International variation in the management of severe COVID-19 patients.
Crit Care
; 24(1): 486, 2020 08 05.
Artículo
en Inglés
| MEDLINE | ID: covidwho-695243
ABSTRACT
BACKGROUND:
There is little evidence to support the management of severe COVID-19 patients.METHODS:
To document this variation in practices, we performed an online survey (April 30-May 25, 2020) on behalf of the European Society of Intensive Care Medicine (ESICM). A case vignette was sent to ESICM members. Questions investigated practices for a previously healthy 39-year-old patient presenting with severe hypoxemia from COVID-19 infection.RESULTS:
A total of 1132 ICU specialists (response rate 20%) from 85 countries (12 regions) responded to the survey. The survey provides information on the heterogeneity in patient's management, more particularly regarding the timing of ICU admission, the first line oxygenation strategy, optimization of management, and ventilatory settings in case of refractory hypoxemia. Practices related to antibacterial, antiviral, and anti-inflammatory therapies are also investigated.CONCLUSIONS:
There are important practice variations in the management of severe COVID-19 patients, including differences at regional and individual levels. Large outcome studies based on multinational registries are warranted.Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Pautas de la Práctica en Medicina
/
Infecciones por Coronavirus
/
Cuidados Críticos
/
Internacionalidad
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Humanos
Idioma:
Inglés
Revista:
Crit Care
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
S13054-020-03194-w
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