Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March 2020
Identifieur interne : 000489 ( Pmc/Checkpoint ); précédent : 000488; suivant : 000490Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March 2020
Auteurs : D. Thomas-Rüddel [Allemagne] ; J. Winning [Allemagne] ; P. Dickmann [Allemagne] ; D. Ouart [Allemagne] ; A. Kortgen [Allemagne] ; U. Janssens [Allemagne] ; M. Bauer [Allemagne]Source :
- Der Anaesthesist [ 0003-2417 ] ; 2020.
Abstract
The current outbreak of coronavirus disease (COVID-19) has reached Germany. The majority of people infected present with mild disease, but there are severe cases that need intensive care. Unlike other acute infectious diseases progressing to sepsis, the severe courses of COVID19 seemingly show prolonged progression from onset of first symptoms to life-threatening deterioration of (primarily) lung function. Diagnosis relies on PCR using specimens from the respiratory tract. Severe ARDS reflects the hallmark of a critical course of the disease. Preventing nosocomial infections (primarily by correct use of personal protective equipment) and maintenance of hospitals’ operational capability are of utmost importance. Departments of Anaesthesia, Intensive Care and emergency medicine will envisage major challenges.
Url:
DOI: 10.1007/s00101-020-00760-3
PubMed: 32211920
PubMed Central: 7095212
Affiliations:
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Thomas-Rüddel</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.275559.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 8517 6224</institution-id><institution>Dept. of Anesthesiology and Intensive Care Medicine,</institution><institution>Jena University Hospital,</institution></institution-wrap>Am Klinikum 1, 07747 Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Am Klinikum 1, 07747 Jena</wicri:regionArea><wicri:noRegion>07747 Jena</wicri:noRegion><wicri:noRegion>07747 Jena</wicri:noRegion><wicri:noRegion>07747 Jena</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.275559.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 8517 6224</institution-id><institution>Center for Sepsis Control and Care (CSCC),</institution><institution>Jena University Hospital,</institution></institution-wrap>Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Jena</wicri:regionArea></affiliation></author><author><name sortKey="Winning, J" sort="Winning, J" uniqKey="Winning J" first="J." last="Winning">J. 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Ouart</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.275559.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 8517 6224</institution-id><institution>Dept. of Anesthesiology and Intensive Care Medicine,</institution><institution>Jena University Hospital,</institution></institution-wrap>Am Klinikum 1, 07747 Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Am Klinikum 1, 07747 Jena</wicri:regionArea><wicri:noRegion>07747 Jena</wicri:noRegion><wicri:noRegion>07747 Jena</wicri:noRegion><wicri:noRegion>07747 Jena</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.275559.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 8517 6224</institution-id><institution>Center for Sepsis Control and Care (CSCC),</institution><institution>Jena University Hospital,</institution></institution-wrap>Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Jena</wicri:regionArea></affiliation></author><author><name sortKey="Kortgen, A" sort="Kortgen, A" uniqKey="Kortgen A" first="A." last="Kortgen">A. Kortgen</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.275559.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 8517 6224</institution-id><institution>Dept. of Anesthesiology and Intensive Care Medicine,</institution><institution>Jena University Hospital,</institution></institution-wrap>Am Klinikum 1, 07747 Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Am Klinikum 1, 07747 Jena</wicri:regionArea><wicri:noRegion>07747 Jena</wicri:noRegion><wicri:noRegion>07747 Jena</wicri:noRegion><wicri:noRegion>07747 Jena</wicri:noRegion></affiliation></author><author><name sortKey="Janssens, U" sort="Janssens, U" uniqKey="Janssens U" first="U." last="Janssens">U. Janssens</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.459927.4</institution-id><institution-id institution-id-type="ISNI">0000 0000 8785 9045</institution-id><institution>Dept. of Internal Medicine and Internal Intensive Care,</institution><institution>St.-Antonius-Hospital Eschweiler,</institution></institution-wrap>Eschweiler, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Eschweiler</wicri:regionArea></affiliation></author><author><name sortKey="Bauer, M" sort="Bauer, M" uniqKey="Bauer M" first="M." last="Bauer">M. Bauer</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.275559.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 8517 6224</institution-id><institution>Dept. of Anesthesiology and Intensive Care Medicine,</institution><institution>Jena University Hospital,</institution></institution-wrap>Am Klinikum 1, 07747 Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Am Klinikum 1, 07747 Jena</wicri:regionArea><wicri:noRegion>07747 Jena</wicri:noRegion><wicri:noRegion>07747 Jena</wicri:noRegion><wicri:noRegion>07747 Jena</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.275559.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 8517 6224</institution-id><institution>Center for Sepsis Control and Care (CSCC),</institution><institution>Jena University Hospital,</institution></institution-wrap>Jena, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Jena</wicri:regionArea></affiliation></author></analytic><series><title level="j">Der Anaesthesist</title><idno type="ISSN">0003-2417</idno><idno type="eISSN">1432-055X</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>The current outbreak of coronavirus disease (COVID-19) has reached Germany. The majority of people infected present with mild disease, but there are severe cases that need intensive care. Unlike other acute infectious diseases progressing to sepsis, the severe courses of COVID19 seemingly show prolonged progression from onset of first symptoms to life-threatening deterioration of (primarily) lung function. Diagnosis relies on PCR using specimens from the respiratory tract. Severe ARDS reflects the hallmark of a critical course of the disease. Preventing nosocomial infections (primarily by correct use of personal protective equipment) and maintenance of hospitals’ operational capability are of utmost importance. Departments of Anaesthesia, Intensive Care and emergency medicine will envisage major challenges.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gardner, L" uniqKey="Gardner L">L Gardner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Imai, N" uniqKey="Imai N">N Imai</name></author><author><name sortKey="Cori, A" uniqKey="Cori A">A Cori</name></author><author><name sortKey="Dorigatti, I" uniqKey="Dorigatti I">I Dorigatti</name></author><author><name sortKey="Baguelin, M" uniqKey="Baguelin M">M Baguelin</name></author><author><name sortKey="Donnelly, Ca" uniqKey="Donnelly C">CA Donnelly</name></author><author><name sortKey="Riley, S" uniqKey="Riley S">S Riley</name></author><author><name sortKey="Ferguson, N" uniqKey="Ferguson N">N Ferguson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccandless, D" uniqKey="Mccandless D">D 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article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Anaesthesist</journal-id><journal-id journal-id-type="iso-abbrev">Anaesthesist</journal-id><journal-title-group><journal-title>Der Anaesthesist</journal-title></journal-title-group><issn pub-type="ppub">0003-2417</issn><issn pub-type="epub">1432-055X</issn><publisher><publisher-name>Springer Medizin</publisher-name><publisher-loc>Heidelberg</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32211920</article-id><article-id pub-id-type="pmc">7095212</article-id><article-id pub-id-type="publisher-id">760</article-id><article-id pub-id-type="doi">10.1007/s00101-020-00760-3</article-id><article-categories><subj-group subj-group-type="heading"><subject>Leitthema</subject></subj-group></article-categories><title-group><article-title>Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March 2020</article-title><trans-title-group><trans-title xml:lang="de">„Coronavirus disease 2019“ (COVID-19): update für Anästhesisten und Intensivmediziner März 2020</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name><surname>Thomas-Rüddel</surname><given-names>D.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Winning</surname><given-names>J.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Dickmann</surname><given-names>P.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Ouart</surname><given-names>D.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Kortgen</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Janssens</surname><given-names>U.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Bauer</surname><given-names>M.</given-names></name><address><email>Michael.bauer@med.uni-jena.de</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="GRID">grid.275559.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 8517 6224</institution-id><institution>Dept. of Anesthesiology and Intensive Care Medicine,</institution><institution>Jena University Hospital,</institution></institution-wrap>Am Klinikum 1, 07747 Jena, Germany</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="GRID">grid.275559.9</institution-id><institution-id institution-id-type="ISNI">0000 0000 8517 6224</institution-id><institution>Center for Sepsis Control and Care (CSCC),</institution><institution>Jena University Hospital,</institution></institution-wrap>Jena, Germany</aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="GRID">grid.459927.4</institution-id><institution-id institution-id-type="ISNI">0000 0000 8785 9045</institution-id><institution>Dept. of Internal Medicine and Internal Intensive Care,</institution><institution>St.-Antonius-Hospital Eschweiler,</institution></institution-wrap>Eschweiler, Germany</aff></contrib-group><pub-date pub-type="epub"><day>24</day><month>3</month><year>2020</year></pub-date><fpage>1</fpage><lpage>10</lpage><permissions><copyright-statement>© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2020</copyright-statement><license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p></license></permissions><abstract id="Abs2"><p>The current outbreak of coronavirus disease (COVID-19) has reached Germany. The majority of people infected present with mild disease, but there are severe cases that need intensive care. Unlike other acute infectious diseases progressing to sepsis, the severe courses of COVID19 seemingly show prolonged progression from onset of first symptoms to life-threatening deterioration of (primarily) lung function. Diagnosis relies on PCR using specimens from the respiratory tract. Severe ARDS reflects the hallmark of a critical course of the disease. Preventing nosocomial infections (primarily by correct use of personal protective equipment) and maintenance of hospitals’ operational capability are of utmost importance. Departments of Anaesthesia, Intensive Care and emergency medicine will envisage major challenges.</p></abstract><trans-abstract xml:lang="de" id="Abs1"><title>Zusammenfassung</title><p>Die neu aufgetretene Atemwegserkrankung „coronavirus disease 2019“ (COVID-19) hat Deutschland erreicht. Die Erkrankung verläuft in den meisten Fällen leicht, aber der kleinere Anteil an schwer Erkrankten wird stationär und auch intensivmedizinisch behandelt werden. Im Gegensatz zu anderen akuten Infektionskrankheiten zeigen die schweren Verläufe eine langsame Progredienz von den ersten Symptomen bis zur lebensbedrohlichen Verschlechterung. Die Diagnosestellung erfolgt mithilfe der Polymerase-Kettenreaktion (PCR) aus Proben des Respirationstrakts. Ein schweres „acute respiratory distress syndrome“ (ARDS) ist charakteristisch für die kritischen Verläufe. Der Vermeidung nosokomialer Infektionen, insbesondere durch korrekte Anwendung der Schutzausrüstung, und der Aufrechterhaltung des Krankenhausbetriebs kommen zentrale Bedeutung zu. Auch in der Anästhesie und Notfallmedizin ist mit erheblichen Herausforderungen zu rechnen.</p></trans-abstract><kwd-group xml:lang="de"><title>Schlüsselwörter</title><kwd>Ausbrüche von Infektionskrankheiten</kwd><kwd>Infektionskontrolle</kwd><kwd>Notfallmedizin</kwd><kwd>Anästhesiologie</kwd><kwd>Intensivmedizin</kwd></kwd-group><kwd-group xml:lang="en"><title>Keywords</title><kwd>Infectious disease outbreaks</kwd><kwd>Infection control</kwd><kwd>Emergency medicine</kwd><kwd>Anesthesiology</kwd><kwd>Intensive care</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Allemagne</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Thomas Ruddel, D" sort="Thomas Ruddel, D" uniqKey="Thomas Ruddel D" first="D." last="Thomas-Rüddel">D. Thomas-Rüddel</name></noRegion><name sortKey="Bauer, M" sort="Bauer, M" uniqKey="Bauer M" first="M." last="Bauer">M. Bauer</name><name sortKey="Bauer, M" sort="Bauer, M" uniqKey="Bauer M" first="M." last="Bauer">M. Bauer</name><name sortKey="Dickmann, P" sort="Dickmann, P" uniqKey="Dickmann P" first="P." last="Dickmann">P. Dickmann</name><name sortKey="Dickmann, P" sort="Dickmann, P" uniqKey="Dickmann P" first="P." last="Dickmann">P. Dickmann</name><name sortKey="Janssens, U" sort="Janssens, U" uniqKey="Janssens U" first="U." last="Janssens">U. Janssens</name><name sortKey="Kortgen, A" sort="Kortgen, A" uniqKey="Kortgen A" first="A." last="Kortgen">A. Kortgen</name><name sortKey="Ouart, D" sort="Ouart, D" uniqKey="Ouart D" first="D." last="Ouart">D. Ouart</name><name sortKey="Ouart, D" sort="Ouart, D" uniqKey="Ouart D" first="D." last="Ouart">D. Ouart</name><name sortKey="Thomas Ruddel, D" sort="Thomas Ruddel, D" uniqKey="Thomas Ruddel D" first="D." last="Thomas-Rüddel">D. Thomas-Rüddel</name><name sortKey="Winning, J" sort="Winning, J" uniqKey="Winning J" first="J." last="Winning">J. Winning</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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