Subject(s)
Coronavirus Infections/therapy , Critical Care , Hospital Bed Capacity , Intensive Care Units , Pneumonia, Viral/therapy , Betacoronavirus , Brazil , COVID-19 , Extracorporeal Membrane Oxygenation/methods , Health Care Rationing , Health Workforce , Humans , Mobile Health Units , Pandemics , Patient Isolation , Personal Protective Equipment/supply & distribution , Quality of Health Care , Respiration, Artificial/methods , SARS-CoV-2ABSTRACT
ABSTRACT We produced this document to bring pertinent information to the practice of nephrology, as regards to the renal involvement with COVID-19, the management of acute kidney injury cases, and practical guidance on the provision of dialysis support.As information on COVID-19 evolves at a pace never before seen in medical science, these recommendations, although based on recent scientific evidence, refer to the present moment. The guidelines may be updated when published data and other relevant information become available. RESUMO Este documento foi desenvolvido para trazer informações pertinentes à prática nefrológica em relação ao conhecimento sobre o acometimento renal da COVID-19, conduta frente aos casos de injúria renal aguda e orientações práticas sobre a provisão do suporte dialítico.Como as informações sobre a COVID-19 evoluem a uma velocidade jamais vista na ciência médica, as orientações apresentadas, embora baseadas em evidências científicas recentes, referem-se ao momento presente. Essas orientaços poderão ser atualizadas à medida que dados publicados e outras informações relevantes venham a ser disponibilizadas.
ABSTRACT
We produced this document to bring pertinent information to the practice of nephrology, as regards to the renal involvement with COVID-19, the management of acute kidney injury cases, and practical guidance on the provision of dialysis support.As information on COVID-19 evolves at a pace never before seen in medical science, these recommendations, although based on recent scientific evidence, refer to the present moment. The guidelines may be updated when published data and other relevant information become available.
Subject(s)
Acute Kidney Injury/therapy , Betacoronavirus , Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Renal Replacement Therapy/standards , Vascular Access Devices/standards , Acute Kidney Injury/epidemiology , Acute Kidney Injury/etiology , Brazil/epidemiology , COVID-19 , Clinical Decision-Making , Coronavirus Infections/drug therapy , Coronavirus Infections/prevention & control , Critical Care , Humans , Kidney/drug effects , Nephrology/standards , Occupational Diseases/prevention & control , Pandemics/prevention & control , Personal Protective Equipment , Pneumonia, Viral/drug therapy , Pneumonia, Viral/prevention & control , Recovery of Function , Renal Replacement Therapy/methods , Respiration, Artificial/adverse effects , SARS-CoV-2 , Societies, MedicalSubject(s)
Acute Kidney Injury/physiopathology , Ambulatory Care Facilities/organization & administration , Coronavirus Infections/physiopathology , Kidney Failure, Chronic/therapy , Pneumonia, Viral/physiopathology , Renal Dialysis/methods , Acute Kidney Injury/etiology , Acute Kidney Injury/therapy , Betacoronavirus , Brazil , COVID-19 , Continuous Renal Replacement Therapy/methods , Coronavirus Infections/complications , Humans , Kidney Failure, Chronic/complications , Nephrology , Pandemics , Peritoneal Dialysis , Personal Protective Equipment , Pneumonia, Viral/complications , SARS-CoV-2 , Time FactorsABSTRACT
The new coronavirus disease, named by World Health Organization (WHO) as COVID-19 brought great challenges to patients with end-stage renal disease (ESRD). In general, ESRD patients have higher number of comorbidities and are at age-risk for severe pulmonary presentation of this disease. Another important issue is that hemodialysis (HD) clinics are usually not located in small towns, and these frail patients often travel to their dialysis center in groups and also cannot keep the 6-feet safe distance during their HD session.1.