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COVID-19: New guidelines for better treatment of people in intensive care units

COVID-19: New guidelines for better treatment of people in intensive care units


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Improved treatment of COVID-19 through new guidelines?

There are new guidelines for the treatment of people with COVID-19 who are so seriously ill that they need to be treated in an intensive care unit. Various recommendations have been made in these guidelines to improve the treatment of data subjects.

McMaster University researchers created guidelines to improve ICU treatment for people with severe cases of COVID-19. The results of the study were published jointly in the English-language journals "Critical Care Medicine" and "Intensive Care Medicine".

Researchers make 53 recommendations

The new guidelines are designed to improve the treatment of people in the intensive care unit with COVID-19. For this purpose, 54 recommendations were made, which include topics such as infection control, laboratory diagnosis and samples, dynamics of blood flow support and ventilation support.

Guideline was created in 18 days

Previously, there were limited guidelines for the acute treatment of critically ill people with COVID-19. It usually takes a year or two to develop great new clinical practice guidelines like this, the researchers report. In view of the urgency, an international team was put together, which formulated the recommendations within only 18 days.

Researchers from many subject areas worked together

The panel of researchers included experts in policy development, infection control, infectious diseases and microbiology, intensive care, emergency medicine, nursing and public health. Panel members came from Australia, Canada, China, Denmark, Italy, Korea, the Netherlands, the United Arab Emirates, the United Kingdom, the United States and Saudi Arabia.

53 important questions should be answered

The panel initially proposed 53 key questions that they considered relevant for the management of COVID-19 in the intensive care unit. The team then searched the literature for direct and indirect information on how to use COVID-19 in intensive care units. They found relevant and up-to-date systematic reviews of most questions related to supportive care.

Evidence security was assessed

The group then assessed the security of the evidence using an approach developed by McMaster University. This offers the opportunity to evaluate previous work, is a transparent framework for the development and presentation of summaries of the evidence and offers a systematic approach for the preparation of recommendations.

The researchers found no suitable answer to six questions

This resulted in a total of 54 recommendations for healthcare workers. However, six questions could not be answered clearly. Four recommendations were based on particularly high-quality evidence.

Proper protective equipment should be used

Healthcare workers who perform aerosol-generating procedures such as intubation, bronchoscopy, or open aspiration on those affected with COVID-19 should wear customized respirators instead of surgical masks. In addition, other personal protective equipment such as gloves, gowns and eye protection should be worn.

The use of vacuum rooms is recommended

Aerosol generating procedures should be performed on patients in the intensive care unit with COVID-19 in a vacuum room, if this is possible. Vacuum rooms are designed to prevent the spread of contagious pathogens from room to room.

Only specialist staff should perform endotracheal intubation

Endotracheal intubation of COVID-19 sufferers should be performed by healthcare professionals with experience in airway management to minimize the number of attempts and the risk of transmission.

When should I intubate?

Adult people with COVID-19 who are being treated with non-invasive positive pressure ventilation or a high flow nasal cannula should be closely monitored for deterioration in airway status and intubated early if necessary.

Further guidelines will be published if necessary

The researchers announced that further guidelines are planned to be published in order to update the recommendations as necessary or to formulate new recommendations. (as)

Author and source information

This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.

Swell:

  • Alhazzani, Waleed; Møller, Morten Hylander; Arabi, Yaseen M .; Loeb, Mark; Gong, Michelle Ng et al .: Surviving Sepsis Campaign Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19), in Critical Care Medicine (Published Mar 27, 2020), Critical Care Medicine


Video: Coping with COVID-19: A Day Inside the ICU (September 2022).


Comments:

  1. Julio

    And such a thing

  2. Drygedene

    And is there another way?

  3. Corydon

    True to the answer

  4. Grimme

    did not hear such

  5. Creed

    In my opinion you commit an error. I can defend the position.

  6. Tukus

    very real



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