Anesthesia and Intensive Care, AOU Policlinico San Marco University Hospital, Catania, Italy.
Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Anaesthesia. 2020 Jun;75(6):724-732. doi: 10.1111/anae.15049. Epub 2020 Mar 30.
Novel coronavirus 2019 is a single-stranded, ribonucleic acid virus that has led to an international pandemic of coronavirus disease 2019. Clinical data from the Chinese outbreak have been reported, but experiences and recommendations from clinical practice during the Italian outbreak have not. We report the impact of the coronavirus disease 2019 outbreak on regional and national healthcare infrastructure. We also report on recommendations based on clinical experiences of managing patients throughout Italy. In particular, we describe key elements of clinical management, including: safe oxygen therapy; airway management; personal protective equipment; and non-technical aspects of caring for patients diagnosed with coronavirus disease 2019. Only through planning, training and team working will clinicians and healthcare systems be best placed to deal with the many complex implications of this new pandemic.
2019 年新型冠状病毒是一种单链核糖核酸病毒，导致了 2019 年冠状病毒病的国际大流行。已经报道了来自中国疫情的临床数据，但意大利疫情期间的临床实践经验和建议尚未报道。我们报告了 2019 年冠状病毒病疫情对区域和国家医疗保健基础设施的影响。我们还根据意大利各地管理患者的临床经验提出了建议。特别是，我们描述了临床管理的关键要素，包括：安全的氧疗；气道管理；个人防护设备；以及照顾确诊为 2019 年冠状病毒病患者的非技术方面。只有通过规划、培训和团队合作，临床医生和医疗保健系统才能最好地应对这一新的大流行所带来的诸多复杂影响。
