Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting.
Eur Clin Respir J
; 7(1): 1761677, 2020 May 28.
Article
em En
| MEDLINE
| ID: mdl-33224450
ABSTRACT
INTRODUCTION:
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has presented health-care systems worldwide with novel challenges and experiences and evidence is emerging during the pandemic. Patients requiring hospitalization frequently suffer from respiratory failure of different severities.AIM:
The aim of this guideline is the treatment of patients with SARS CoV-2 (COVID-19) in hospital; in particular, it addresses the treatment of respiratory failure treated in general Internal Medical- and Pulmonary Medical wards.RESULTS:
Elderly patients and patients with chronic disease are particularly vulnerable to COVID-19. Target oxygen saturation should be between 92% and 96% in patients without chronic lung diseases. Treatment with >5 L oxygen/min should be in close collaboration with intensive care colleagues and >15 l/min preferably in intensive care units. High-flow nasal canula (HFNC) and long-term Continuous Positive Airway Pressure (CPAP) are recommended for patients not responding to conventional oxygen therapy. Non-invasive ventilation (NIV) is only recommended for selected patients, such as those with a ceiling of treatment or patients presenting with hypercapnic failure. With the use of humidification protective equipment as FFP2-3 masks should be used. Nebulized medication should be avoided, and spacers should be used instead.CONCLUSION:
Respiratory failure is frequently the cause of hospitalization in patients with COVID-19 and should be monitored closely.
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MEDLINE
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En
Ano de publicação:
2020
Tipo de documento:
Article