by You Shang, Chun Pan, Xianghong Yang, Ming Zhong, Xiuling
Shang, Zhixiong Wu, Zhui Yu, Wei Zhang, Qiang Zhong, Xia Zheng, Ling Sang, Li
Jiang, Jiancheng Zhang, Wei Xiong, Jiao Liu and Dechang Chen
Annals of Intensive Care volume 10,
Article number: 73 (2020)
Background:
The ongoing coronavirus disease 2019 (COVID-2019) pandemic
has swept all over the world, posing a great pressure on critical care
resources due to large number of patients needing critical care. Statements
from front-line experts in the field of intensive care are urgently needed.
Methods:
Sixteen front-line experts in China fighting against the
COVID-19 epidemic in Wuhan were organized to develop an expert statement after
5 rounds of expert seminars and discussions to provide trustworthy
recommendation on the management of critically ill COVID-19 patients. Each
expert was assigned tasks within their field of expertise to provide draft
statements and rationale. Parts of the expert statement are based on
epidemiological and clinical evidence, without available scientific evidences.
Results:
A comprehensive document with 46 statements are presented,
including protection of medical personnel, etiological treatment, diagnosis and
treatment of tissue and organ functional impairment, psychological
interventions, immunity therapy, nutritional support, and transportation of
critically ill COVID-19 patients. Among them, 5 recommendations were strong
(Grade 1), 21 were weak (Grade 2), and 20 were experts’ opinions. A strong
agreement from voting participants was obtained for all recommendations.
Conclusion:
There are still no targeted therapies for COVID-19 patients.
Dynamic monitoring and supportive treatment for the restoration of tissue
vascularization and organ function are particularly important.
No comments:
Post a Comment