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Recommendations for treatment of critically ill patients with COVID-19 : Version 3 S1 guideline.
Kluge, S; Janssens, U; Welte, T; Weber-Carstens, S; Schälte, G; Salzberger, B; Gastmeier, P; Langer, F; Welper, M; Westhoff, M; Pfeifer, M; Hoffmann, F; Böttiger, B W; Marx, G; Karagiannidis, C.
  • Kluge S; Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin (DGIIN), Berlin, Germany. skluge@uke.de.
  • Janssens U; Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin (DIVI), Berlin, Germany. skluge@uke.de.
  • Welte T; Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (DGP), Berlin, Germany. skluge@uke.de.
  • Weber-Carstens S; ARDS Netzwerk Deutschland, Berlin, Germany. skluge@uke.de.
  • Schälte G; Klinik für Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany. skluge@uke.de.
  • Salzberger B; Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin (DGIIN), Berlin, Germany.
  • Gastmeier P; Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin (DIVI), Berlin, Germany.
  • Langer F; ARDS Netzwerk Deutschland, Berlin, Germany.
  • Welper M; Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin (DGIIN), Berlin, Germany.
  • Westhoff M; Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (DGP), Berlin, Germany.
  • Pfeifer M; ARDS Netzwerk Deutschland, Berlin, Germany.
  • Hoffmann F; Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin (DIVI), Berlin, Germany.
  • Böttiger BW; Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI), Nürnberg, Germany.
  • Marx G; ARDS Netzwerk Deutschland, Berlin, Germany.
  • Karagiannidis C; Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI), Nürnberg, Germany.
Anaesthesist ; 70(Suppl 1): 19-29, 2021 12.
Article in English | MEDLINE | ID: covidwho-1958962
ABSTRACT
Since December 2019 a novel coronavirus (severe acute respiratory syndrome coronavirus 2, SARS-CoV-2) has rapidly spread around the world resulting in an acute respiratory illness pandemic. The immense challenges for clinicians and hospitals as well as the strain on many healthcare systems has been unprecedented.The majority of patients present with mild symptoms of coronavirus disease 2019 (COVID-19); however, 5-8% become critically ill and require intensive care treatment. Acute hypoxemic respiratory failure with severe dyspnea and an increased respiratory rate (>30/min) usually leads to intensive care unit (ICU) admission. At this point bilateral pulmonary infiltrates are typically seen. Patients often develop a severe acute respiratory distress syndrome (ARDS).So far, remdesivir and dexamethasone have shown clinical effectiveness in severe COVID-19 in hospitalized patients. The main goal of supportive treatment is to ascertain adequate oxygenation. Invasive mechanical ventilation and repeated prone positioning are key elements in treating severely hypoxemic COVID-19 patients.Strict adherence to basic infection control measures (including hand hygiene) and correct use of personal protection equipment (PPE) are essential in the care of patients. Procedures that lead to formation of aerosols should be carried out with utmost precaution and preparation.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prognostic study Limits: Humans Language: English Journal: Anaesthesist Year: 2021 Document Type: Article Affiliation country: S00101-020-00879-3

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Prognostic study Limits: Humans Language: English Journal: Anaesthesist Year: 2021 Document Type: Article Affiliation country: S00101-020-00879-3