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Rev Assoc Med Bras (1992) · Aug 2020
A pragmatic approach and treatment of coronavirus disease 2019 (COVID-19) in intensive care unit.
- Sergio Henrique Loss, Diego Leite Nunes, Oellen Stuani Franzosi, and Cassiano Teixeira.
- . Médico Intensivista, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brasil.
- Rev Assoc Med Bras (1992). 2020 Aug 1; 66 (8): 1157-1163.
AbstractThere is a new global pandemic that emerged in China in 2019 that is threatening different populations with severe acute respiratory failure. The disease has enormous potential for transmissibility and requires drastic governmental measures, guided by social distancing and the use of protective devices (gloves, masks, and facial shields). Once the need for admission to the ICU is characterized, a set of essentially supportive therapies are adopted in order to offer multi-organic support and allow time for healing. Typically, patients who require ventilatory support have bilateral infiltrates in the chest X-ray and chest computed tomography showing ground-glass pulmonary opacities and subsegmental consolidations. Invasive ventilatory support should not be postponed in a scenario of intense ventilatory distress. The treatment is, in essence, supportive.
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