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Adult Pulmonary Intensive and Intermediate Care Units: The Italian Thoracic Society (ITS-AIPO) Position Paper.
Renda, Teresa; Scala, Raffaele; Corrado, Antonio; Ambrosino, Nicolino; Vaghi, Adriano.
  • Renda T; Cardio-Thoracic and Vascular Department, Respiratory and Critical Care Unit, Careggi University Hospital, Florence, Italy.
  • Scala R; Cardio-Neuro-Thoracic and Metabolic Department, Pulmonology and Respiratory Intensive Care Unit, Arezzo, Italy.
  • Corrado A; Pneumology Centre, Sesto Fiorentino, Florence, Italy.
  • Ambrosino N; Respiratory Rehabilitation Unit of the Institute of Montescano, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
  • Vaghi A; President of Italian Thoracic Society, Italian Association of Hospital Pulmonologists (ITS-AIPO), Milan, Italy.
Respiration ; 100(10): 1027-1037, 2021.
Article in English | MEDLINE | ID: covidwho-1261221
ABSTRACT
The imbalance between the prevalence of patients with acute respiratory failure (ARF) and acute-on-chronic respiratory failure and the number of intensive care unit (ICU) beds requires new solutions. The increasing use of non-invasive respiratory tools to support patients at earlier stages of ARF and the increased expertise of non-ICU clinicians in other types of supportive care have led to the development of adult pulmonary intensive care units (PICUs) and pulmonary intermediate care units (PIMCUs). As in other European countries, Italian PICUs and PIMCUs provide an intermediate level of care as the setting designed for managing ARF patients without severe non-pulmonary dysfunction. The PICUs and PIMCUs may also act as step-down units for weaning patients from prolonged mechanical ventilation and for discharging patients still requiring ventilatory support at home. These units may play an important role in the on-going coronavirus disease 2019 pandemic. This position paper promoted by the Italian Thoracic Society (ITS-AIPO) describes the models, facilities, staff, equipment, and operating methods of PICUs and PIMCUs.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Insufficiency / Respiratory Therapy / Critical Care / COVID-19 / Intensive Care Units / Intermediate Care Facilities Type of study: Observational study Topics: Long Covid Limits: Adult / Humans Country/Region as subject: Europa Language: English Journal: Respiration Year: 2021 Document Type: Article Affiliation country: 000516332

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Insufficiency / Respiratory Therapy / Critical Care / COVID-19 / Intensive Care Units / Intermediate Care Facilities Type of study: Observational study Topics: Long Covid Limits: Adult / Humans Country/Region as subject: Europa Language: English Journal: Respiration Year: 2021 Document Type: Article Affiliation country: 000516332