German recommendations for critically ill patients with COVID‑19
Identifieur interne : 000605 ( 2020/Analysis ); précédent : 000604; suivant : 000606German recommendations for critically ill patients with COVID‑19
Auteurs : Stefan Kluge [Allemagne] ; Uwe Janssens [Allemagne] ; Tobias Welte [Allemagne] ; Steffen Weber-Carstens [Allemagne] ; Gernot Marx [Allemagne] ; Christian Karagiannidis [Allemagne]Source :
- Medizinische Klinik, Intensivmedizin Und Notfallmedizin [ 2193-6218 ] ; 2020.
Abstract
Since December 2019, a novel coronavirus (severe acute respiratory syndrome—coronavirus 2, SARS-CoV-2) has rapidly spread around the world resulting in an acute respiratory illness pandemic. The majority of patients presents with mild symptoms of coronavirus disease 2019 (COVID-19). However, about 5% become critically ill and require intensive care treatment. Acute hypoxemic failure with severe dyspnea and an increased respiratory rate (>30/min) usually leads to ICU admission. At that point, bilateral pulmonary infiltrates are typically seen. Patients often develop a severe acute respiratory distress syndrome (ARDS). To date there is no specific treatment available—the main goal of supportive therapy is to ascertain adequate oxygenation. Early intubation and repeated prone positioning are key elements in treating hypoxemic COVID-19 patients. Strict adherence to basic infection control measures (including hand hygiene) and use of personal protection equipment (PPE) are essential in the care of patients. Procedures that lead to formation of aerosols should be avoided where possible and carried out with utmost precaution.
Url:
DOI: 10.1007/s00063-020-00689-w
PubMed: NONE
PubMed Central: 7155395
Affiliations:
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PMC:7155395Le document en format XML
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(Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin [DGIIN]), Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>German Society of Medical Intensive Care and Emergency Medicine (Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin [DGIIN]), Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.491773.f</institution-id><institution>German Interdisciplinary Association of Critical Care and Emergency Medicine (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin [DIVI]),</institution></institution-wrap>Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Berlin</wicri:regionArea></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff5">ARDS Network Germany, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>ARDS Network Germany, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author></analytic><series><title level="j">Medizinische Klinik, Intensivmedizin Und Notfallmedizin</title><idno type="ISSN">2193-6218</idno><idno type="eISSN">2193-6226</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Since December 2019, a novel coronavirus (severe acute respiratory syndrome—coronavirus 2, SARS-CoV-2) has rapidly spread around the world resulting in an acute respiratory illness pandemic. The majority of patients presents with mild symptoms of coronavirus disease 2019 (COVID-19). However, about 5% become critically ill and require intensive care treatment. Acute hypoxemic failure with severe dyspnea and an increased respiratory rate (>30/min) usually leads to ICU admission. At that point, bilateral pulmonary infiltrates are typically seen. Patients often develop a severe acute respiratory distress syndrome (ARDS). To date there is no specific treatment available—the main goal of supportive therapy is to ascertain adequate oxygenation. Early intubation and repeated prone positioning are key elements in treating hypoxemic COVID-19 patients. Strict adherence to basic infection control measures (including hand hygiene) and use of personal protection equipment (PPE) are essential in the care of patients. Procedures that lead to formation of aerosols should be avoided where possible and carried out with utmost precaution.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Xie, J" uniqKey="Xie J">J Xie</name></author><author><name sortKey="Tong, Z" uniqKey="Tong Z">Z Tong</name></author><author><name sortKey="Guan, X" uniqKey="Guan X">X Guan</name></author><author><name sortKey="Du, B" uniqKey="Du B">B Du</name></author><author><name sortKey="Qiu, H" uniqKey="Qiu H">H Qiu</name></author><author><name sortKey="Slutsky, As" uniqKey="Slutsky A">AS Slutsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wu, Z" uniqKey="Wu Z">Z Wu</name></author><author><name sortKey="Mcgoogan, Jm" uniqKey="Mcgoogan J">JM McGoogan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chung, M" uniqKey="Chung M">M Chung</name></author><author><name sortKey="Bernheim, A" uniqKey="Bernheim A">A 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Ren</name></author><author><name sortKey="Zhao, J" uniqKey="Zhao J">J Zhao</name></author><author><name sortKey="Hu, Y" uniqKey="Hu Y">Y Hu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liao, X" uniqKey="Liao X">X Liao</name></author><author><name sortKey="Wang, B" uniqKey="Wang B">B Wang</name></author><author><name sortKey="Kang, Y" uniqKey="Kang Y">Y Kang</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Arabi, Ym" uniqKey="Arabi Y">YM Arabi</name></author><author><name sortKey="Murthy, S" uniqKey="Murthy S">S Murthy</name></author><author><name sortKey="Webb, S" uniqKey="Webb S">S Webb</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bouadma, L" uniqKey="Bouadma L">L Bouadma</name></author><author><name sortKey="Lescure, Fx" uniqKey="Lescure F">FX Lescure</name></author><author><name sortKey="Lucet, Jc" uniqKey="Lucet J">JC Lucet</name></author><author><name sortKey="Yazdanpanah, Y" uniqKey="Yazdanpanah Y">Y Yazdanpanah</name></author><author><name sortKey="Timsit, Jf" uniqKey="Timsit J">JF Timsit</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hui, Ds" uniqKey="Hui D">DS Hui</name></author><author><name sortKey="Chow, Bk" uniqKey="Chow B">BK Chow</name></author><author><name sortKey="Lo, T" uniqKey="Lo T">T Lo</name></author><author><name sortKey="Tsang, Oty" uniqKey="Tsang O">OTY Tsang</name></author><author><name sortKey="Ko, Fw" uniqKey="Ko F">FW Ko</name></author><author><name sortKey="Ng, Ss" uniqKey="Ng S">SS Ng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cheung, Jc" uniqKey="Cheung J">JC Cheung</name></author><author><name sortKey="Ho, Lt" uniqKey="Ho L">LT Ho</name></author><author><name sortKey="Cheng, Jv" uniqKey="Cheng J">JV Cheng</name></author><author><name sortKey="Cham, Eyk" uniqKey="Cham E">EYK Cham</name></author><author><name sortKey="Lam, Kn" uniqKey="Lam K">KN Lam</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Berlin</li><li>Hambourg</li></region><settlement><li>Berlin</li><li>Hambourg</li></settlement></list><tree><country name="Allemagne"><region name="Berlin"><name sortKey="Kluge, Stefan" sort="Kluge, Stefan" uniqKey="Kluge S" first="Stefan" last="Kluge">Stefan Kluge</name></region><name sortKey="Janssens, Uwe" sort="Janssens, Uwe" uniqKey="Janssens U" first="Uwe" last="Janssens">Uwe Janssens</name><name sortKey="Janssens, Uwe" sort="Janssens, Uwe" uniqKey="Janssens U" first="Uwe" last="Janssens">Uwe Janssens</name><name sortKey="Janssens, Uwe" sort="Janssens, Uwe" uniqKey="Janssens U" first="Uwe" last="Janssens">Uwe Janssens</name><name sortKey="Karagiannidis, Christian" sort="Karagiannidis, Christian" uniqKey="Karagiannidis C" first="Christian" last="Karagiannidis">Christian Karagiannidis</name><name sortKey="Karagiannidis, Christian" sort="Karagiannidis, Christian" uniqKey="Karagiannidis C" first="Christian" last="Karagiannidis">Christian Karagiannidis</name><name sortKey="Karagiannidis, Christian" sort="Karagiannidis, Christian" uniqKey="Karagiannidis C" first="Christian" last="Karagiannidis">Christian Karagiannidis</name><name sortKey="Kluge, Stefan" sort="Kluge, Stefan" uniqKey="Kluge S" first="Stefan" last="Kluge">Stefan Kluge</name><name sortKey="Kluge, Stefan" sort="Kluge, Stefan" uniqKey="Kluge S" first="Stefan" last="Kluge">Stefan Kluge</name><name sortKey="Kluge, Stefan" sort="Kluge, Stefan" uniqKey="Kluge S" first="Stefan" last="Kluge">Stefan Kluge</name><name sortKey="Marx, Gernot" sort="Marx, Gernot" uniqKey="Marx G" first="Gernot" last="Marx">Gernot Marx</name><name sortKey="Marx, Gernot" sort="Marx, Gernot" uniqKey="Marx G" first="Gernot" last="Marx">Gernot Marx</name><name sortKey="Marx, Gernot" sort="Marx, Gernot" uniqKey="Marx G" first="Gernot" last="Marx">Gernot Marx</name><name sortKey="Weber Carstens, Steffen" sort="Weber Carstens, Steffen" uniqKey="Weber Carstens S" first="Steffen" last="Weber-Carstens">Steffen Weber-Carstens</name><name sortKey="Weber Carstens, Steffen" sort="Weber Carstens, Steffen" uniqKey="Weber Carstens S" first="Steffen" last="Weber-Carstens">Steffen Weber-Carstens</name><name sortKey="Welte, Tobias" sort="Welte, Tobias" uniqKey="Welte T" first="Tobias" last="Welte">Tobias Welte</name><name sortKey="Welte, Tobias" sort="Welte, Tobias" uniqKey="Welte T" first="Tobias" last="Welte">Tobias Welte</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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