Management of hospitalized patients during the COVID-19 pandemic: review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/21415 |
Resumo: | SARS-CoV-2 is the leading agent of the current pandemic and is the cause of severe acute respiratory syndrome. Thus, hospital procedures are considered factors of high risk of contamination, with a high possibility of causing viral spread, in addition to nosocomial contamination. This article was developed with the objective of presenting a review of the current protocols that aim to guide on the approach of patients with COVID-19, as well as the recommendations recommended in relation to aerosol-generating medical procedures. To this end, a study of narrative literature review was carried out. In order to prevent infections, as current recommendations recommend the mandatory use of masks, aprons, gloves and eye protection. Regarding orotraqueal intubation and mechanical ventilation, you should choose the most experienced doctor on the team and prefer “fast sequence intubation”. In the case of a tracheostomy, it must be performed following all the steps defined in the protocols. In relation to cardiopulmonary resuscitation, there must be five health professionals with functions very well applied and reviewed, according to the practices of maintenance, ventilation, medication administration and completion of resuscitation. Within the intensive care unit, it is necessary to assess the expandability of the location, such as the increase in the multidisciplinary team. During a pandemic, it is imperative that a risk-benefit assessment is carried out before indicating surgery. Therefore, it is evident that changes in world protocols are important for minimizing aerosols, offering greater safety to all involved, whether they are professionals or patients. |
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Management of hospitalized patients during the COVID-19 pandemic: reviewManejo de pacientes hospitalizados durante la pandemia de COVID-19: revisiónManejo de pacientes hospitalizados durante a pandemia COVID-19: revisão Pandemia COVID-19Doença pelo novo Coronavírus (2019-nCoV)Infecção por SARS-CoV-2. COVID-19 pandemic2019 Novel Coronavirus diseaseSARS-CoV-2 Infection. Pandemia de COVID-19Brote por el Coronavirus 2019-nCoVInfección por SARS-CoV-2.SARS-CoV-2 is the leading agent of the current pandemic and is the cause of severe acute respiratory syndrome. Thus, hospital procedures are considered factors of high risk of contamination, with a high possibility of causing viral spread, in addition to nosocomial contamination. This article was developed with the objective of presenting a review of the current protocols that aim to guide on the approach of patients with COVID-19, as well as the recommendations recommended in relation to aerosol-generating medical procedures. To this end, a study of narrative literature review was carried out. In order to prevent infections, as current recommendations recommend the mandatory use of masks, aprons, gloves and eye protection. Regarding orotraqueal intubation and mechanical ventilation, you should choose the most experienced doctor on the team and prefer “fast sequence intubation”. In the case of a tracheostomy, it must be performed following all the steps defined in the protocols. In relation to cardiopulmonary resuscitation, there must be five health professionals with functions very well applied and reviewed, according to the practices of maintenance, ventilation, medication administration and completion of resuscitation. Within the intensive care unit, it is necessary to assess the expandability of the location, such as the increase in the multidisciplinary team. During a pandemic, it is imperative that a risk-benefit assessment is carried out before indicating surgery. Therefore, it is evident that changes in world protocols are important for minimizing aerosols, offering greater safety to all involved, whether they are professionals or patients.El SARS-CoV-2 es el principal agente de la pandemia actual, causando el síndrome respiratorio agudo severo. Así, los procedimientos hospitalarios se consideran factores de alto riesgo de contaminación, con una alta posibilidad de causar propagación viral, además de contaminación nosocomial. Este artículo fue desarrollado con el objetivo de presentar una revisión de los protocolos actuales dirigidos a orientar el abordaje de los pacientes con COVID-19, así como las recomendaciones recomendadas en relación con los procedimientos médicos generadores de aerosoles. Para ello, se realizó un estudio de revisión narrativa de la literatura. El fin de la prevención de infecciones, ya que las recomendaciones actuales recomiendan el uso obligatorio de mascarillas, delantales, guantes y protección ocular. Con respecto a la intubación orotraqueal y la ventilación mecánica, debe elegir al médico más experimentado del equipo y preferir la "intubación de secuencia rápida". En el caso de la traqueostomía, debe realizarse siguiendo todos los pasos definidos en los protocolos. En relación a la reanimación cardiorrespiratoria, se deben tener cinco profesionales de la salud con funciones bien aplicadas y revisadas, de acuerdo con las prácticas de mantenimiento, ventilación, administración de medicamentos y finalización de la reanimación. Dentro de la Unidad de Terapia Intensa, es necesario evaluar la expansión del sitio, como el aumento del equipo multidisciplinario. Durante una pandemia, una evaluación de riesgo-beneficio es esencial antes de indicar la cirugía. Por ello, es evidente que los cambios en los protocolos globales son importantes para la minimización de los aerosoles, ofreciendo una mayor seguridad a todos los implicados, ya sean profesionales os pacientes.O SARS-CoV-2 é o agente protagonista da pandemia atual, sendo o causador da síndrome respiratória aguda grave. Assim, os procedimentos hospitalares são considerados fatores de alto risco de contaminação, com alta possibilidade de causar propagação viral, além da contaminação nosocomial. Este artigo foi desenvolvido com o objetivo de apresentar uma revisão dos protocolos atuais que visam orientar sobre a abordagem de pacientes com a COVID-19, bem como as recomendações recomendadas em relação aos procedimentos médicos geradores de aerossol. Para tanto foi realizado um estudo de revisão narrativa da literatura. Um fim de prevenção de infecções, como recomendações atuais preconizam o uso obrigatório de máscaras, aventais, luvas e proteção ocular. Em relação à intubação orotraqueal e à ventilação mecânica, deve escolher o médico mais experiente da equipe e preferir pela “intubação de sequência rápida”. No caso de traqueostomia, ela deve ser executada seguindo todas as etapas definidas nos protocolos. Já em relação à ressuscitação cardiorrespiratória, deve-se ter cinco profissionais de saúde com funções muito bem aplicadas e revisadas, de acordo com as práticas de manutenção, ventilação, administração de medicamentos e finalização da ressuscitação. Dentro da Unidade de Terapia Intensa, é necessário avaliar a expansibilidade do local, como o aumento da equipe multiprofissional. Durante uma pandemia, é imprescindível que seja feita uma avaliação de risco-benefício antes de indicar uma cirurgia. Sendo assim, fica evidente que as alterações nos protocolos mundiais são importantes para a minimização de aerossóis, oferecendo maior segurança a todos os envolvidos, sejam eles profissionais ou pacientes.Research, Society and Development2022-04-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2141510.33448/rsd-v11i5.21415Research, Society and Development; Vol. 11 No. 5; e20711521415Research, Society and Development; Vol. 11 Núm. 5; e20711521415Research, Society and Development; v. 11 n. 5; e207115214152525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/21415/24482Copyright (c) 2022 Thomás Cavalcanti Pires de Azevedo; Guilherme Santos Lins de Oliveira; Rayane Aguiar Costa ; Júlia Maria Gomes de Mendonça Vasconcelos ; Lucas Rogério Lessa Leite Silva; Lucas de Lima Ferreira; Fernando Wagner da Silva Ramos; Thiago José Matos Rochahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAzevedo, Thomás Cavalcanti Pires de Oliveira, Guilherme Santos Lins de Costa , Rayane Aguiar Vasconcelos , Júlia Maria Gomes de Mendonça Silva, Lucas Rogério Lessa Leite Ferreira, Lucas de Lima Ramos, Fernando Wagner da Silva Matos Rocha, Thiago José2022-04-17T18:18:56Zoai:ojs.pkp.sfu.ca:article/21415Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:40:50.193831Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Management of hospitalized patients during the COVID-19 pandemic: review Manejo de pacientes hospitalizados durante la pandemia de COVID-19: revisión Manejo de pacientes hospitalizados durante a pandemia COVID-19: revisão |
title |
Management of hospitalized patients during the COVID-19 pandemic: review |
spellingShingle |
Management of hospitalized patients during the COVID-19 pandemic: review Azevedo, Thomás Cavalcanti Pires de Pandemia COVID-19 Doença pelo novo Coronavírus (2019-nCoV) Infecção por SARS-CoV-2. COVID-19 pandemic 2019 Novel Coronavirus disease SARS-CoV-2 Infection. Pandemia de COVID-19 Brote por el Coronavirus 2019-nCoV Infección por SARS-CoV-2. |
title_short |
Management of hospitalized patients during the COVID-19 pandemic: review |
title_full |
Management of hospitalized patients during the COVID-19 pandemic: review |
title_fullStr |
Management of hospitalized patients during the COVID-19 pandemic: review |
title_full_unstemmed |
Management of hospitalized patients during the COVID-19 pandemic: review |
title_sort |
Management of hospitalized patients during the COVID-19 pandemic: review |
author |
Azevedo, Thomás Cavalcanti Pires de |
author_facet |
Azevedo, Thomás Cavalcanti Pires de Oliveira, Guilherme Santos Lins de Costa , Rayane Aguiar Vasconcelos , Júlia Maria Gomes de Mendonça Silva, Lucas Rogério Lessa Leite Ferreira, Lucas de Lima Ramos, Fernando Wagner da Silva Matos Rocha, Thiago José |
author_role |
author |
author2 |
Oliveira, Guilherme Santos Lins de Costa , Rayane Aguiar Vasconcelos , Júlia Maria Gomes de Mendonça Silva, Lucas Rogério Lessa Leite Ferreira, Lucas de Lima Ramos, Fernando Wagner da Silva Matos Rocha, Thiago José |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Azevedo, Thomás Cavalcanti Pires de Oliveira, Guilherme Santos Lins de Costa , Rayane Aguiar Vasconcelos , Júlia Maria Gomes de Mendonça Silva, Lucas Rogério Lessa Leite Ferreira, Lucas de Lima Ramos, Fernando Wagner da Silva Matos Rocha, Thiago José |
dc.subject.por.fl_str_mv |
Pandemia COVID-19 Doença pelo novo Coronavírus (2019-nCoV) Infecção por SARS-CoV-2. COVID-19 pandemic 2019 Novel Coronavirus disease SARS-CoV-2 Infection. Pandemia de COVID-19 Brote por el Coronavirus 2019-nCoV Infección por SARS-CoV-2. |
topic |
Pandemia COVID-19 Doença pelo novo Coronavírus (2019-nCoV) Infecção por SARS-CoV-2. COVID-19 pandemic 2019 Novel Coronavirus disease SARS-CoV-2 Infection. Pandemia de COVID-19 Brote por el Coronavirus 2019-nCoV Infección por SARS-CoV-2. |
description |
SARS-CoV-2 is the leading agent of the current pandemic and is the cause of severe acute respiratory syndrome. Thus, hospital procedures are considered factors of high risk of contamination, with a high possibility of causing viral spread, in addition to nosocomial contamination. This article was developed with the objective of presenting a review of the current protocols that aim to guide on the approach of patients with COVID-19, as well as the recommendations recommended in relation to aerosol-generating medical procedures. To this end, a study of narrative literature review was carried out. In order to prevent infections, as current recommendations recommend the mandatory use of masks, aprons, gloves and eye protection. Regarding orotraqueal intubation and mechanical ventilation, you should choose the most experienced doctor on the team and prefer “fast sequence intubation”. In the case of a tracheostomy, it must be performed following all the steps defined in the protocols. In relation to cardiopulmonary resuscitation, there must be five health professionals with functions very well applied and reviewed, according to the practices of maintenance, ventilation, medication administration and completion of resuscitation. Within the intensive care unit, it is necessary to assess the expandability of the location, such as the increase in the multidisciplinary team. During a pandemic, it is imperative that a risk-benefit assessment is carried out before indicating surgery. Therefore, it is evident that changes in world protocols are important for minimizing aerosols, offering greater safety to all involved, whether they are professionals or patients. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21415 10.33448/rsd-v11i5.21415 |
url |
https://rsdjournal.org/index.php/rsd/article/view/21415 |
identifier_str_mv |
10.33448/rsd-v11i5.21415 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/21415/24482 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 5; e20711521415 Research, Society and Development; Vol. 11 Núm. 5; e20711521415 Research, Society and Development; v. 11 n. 5; e20711521415 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052756835434496 |