Intensive care management of patients with COVID‑19: a practical approach

Detalhes bibliográficos
Autor(a) principal: Hajjar, Ludhmila Abrahão
Data de Publicação: 2021
Outros Autores: Costa, Isabela Bispo Santos da Silva, Kalil Filho, Roberto, Rizk, Stephanie Itala, Biselli, Bruno, Gomes, Bruno Rizerio, Lacerda, Marcus Vinicius, Leme, Alcino Costa, Lopes, Marcela de Almeida
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/46374
Resumo: University of São Paulo Medical School. Instituto do Coração. São Paulo, SP, Brazil.
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spelling Hajjar, Ludhmila AbrahãoCosta, Isabela Bispo Santos da SilvaKalil Filho, RobertoRizk, Stephanie ItalaBiselli, BrunoGomes, Bruno RizerioLacerda, Marcus ViniciusLeme, Alcino CostaLopes, Marcela de Almeida2021-03-17T19:02:19Z2021-03-17T19:02:19Z2021HAJJAR, Ludhmila Abrahão al. Intensive care management of patients with COVID-19: a practical approach. Annals of Intensive Care, Heidelberg, v. 11, p. 1-17, Feb. 2021.2110-5820https://www.arca.fiocruz.br/handle/icict/4637410.1186/s13613-021-00820-w2110-58202110-5820engJean-Louis Teboul, CHU Bicêtre, FranceIntensive care management of patients with COVID‑19: a practical approachinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversity of São Paulo Medical School. Instituto do Coração. São Paulo, SP, Brazil.University of São Paulo. Instituto do Câncer. São Paulo, SP, Brazil.University of São Paulo Medical School. Instituto do Coração. São Paulo, SP, Brazil.University of São Paulo Medical School. Instituto do Coração. São Paulo, SP, Brazil.University of São Paulo Medical School. Instituto do Coração. São Paulo, SP, Brazil.University of São Paulo Medical School. Instituto do Coração. São Paulo, SP, Brazil.Fundação Oswaldo Cruz. Instituto de Pesquisas Leônidas e Maria Deane. Manaus, AM, Brazil.University of São Paulo Medical School. Instituto do Coração. São Paulo, SP, Brazil.Hospital da Cidade. Salvador, BA, Brazil.SARS-CoV-2, the causative agent of coronavirus disease 2019 (COVID-19), is responsible for the largest pandemic facing humanity since the Spanish flu pandemic in the early twentieth century. Since there is no specific antiviral treatment, optimized support is the most relevant factor in the patient's prognosis. In the hospital setting, the identification of high-risk patients for clinical deterioration is essential to ensure access to intensive treatment of severe conditions in a timely manner. The initial management of hypoxemia includes conventional oxygen therapy, high-flow nasal canula oxygen, and non-invasive ventilation. For patients requiring invasive mechanical ventilation, lung-protective ventilation with low tidal volumes and plateau pressure is recommended. Cardiovascular complications are frequent and include myocardial injury, thrombotic events, myocarditis, and cardiogenic shock. Acute renal failure is a common complication and is a marker of poor prognosis, with significant impact in costs and resources allocation. Regarding promising therapies for COVID-19, the most promising drugs until now are remdesivir and corticosteroids although further studies may be needed to confirm their effectiveness. Other therapies such as, tocilizumab, anakinra, other anti-cytokine drugs, and heparin are being tested in clinical trials. Thousands of physicians are living a scenario that none of us have ever seen: demand for hospital exceed capacity in most countries. Until now, the certainty we have is that we should try to decrease the number of infected patients and that an optimized critical care support is the best strategy to improve patient’s survival.COVID-19Intensive care unitCirculatory support and invasive ventilationinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83082https://www.arca.fiocruz.br/bitstream/icict/46374/1/license.txt43cf57123dace9a28c9f6b2c996fa81bMD51ORIGINALArticle 2021 Intensive care management of patients with Covid19.pdfArticle 2021 Intensive care management of patients with Covid19.pdfapplication/pdf2032581https://www.arca.fiocruz.br/bitstream/icict/46374/2/Article%202021%20Intensive%20care%20management%20of%20patients%20with%20Covid19.pdf2a641488a42dbab540e145a5c87a8e51MD52TEXTArticle 2021 Intensive care management of patients with Covid19.pdf.txtArticle 2021 Intensive 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dc.title.pt_BR.fl_str_mv Intensive care management of patients with COVID‑19: a practical approach
title Intensive care management of patients with COVID‑19: a practical approach
spellingShingle Intensive care management of patients with COVID‑19: a practical approach
Hajjar, Ludhmila Abrahão
COVID-19
Intensive care unit
Circulatory support and invasive ventilation
title_short Intensive care management of patients with COVID‑19: a practical approach
title_full Intensive care management of patients with COVID‑19: a practical approach
title_fullStr Intensive care management of patients with COVID‑19: a practical approach
title_full_unstemmed Intensive care management of patients with COVID‑19: a practical approach
title_sort Intensive care management of patients with COVID‑19: a practical approach
author Hajjar, Ludhmila Abrahão
author_facet Hajjar, Ludhmila Abrahão
Costa, Isabela Bispo Santos da Silva
Kalil Filho, Roberto
Rizk, Stephanie Itala
Biselli, Bruno
Gomes, Bruno Rizerio
Lacerda, Marcus Vinicius
Leme, Alcino Costa
Lopes, Marcela de Almeida
author_role author
author2 Costa, Isabela Bispo Santos da Silva
Kalil Filho, Roberto
Rizk, Stephanie Itala
Biselli, Bruno
Gomes, Bruno Rizerio
Lacerda, Marcus Vinicius
Leme, Alcino Costa
Lopes, Marcela de Almeida
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Hajjar, Ludhmila Abrahão
Costa, Isabela Bispo Santos da Silva
Kalil Filho, Roberto
Rizk, Stephanie Itala
Biselli, Bruno
Gomes, Bruno Rizerio
Lacerda, Marcus Vinicius
Leme, Alcino Costa
Lopes, Marcela de Almeida
dc.subject.en.pt_BR.fl_str_mv COVID-19
Intensive care unit
Circulatory support and invasive ventilation
topic COVID-19
Intensive care unit
Circulatory support and invasive ventilation
description University of São Paulo Medical School. Instituto do Coração. São Paulo, SP, Brazil.
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-03-17T19:02:19Z
dc.date.available.fl_str_mv 2021-03-17T19:02:19Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv HAJJAR, Ludhmila Abrahão al. Intensive care management of patients with COVID-19: a practical approach. Annals of Intensive Care, Heidelberg, v. 11, p. 1-17, Feb. 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/46374
dc.identifier.issn.pt_BR.fl_str_mv 2110-5820
dc.identifier.doi.pt_BR.fl_str_mv 10.1186/s13613-021-00820-w
dc.identifier.eissn.none.fl_str_mv 2110-5820
2110-5820
identifier_str_mv HAJJAR, Ludhmila Abrahão al. Intensive care management of patients with COVID-19: a practical approach. Annals of Intensive Care, Heidelberg, v. 11, p. 1-17, Feb. 2021.
2110-5820
10.1186/s13613-021-00820-w
url https://www.arca.fiocruz.br/handle/icict/46374
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Jean-Louis Teboul, CHU Bicêtre, France
publisher.none.fl_str_mv Jean-Louis Teboul, CHU Bicêtre, France
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
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