Treatment of critically ill COVID-19 patients: Practical guidelines

The coronavirus disease pandemic (2019) has burdened health systems around the world with a large number of severe patients in a short period of time. According to the law of large numbers, a significant number of critically ill COVID-19 patients appear in such conditions which require treatment in...

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Autor principal:	Stevanović Predrag
Formato:	article
Lenguaje:	EN SR
Publicado:	University of Belgrade, Medical Faculty 2021
Materias:	covid-19 critically ill patients intensive care circulatory and mechanical support Medicine R
Acceso en línea:	https://doaj.org/article/f055de4da0e9493d882b2c272c023990
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spelling	oai:doaj.org-article:f055de4da0e9493d882b2c272c0239902021-12-05T21:26:50ZTreatment of critically ill COVID-19 patients: Practical guidelines0369-15272466-552510.5937/mp72-33371https://doaj.org/article/f055de4da0e9493d882b2c272c0239902021-01-01T00:00:00Zhttps://scindeks-clanci.ceon.rs/data/pdf/0369-1527/2021/0369-15272103049S.pdfhttps://doaj.org/toc/0369-1527https://doaj.org/toc/2466-5525The coronavirus disease pandemic (2019) has burdened health systems around the world with a large number of severe patients in a short period of time. According to the law of large numbers, a significant number of critically ill COVID-19 patients appear in such conditions which require treatment in the intensive care unit. That percentage of those patients is around 3 - 5% in different countries. It is similar in Serbia; however, every rule has its exceptions. KBC "Dr Dragiša Mišović-Dedinje" in Belgrade has been determined to take care of the most difficult COVID-19 patients since the beginning of the epidemic due to its space, organizational and personnel possibilities. Out of the total number of patients treated in KBC "Dr Dragiša Mišović-Dedinje", about 25% of patients were treated in the intensive care unit for the above mentioned reasons. Guided by valid treatment protocols, Anesthesiology and Intensive Care clinic of the KBC "Dr Dragiša Mišović-Dedinje" has developed its own work protocols for rapid diagnosis, isolation and clinical management of such difficult patients. These protocols are important not only for the treatment of the most severe COVID-19 patients, but also for the best utilization of hospital resources, as well as for the prevention of the spread of the infection to the medical staff. Extensive experience in the treatment of critically ill patients was gained from the entire engagement during the epidemic, experienced doctors, anesthesiologists-intensivists with great knowledge in the field of work in the intensive care unit, but also managers of clinics and institutions, who can share their experience with health care policy makers. It is clear that in the future, the capacities and organization of work in the field of intensive care medicine should be redefined, as well as health workers should be trained to work in the most demanding field of medicine. Expert experience in the form of practical guidelines, derived from over fourteen months of continuous work in the red zone of COVID-19, where they fought for every breath of the patient, in this review are translated into simplified guidelines for orientation of those who find themselves in a similar situation.Stevanović PredragUniversity of Belgrade, Medical Facultyarticlecovid-19critically ill patientsintensive carecirculatory and mechanical supportMedicineRENSRMedicinski Podmladak, Vol 72, Iss 3, Pp 49-64 (2021)
institution	DOAJ
collection	DOAJ
language	EN SR
topic	covid-19 critically ill patients intensive care circulatory and mechanical support Medicine R
spellingShingle	covid-19 critically ill patients intensive care circulatory and mechanical support Medicine R Stevanović Predrag Treatment of critically ill COVID-19 patients: Practical guidelines
description	The coronavirus disease pandemic (2019) has burdened health systems around the world with a large number of severe patients in a short period of time. According to the law of large numbers, a significant number of critically ill COVID-19 patients appear in such conditions which require treatment in the intensive care unit. That percentage of those patients is around 3 - 5% in different countries. It is similar in Serbia; however, every rule has its exceptions. KBC "Dr Dragiša Mišović-Dedinje" in Belgrade has been determined to take care of the most difficult COVID-19 patients since the beginning of the epidemic due to its space, organizational and personnel possibilities. Out of the total number of patients treated in KBC "Dr Dragiša Mišović-Dedinje", about 25% of patients were treated in the intensive care unit for the above mentioned reasons. Guided by valid treatment protocols, Anesthesiology and Intensive Care clinic of the KBC "Dr Dragiša Mišović-Dedinje" has developed its own work protocols for rapid diagnosis, isolation and clinical management of such difficult patients. These protocols are important not only for the treatment of the most severe COVID-19 patients, but also for the best utilization of hospital resources, as well as for the prevention of the spread of the infection to the medical staff. Extensive experience in the treatment of critically ill patients was gained from the entire engagement during the epidemic, experienced doctors, anesthesiologists-intensivists with great knowledge in the field of work in the intensive care unit, but also managers of clinics and institutions, who can share their experience with health care policy makers. It is clear that in the future, the capacities and organization of work in the field of intensive care medicine should be redefined, as well as health workers should be trained to work in the most demanding field of medicine. Expert experience in the form of practical guidelines, derived from over fourteen months of continuous work in the red zone of COVID-19, where they fought for every breath of the patient, in this review are translated into simplified guidelines for orientation of those who find themselves in a similar situation.
format	article
author	Stevanović Predrag
author_facet	Stevanović Predrag
author_sort	Stevanović Predrag
title	Treatment of critically ill COVID-19 patients: Practical guidelines
title_short	Treatment of critically ill COVID-19 patients: Practical guidelines
title_full	Treatment of critically ill COVID-19 patients: Practical guidelines
title_fullStr	Treatment of critically ill COVID-19 patients: Practical guidelines
title_full_unstemmed	Treatment of critically ill COVID-19 patients: Practical guidelines
title_sort	treatment of critically ill covid-19 patients: practical guidelines
publisher	University of Belgrade, Medical Faculty
publishDate	2021
url	https://doaj.org/article/f055de4da0e9493d882b2c272c023990
work_keys_str_mv	AT stevanovicpredrag treatmentofcriticallyillcovid19patientspracticalguidelines
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Treatment of critically ill COVID-19 patients: Practical guidelines

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