• Medicina intensiva · Oct 2020

    Practice Guideline

    Clinical consensus recommendations regarding non-invasive respiratory support in the adult patient with acute respiratory failure secondary to SARS-CoV-2 infection.

    • César Cinesi Gómez, Óscar Peñuelas Rodríguez, Manel Luján Torné, Carlos Egea Santaolalla, Juan Fernando Masa Jiménez, Javier García Fernández, José Manuel Carratalá Perales, Sarah Béatrice Heili-Frades, Miquel Ferrer Monreal, José M de Andrés Nilsson, Eva Lista Arias, Juan Luis Sánchez Rocamora, José Ignacio Garrote, Miguel J Zamorano Serrano, Mónica González Martínez, Eva Farrero Muñoz, Olga Mediano San Andrés, Gemma Rialp Cervera, Arantxa Mas Serra, Gonzalo Hernández Martínez, Candelaria de Haro López, Oriol Roca Gas, Ferrer Roca Ricard R Servicio de Medicina Intensiva, Hospital Universitario Vall d'Hebron. Shock, Organ Dysfunction and Resuscitation Research Group, Vall d'Hebron Instit, Antonio Romero Berrocal, and Carlos Ferrando Ortola.
    • Dirección General de Asistencia Sanitaria, Servicio Murciano de Salud. Director del Máster Oficial en Medicina de Urgencias y Emergencias, Murcia, España.
    • Med Intensiva. 2020 Oct 1; 44 (7): 429-438.

    AbstractCoronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly emergent coronavirus, that was first recognized in Wuhan, China, in December 2019. Currently, the World Health Organization (WHO) has defined the infection as a global pandemic and there is a health and social emergency for the management of this new infection. While most people with COVID-19 develop only mild or uncomplicated illness, approximately 14% develop severe disease that requires hospitalization and oxygen support, and 5% require admission to an intensive care unit. In severe cases, COVID-19 can be complicated by the acute respiratory distress syndrome (ARDS), sepsis and septic shock, and multiorgan failure. This consensus document has been prepared on evidence-informed guidelines developed by a multidisciplinary panel of health care providers from four Spanish scientific societies (Spanish Society of Intensive Care Medicine [SEMICYUC], Spanish Society of Pulmonologists [SEPAR], Spanish Society of Emergency [SEMES], Spanish Society of Anesthesiology, Reanimation, and Pain [SEDAR]) with experience in the clinical management of patients with COVID-19 and other viral infections, including SARS, as well as sepsis and ARDS. The document provides clinical recommendations for the noninvasive respiratory support (noninvasive ventilation, high flow oxygen therapy with nasal cannula) in any patient with suspected or confirmed presentation of COVID-19 with acute respiratory failure. This consensus guidance should serve as a foundation for optimized supportive care to ensure the best possible chance for survival and to allow for reliable comparison of investigational therapeutic interventions as part of randomized controlled trials.Copyright © 2020 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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