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- Silvio A Ñamendys-Silva and Guillermo Domínguez Cherit.
- Instituto Nacional de Cancerología, Department of Intensive Therapy. Mexico City, Mexico.
- Gac Med Mex. 2020 Jan 1; 156 (3): 246-248.
AbstractExcept for pregnant women, the management of critically ill patients with COVID-19 during the pandemic includes the standard procedures that are used for any patient that requires to be attended to at the intensive care unit, as well as limited administration of crystalloid solutions, orotracheal intubation, invasive mechanical ventilation in the event of patient clinical deterioration, and muscle relaxants continuous infusion only if necessary. Non-invasive mechanical ventilation and high-flow oxygen therapy are not recommended due to the generation of aerosol (associated with risk of viral spread among health personnel), and neither is extracorporeal membrane oxygenation or the use of steroids. So far, there is no specific antiviral treatment for patients with COVID-19, and neither are there results of controlled trials supporting the use of any.Copyright: © 2020 Permanyer.
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