Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19).
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Alhazzani Waleed, Møller Morten Hylander, Arabi Yaseen M, Loeb Mark, Gong Michelle Ng, Fan Eddy, Oczkowski Simon, Levy Mitchell M, Derde Lennie, Dzierba Amy, Du Bin, Aboodi Michael, Wunsch Hannah, Cecconi Maurizio, Koh Younsuck, Chertow Daniel S, Maitland Kathryn, Alshamsi Fayez, Belley-Cote Emilie, Greco Massimiliano, Laundy Matthew, Morgan Jill S, Kesecioglu Jozef, McGeer Allison, Mermel Leonard, Mammen Manoj J, Alexander Paul E, Arrington Amy, Centofanti John E, Citerio Giuseppe, Baw Bandar, Memish Ziad A, Hammond Naomi, Hayden Frederick G, Evans Laura, Rhodes Andrew
Аннотация
METHODS: We formed a panel of 36 experts from 12 countries. All panel members completed the World Health Organization conflict of interest disclosure form. The panel proposed 53 questions that are relevant to the management of COVID-19 in the ICU. We searched the literature for direct and indirect evidence on the management of COVID-19 in critically ill patients in the ICU. We identified relevant and recent systematic reviews on most questions relating to supportive care. We assessed the certainty in the evidence using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, then generated recommendations based on the balance between benefit and harm, resource and cost implications, equity, and feasibility. Recommendations were either strong or weak, or in the form of best practice recommendations.
RESULTS: The Surviving Sepsis Campaign COVID-19 panel issued 54 statements, of which four are best practice statements, nine are strong recommendations, and 35 are weak recommendations. No recommendation was provided for six questions. The topics were: 1) infection control, 2) laboratory diagnosis and specimens, 3) hemodynamic support, 4) ventilatory support, and 5) COVID-19 therapy.
CONCLUSION: The Surviving Sepsis Campaign COVID-19 panel issued several recommendations to help support healthcare workers caring for critically ill ICU patients with COVID-19. When available, we will provide new evidence in further releases of these guidelines.