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How the COVID-19 pandemic will change the future of critical care.
Arabi, Yaseen M; Azoulay, Elie; Al-Dorzi, Hasan M; Phua, Jason; Salluh, Jorge; Binnie, Alexandra; Hodgson, Carol; Angus, Derek C; Cecconi, Maurizio; Du, Bin; Fowler, Rob; Gomersall, Charles D; Horby, Peter; Juffermans, Nicole P; Kesecioglu, Jozef; Kleinpell, Ruth M; Machado, Flavia R; Martin, Greg S; Meyfroidt, Geert; Rhodes, Andrew; Rowan, Kathryn; Timsit, Jean-François; Vincent, Jean-Louis; Citerio, Giuseppe.
  • Arabi YM; Intensive Care Department, Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia. arabi@ngha.med.sa.
  • Azoulay E; Medical Intensive Care Unit, Saint Louis University Hospital and Paris 7 University, 1 avenue Claude Vellefaux, 75010, Paris, France.
  • Al-Dorzi HM; Intensive Care Department, Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia.
  • Phua J; FAST and Chronic Programmes, Alexandra Hospital, Division of Respiratory and Critical Care Medicine, Department of Medicine, National University Hospital, National University Health System, Singapore, Singapore.
  • Salluh J; Department of Critical Care and Graduate Program in Translational Medicine, D'Or Institute for Research and Education, Rio de Janeiro, Brazil.
  • Binnie A; Critical Care Department, William Osler Health System, Etobicoke, ON, Canada.
  • Hodgson C; Faculty of Medicine and Biomedical Sciences, University of Algarve, Faro, Portugal.
  • Angus DC; Australian and New Zealand Intensive Care Research Centre, Melbourne, Australia.
  • Cecconi M; The Alfred Hospital, Melbourne, Australia.
  • Du B; Monash University, Melbourne, Australia.
  • Fowler R; Monash Partners Academic Health Science Centre, Prahran, Australia.
  • Gomersall CD; Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, USA.
  • Horby P; Deparment of Anaesthesia and Intensive Care, Humanitas Clinical and Research Center-IRCCS, Rozzano, Milano, Italy.
  • Juffermans NP; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milano, Italy.
  • Kesecioglu J; State Key Laboratory of Complex, Severe and Rare Diseases, and Medical ICU, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
  • Kleinpell RM; Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Canada.
  • Machado FR; Department of Critical Care Medicine, Sunnybrook Hospital, Toronto, Canada.
  • Martin GS; Department of Medicine, Sunnybrook Hospital, Toronto, Canada.
  • Meyfroidt G; Department of Anaesthesia and Intensive Care, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
  • Rhodes A; Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.
  • Rowan K; Department of Intensive Care, OLVG Hospital and Laboratory of Experimental Intensive Care and Anesthesiology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
  • Timsit JF; Department of Intensive Care Medicine, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
  • Vincent JL; Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN, 37203, USA.
  • Citerio G; Anesthesiology, Pain and Intensive Care Department, Federal University of São Paulo, São Paulo, Brazil.
Intensive Care Med ; 47(3): 282-291, 2021 Mar.
Article in English | MEDLINE | ID: covidwho-1092644
Semantic information from SemMedBD (by NLM)
1. COVID-19 AFFECTS cell transformation
Subject
COVID-19
Predicate
AFFECTS
Object
cell transformation
2. COVID-19 AFFECTS cell transformation
Subject
COVID-19
Predicate
AFFECTS
Object
cell transformation
ABSTRACT
Coronavirus disease 19 (COVID-19) has posed unprecedented healthcare system challenges, some of which will lead to transformative change. It is obvious to healthcare workers and policymakers alike that an effective critical care surge response must be nested within the overall care delivery model. The COVID-19 pandemic has highlighted key elements of emergency preparedness. These include having national or regional strategic reserves of personal protective equipment, intensive care unit (ICU) devices, consumables and pharmaceuticals, as well as effective supply chains and efficient utilization protocols. ICUs must also be prepared to accommodate surges of patients and ICU staffing models should allow for fluctuations in demand. Pre-existing ICU triage and end-of-life care principles should be established, implemented and updated. Daily workflow processes should be restructured to include remote connection with multidisciplinary healthcare workers and frequent communication with relatives. The pandemic has also demonstrated the benefits of digital transformation and the value of remote monitoring technologies, such as wireless monitoring. Finally, the pandemic has highlighted the value of pre-existing epidemiological registries and agile randomized controlled platform trials in generating fast, reliable data. The COVID-19 pandemic is a reminder that besides our duty to care, we are committed to improve. By meeting these challenges today, we will be able to provide better care to future patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Critical Care / Pandemics / COVID-19 Type of study: Controlled clinical trial / Randomized controlled trials Limits: Humans Language: English Journal: Intensive Care Med Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Critical Care / Pandemics / COVID-19 Type of study: Controlled clinical trial / Randomized controlled trials Limits: Humans Language: English Journal: Intensive Care Med Year: 2021 Document Type: Article