SARS-CoV-2 (COVID-19) and intravascular volume management strategies in the critically ill
Identifieur interne : 000195 ( 2020/Analysis ); précédent : 000194; suivant : 000196SARS-CoV-2 (COVID-19) and intravascular volume management strategies in the critically ill
Auteurs : Amir Kazory [États-Unis] ; Claudio Ronco [Italie] ; Peter A. Mccullough [États-Unis]Source :
- Proceedings (Baylor University. Medical Center) [ 0899-8280 ] ; 2020.
Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to spread across the globe, and millions of people may be affected. While knowledge regarding epidemiologic features and diagnostic tools of coronavirus disease 2019 (COVID-19) is rapidly evolving, uncertainties surrounding various aspects of its optimal management strategies persist. A subset of these patients develop a more severe form of the disease characterized by expanding pulmonary lesions, sepsis, acute respiratory distress syndrome, and respiratory failure. Due to lack of data on treatment strategies specific to this subset of patients, currently available evidence on management of the critically ill needs to be extrapolated and customized to their clinical needs. The article calls attention to fluid stewardship in the critically ill with COVID-19 by judiciously applying the evidence-based resuscitation principles to their specific clinical features such as high rates of cardiac injury. As we await more data from treating these patients, this strategy is likely to help reduce potential complications.
Url:
DOI: 10.1080/08998280.2020.1754700
PubMed: 32336959
PubMed Central: 7171388
Affiliations:
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PMC:7171388Le document en format XML
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p>The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) continues to spread across the globe, and millions of people may be affected. While knowledge regarding epidemiologic features and diagnostic tools of coronavirus disease 2019 (COVID-19) is rapidly evolving, uncertainties surrounding various aspects of its optimal management strategies persist. A subset of these patients develop a more severe form of the disease characterized by expanding pulmonary lesions, sepsis, acute respiratory distress syndrome, and respiratory failure. Due to lack of data on treatment strategies specific to this subset of patients, currently available evidence on management of the critically ill needs to be extrapolated and customized to their clinical needs. The article calls attention to fluid stewardship in the critically ill with COVID-19 by judiciously applying the evidence-based resuscitation principles to their specific clinical features such as high rates of cardiac injury. As we await more data from treating these patients, this strategy is likely to help reduce potential complications.</p>
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<affiliations><list><country><li>Italie</li>
<li>États-Unis</li>
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<region><li>Floride</li>
<li>Texas</li>
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