Bennett Jonathan, Munavvar Mohammmed, Walker Paul, Phillips Gerrard
British Thoracic Society, London, UK.
Federation of Royal Colleges of Physicians of the UK, London, UK
Clin Med (Lond). 2020 May 15;20(3):251-255. doi: 10.7861/clinmed.2020-0188.
COVID-19, the disease caused by the SARS-CoV-2 beta-coronavirus, has changed clinical practice in a matter of weeks. Among the physician specialties, respiratory physicians have been at the forefront of the response to this new challenge. Here we provide advice for non-respiratory physicians on the ward-based care of patients with this disease. This includes recommendations on hydration, thromboprophylaxis, nutritional support and on the importance of the early detection of deterioration, setting ceilings of care and use of anticipatory drugs where appropriate. We also discuss oxygen support modalities, proning, safe working practices and a new approach to multi-professional working. We include references to a number of important research studies.
新型冠状病毒肺炎(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)这一β冠状病毒引起的疾病,在短短几周内改变了临床实践。在各个医师专业领域中,呼吸内科医师一直处于应对这一新挑战的前沿。在此,我们为非呼吸内科医师提供关于该疾病患者病房护理的建议。这包括关于补液、血栓预防、营养支持的建议,以及早期发现病情恶化、设定护理上限和在适当情况下使用预激药物的重要性。我们还讨论了氧疗支持方式、俯卧位通气、安全工作规范以及多专业协作的新方法。我们引用了一些重要的研究。