 1790 7311</institution-id><institution>Department of Emergency Medicine,</institution><institution>King Abdulaziz Medical City,</institution></institution-wrap>Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Riyadh</wicri:regionArea></affiliation></author><author><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name><affiliation><nlm:aff id="Aff33"><institution-wrap><institution-id institution-id-type="GRID">grid.415696.9</institution-id><institution>Director, Research and Innovation Centre, King Saud Medical City,</institution><institution>Ministry of Health,</institution></institution-wrap>Riyadh, Kingdom of Saudi Arabia</nlm:aff><wicri:noCountry code="subfield">Kingdom of Saudi Arabia</wicri:noCountry></affiliation></author><author><name sortKey="Hammond, Naomi" sort="Hammond, Naomi" uniqKey="Hammond N" first="Naomi" last="Hammond">Naomi Hammond</name><affiliation wicri:level="1"><nlm:aff id="Aff34"><institution-wrap><institution-id institution-id-type="GRID">grid.415508.d</institution-id><institution-id institution-id-type="ISNI">0000 0001 1964 6010</institution-id><institution>Critical Care Division,</institution><institution>The George Institute for Global Health and UNSW,</institution></institution-wrap>Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff35"><institution-wrap><institution-id institution-id-type="GRID">grid.412703.3</institution-id><institution-id institution-id-type="ISNI">0000 0004 0587 9093</institution-id><institution>Malcolm Fisher Department of Intensive Care,</institution><institution>Royal North Shore Hospital,</institution></institution-wrap>Sydney, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Sydney</wicri:regionArea></affiliation></author><author><name sortKey="Hayden, Frederick G" sort="Hayden, Frederick G" uniqKey="Hayden F" first="Frederick G." last="Hayden">Frederick G. Hayden</name><affiliation wicri:level="2"><nlm:aff id="Aff36"><institution-wrap><institution-id institution-id-type="GRID">grid.27755.32</institution-id><institution-id institution-id-type="ISNI">0000 0000 9136 933X</institution-id><institution>Division of Infectious Diseases and International Health, Department of Medicine,</institution><institution>University, of Virginia, School of Medicine,</institution></institution-wrap>Charlottesville, VA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Charlottesville</wicri:cityArea></affiliation></author><author><name sortKey="Evans, Laura" sort="Evans, Laura" uniqKey="Evans L" first="Laura" last="Evans">Laura Evans</name><affiliation wicri:level="1"><nlm:aff id="Aff37"><institution-wrap><institution-id institution-id-type="GRID">grid.34477.33</institution-id><institution-id institution-id-type="ISNI">0000000122986657</institution-id><institution>Division of Pulmonary, Critical Care, and Sleep Medicine,</institution><institution>University of Washington,</institution></institution-wrap>Seattle, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Seattle</wicri:regionArea></affiliation></author><author><name sortKey="Rhodes, Andrew" sort="Rhodes, Andrew" uniqKey="Rhodes A" first="Andrew" last="Rhodes">Andrew Rhodes</name><affiliation wicri:level="1"><nlm:aff id="Aff38"><institution-wrap><institution-id institution-id-type="GRID">grid.451349.e</institution-id><institution>Adult Critical Care,</institution><institution>St George’s University Hospitals NHS Foundation Trust & St George’s University of London,</institution></institution-wrap>London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author></analytic><series><title level="j">Intensive Care Medicine</title><idno type="ISSN">0342-4642</idno><idno type="eISSN">1432-1238</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of a rapidly spreading illness, Coronavirus Disease 2019 (COVID-19), affecting thousands of people around the world. Urgent guidance for clinicians caring for the sickest of these patients is needed.
</p></sec><sec><title>Methods</title><p id="Par2">We formed a panel of 36 experts from 12 countries. All panel members completed the World Health Organization conflict of interest disclosure form. The panel proposed 53 questions that are relevant to the management of COVID-19 in the ICU. We searched the literature for direct and indirect evidence on the management of COVID-19 in critically ill patients in the ICU. We identified relevant and recent systematic reviews on most questions relating to supportive care. We assessed the certainty in the evidence using the <italic>Grading of Recommendations, Assessment, Development and Evaluation</italic> (GRADE) approach, then generated recommendations based on the balance between benefit and harm, resource and cost implications, equity, and feasibility. Recommendations were either strong or weak, or in the form of best practice recommendations.
</p></sec><sec><title>Results</title><p id="Par3">The Surviving Sepsis Campaign COVID-19 panel issued 54 statements, of which 4 are best practice statements, 9 are strong recommendations, and 35 are weak recommendations. No recommendation was provided for 6 questions. The topics were: (1) infection control, (2) laboratory diagnosis and specimens, (3) hemodynamic support, (4) ventilatory support, and (5) COVID-19 therapy.
</p></sec><sec><title>Conclusion</title><p id="Par4">The Surviving Sepsis Campaign COVID-19 panel issued several recommendations to help support healthcare workers caring for critically ill ICU patients with COVID-19. When available, we will provide new recommendations in further releases of these guidelines.
</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (10.1007/s00134-020-06022-5) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Guan, Wj" uniqKey="Guan W">WJ Guan</name></author><author><name sortKey="Ni, Zy" uniqKey="Ni Z">ZY Ni</name></author><author><name sortKey="Hu, Y" uniqKey="Hu Y">Y Hu</name></author><author><name sortKey="Liang, Wh" uniqKey="Liang W">WH Liang</name></author><author><name sortKey="Ou, Cq" uniqKey="Ou C">CQ Ou</name></author><author><name sortKey="He, Jx" uniqKey="He J">JX He</name></author><author><name sortKey="Liu, L" uniqKey="Liu L">L Liu</name></author><author><name sortKey="Shan, H" uniqKey="Shan H">H Shan</name></author><author><name sortKey="Lei, Cl" uniqKey="Lei C">CL Lei</name></author><author><name sortKey="Hui, Dsc" uniqKey="Hui D">DSC Hui</name></author><author><name sortKey="Du, B" uniqKey="Du B">B Du</name></author><author><name sortKey="Li, Lj" uniqKey="Li L">LJ Li</name></author><author><name sortKey="Zeng, G" uniqKey="Zeng G">G Zeng</name></author><author><name sortKey="Yuen, Ky" uniqKey="Yuen K">KY Yuen</name></author><author><name sortKey="Chen, Rc" uniqKey="Chen R">RC Chen</name></author><author><name sortKey="Tang, Cl" uniqKey="Tang C">CL Tang</name></author><author><name sortKey="Wang, T" uniqKey="Wang T">T Wang</name></author><author><name sortKey="Chen, Py" uniqKey="Chen P">PY Chen</name></author><author><name sortKey="Xiang, J" uniqKey="Xiang J">J Xiang</name></author><author><name sortKey="Li, Sy" uniqKey="Li S">SY Li</name></author><author><name sortKey="Wang, Jl" uniqKey="Wang J">JL Wang</name></author><author><name sortKey="Liang, Zj" uniqKey="Liang Z">ZJ Liang</name></author><author><name sortKey="Peng, Yx" uniqKey="Peng Y">YX Peng</name></author><author><name sortKey="Wei, L" uniqKey="Wei L">L Wei</name></author><author><name sortKey="Liu, Y" uniqKey="Liu Y">Y Liu</name></author><author><name sortKey="Hu, Yh" uniqKey="Hu Y">YH Hu</name></author><author><name sortKey="Peng, P" uniqKey="Peng P">P Peng</name></author><author><name sortKey="Wang, Jm" uniqKey="Wang J">JM Wang</name></author><author><name sortKey="Liu, Jy" uniqKey="Liu J">JY Liu</name></author><author><name sortKey="Chen, Z" uniqKey="Chen Z">Z Chen</name></author><author><name sortKey="Li, G" uniqKey="Li G">G Li</name></author><author><name sortKey="Zheng, Zj" uniqKey="Zheng Z">ZJ Zheng</name></author><author><name sortKey="Qiu, Sq" uniqKey="Qiu S">SQ Qiu</name></author><author><name sortKey="Luo, J" uniqKey="Luo J">J Luo</name></author><author><name sortKey="Ye, Cj" uniqKey="Ye C">CJ Ye</name></author><author><name sortKey="Zhu, Sy" uniqKey="Zhu S">SY Zhu</name></author><author><name sortKey="Zhong, Ns" uniqKey="Zhong N">NS Zhong</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name 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saoudite</li><li>Australie</li><li>Canada</li><li>Corée du Sud</li><li>Danemark</li><li>Italie</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>République populaire de Chine</li><li>Émirats arabes unis</li><li>États-Unis</li></country><region><li>Hovedstaden</li><li>Lombardie</li><li>Rhode Island</li><li>Virginie</li><li>État de New York</li></region><settlement><li>Copenhague</li><li>Milan</li><li>Pékin</li></settlement></list><tree><noCountry><name sortKey="Arabi, Yaseen M" sort="Arabi, Yaseen M" uniqKey="Arabi Y" first="Yaseen M." last="Arabi">Yaseen M. Arabi</name><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name><name sortKey="Wunsch, Hannah" sort="Wunsch, Hannah" uniqKey="Wunsch H" first="Hannah" last="Wunsch">Hannah Wunsch</name></noCountry><country name="Canada"><noRegion><name sortKey="Alhazzani, Waleed" sort="Alhazzani, Waleed" uniqKey="Alhazzani W" first="Waleed" last="Alhazzani">Waleed Alhazzani</name></noRegion><name sortKey="Alexander, Paul E" sort="Alexander, Paul E" uniqKey="Alexander P" first="Paul E." last="Alexander">Paul E. Alexander</name><name sortKey="Alexander, Paul E" sort="Alexander, Paul E" uniqKey="Alexander P" first="Paul E." last="Alexander">Paul E. Alexander</name><name sortKey="Alhazzani, Waleed" sort="Alhazzani, Waleed" uniqKey="Alhazzani W" first="Waleed" last="Alhazzani">Waleed Alhazzani</name><name sortKey="Baw, Bandar" sort="Baw, Bandar" uniqKey="Baw B" first="Bandar" last="Baw">Bandar Baw</name><name sortKey="Belley Cote, Emilie" sort="Belley Cote, Emilie" uniqKey="Belley Cote E" first="Emilie" last="Belley-Cote">Emilie Belley-Cote</name><name sortKey="Belley Cote, Emilie" sort="Belley Cote, Emilie" uniqKey="Belley Cote E" first="Emilie" last="Belley-Cote">Emilie Belley-Cote</name><name sortKey="Centofanti, John E" sort="Centofanti, John E" uniqKey="Centofanti J" first="John E." last="Centofanti">John E. Centofanti</name><name sortKey="Fan, Eddy" sort="Fan, Eddy" uniqKey="Fan E" first="Eddy" last="Fan">Eddy Fan</name><name sortKey="Loeb, Mark" sort="Loeb, Mark" uniqKey="Loeb M" first="Mark" last="Loeb">Mark Loeb</name><name sortKey="Loeb, Mark" sort="Loeb, Mark" uniqKey="Loeb M" first="Mark" last="Loeb">Mark Loeb</name><name sortKey="Mcgeer, Allison" sort="Mcgeer, Allison" uniqKey="Mcgeer A" first="Allison" last="Mcgeer">Allison Mcgeer</name><name sortKey="Oczkowski, Simon" sort="Oczkowski, Simon" uniqKey="Oczkowski S" first="Simon" last="Oczkowski">Simon Oczkowski</name><name sortKey="Oczkowski, Simon" sort="Oczkowski, Simon" uniqKey="Oczkowski S" first="Simon" last="Oczkowski">Simon Oczkowski</name></country><country name="Danemark"><noRegion><name sortKey="M Ller, Morten Hylander" sort="M Ller, Morten Hylander" uniqKey="M Ller M" first="Morten Hylander" last="M Ller">Morten Hylander M Ller</name></noRegion><name sortKey="M Ller, Morten Hylander" sort="M Ller, Morten Hylander" uniqKey="M Ller M" first="Morten Hylander" last="M Ller">Morten Hylander M Ller</name></country><country name="États-Unis"><region name="État de New York"><name sortKey="Gong, Michelle Ng" sort="Gong, Michelle Ng" uniqKey="Gong M" first="Michelle Ng" last="Gong">Michelle Ng Gong</name></region><name sortKey="Aboodi, Michael" sort="Aboodi, Michael" uniqKey="Aboodi M" first="Michael" last="Aboodi">Michael Aboodi</name><name sortKey="Arrington, Amy" sort="Arrington, Amy" uniqKey="Arrington A" first="Amy" last="Arrington">Amy Arrington</name><name sortKey="Chertow, Daniel S" sort="Chertow, Daniel S" uniqKey="Chertow D" first="Daniel S." last="Chertow">Daniel S. Chertow</name><name sortKey="Dzierba, Amy" sort="Dzierba, Amy" uniqKey="Dzierba A" first="Amy" last="Dzierba">Amy Dzierba</name><name sortKey="Evans, Laura" sort="Evans, Laura" uniqKey="Evans L" first="Laura" last="Evans">Laura Evans</name><name sortKey="Hayden, Frederick G" sort="Hayden, Frederick G" uniqKey="Hayden F" first="Frederick G." last="Hayden">Frederick G. Hayden</name><name sortKey="Levy, Mitchell M" sort="Levy, Mitchell M" uniqKey="Levy M" first="Mitchell M." last="Levy">Mitchell M. Levy</name><name sortKey="Levy, Mitchell M" sort="Levy, Mitchell M" uniqKey="Levy M" first="Mitchell M." last="Levy">Mitchell M. Levy</name><name sortKey="Mammen, Manoj J" sort="Mammen, Manoj J" uniqKey="Mammen M" first="Manoj J." last="Mammen">Manoj J. Mammen</name><name sortKey="Mermel, Leonard" sort="Mermel, Leonard" uniqKey="Mermel L" first="Leonard" last="Mermel">Leonard Mermel</name><name sortKey="Morgan, Jill S" sort="Morgan, Jill S" uniqKey="Morgan J" first="Jill S." last="Morgan">Jill S. Morgan</name></country><country name="Pays-Bas"><noRegion><name sortKey="Derde, Lennie" sort="Derde, Lennie" uniqKey="Derde L" first="Lennie" last="Derde">Lennie Derde</name></noRegion><name sortKey="Derde, Lennie" sort="Derde, Lennie" uniqKey="Derde L" first="Lennie" last="Derde">Lennie Derde</name><name sortKey="Kesecioglu, Jozef" sort="Kesecioglu, Jozef" uniqKey="Kesecioglu J" first="Jozef" last="Kesecioglu">Jozef Kesecioglu</name></country><country name="République populaire de Chine"><noRegion><name sortKey="Du, Bin" sort="Du, Bin" uniqKey="Du B" first="Bin" last="Du">Bin Du</name></noRegion></country><country name="Italie"><region name="Lombardie"><name sortKey="Cecconi, Maurizio" sort="Cecconi, Maurizio" uniqKey="Cecconi M" first="Maurizio" last="Cecconi">Maurizio Cecconi</name></region><name sortKey="Cecconi, Maurizio" sort="Cecconi, Maurizio" uniqKey="Cecconi M" first="Maurizio" last="Cecconi">Maurizio Cecconi</name><name sortKey="Citerio, Giuseppe" sort="Citerio, Giuseppe" uniqKey="Citerio G" first="Giuseppe" last="Citerio">Giuseppe Citerio</name><name sortKey="Citerio, Giuseppe" sort="Citerio, Giuseppe" uniqKey="Citerio G" first="Giuseppe" last="Citerio">Giuseppe Citerio</name><name sortKey="Greco, Massimiliano" sort="Greco, Massimiliano" uniqKey="Greco M" first="Massimiliano" last="Greco">Massimiliano Greco</name><name sortKey="Greco, Massimiliano" sort="Greco, Massimiliano" uniqKey="Greco M" first="Massimiliano" last="Greco">Massimiliano Greco</name></country><country name="Corée du Sud"><noRegion><name sortKey="Koh, Younsuck" sort="Koh, Younsuck" uniqKey="Koh Y" first="Younsuck" last="Koh">Younsuck Koh</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Maitland, Kathryn" sort="Maitland, Kathryn" uniqKey="Maitland K" first="Kathryn" last="Maitland">Kathryn Maitland</name></noRegion><name sortKey="Laundy, Matthew" sort="Laundy, Matthew" uniqKey="Laundy M" first="Matthew" last="Laundy">Matthew Laundy</name><name sortKey="Rhodes, Andrew" sort="Rhodes, Andrew" uniqKey="Rhodes A" first="Andrew" last="Rhodes">Andrew Rhodes</name></country><country name="Émirats arabes unis"><noRegion><name sortKey="Alshamsi, Fayez" sort="Alshamsi, Fayez" uniqKey="Alshamsi F" first="Fayez" last="Alshamsi">Fayez Alshamsi</name></noRegion></country><country name="Arabie saoudite"><noRegion><name sortKey="Baw, Bandar" sort="Baw, Bandar" uniqKey="Baw B" first="Bandar" last="Baw">Bandar Baw</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Hammond, Naomi" sort="Hammond, Naomi" uniqKey="Hammond N" first="Naomi" last="Hammond">Naomi Hammond</name></noRegion><name sortKey="Hammond, Naomi" sort="Hammond, Naomi" uniqKey="Hammond N" first="Naomi" last="Hammond">Naomi Hammond</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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