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意大利北部某急诊科 COVID-19 患者无创通气支持流程图。

Flowchart for non-invasive ventilation support in COVID-19 patients from a northern Italy Emergency Department.

机构信息

Dipartimento Emergenza Urgenza - Pronto Soccorso, ASST Grande Ospedale Metropolitano Niguarda, Piazza dell'Ospedale Maggiore 3, 20162, Milan, Italy.

出版信息

Intern Emerg Med. 2020 Aug;15(5):767-771. doi: 10.1007/s11739-020-02370-8. Epub 2020 May 20.

DOI:10.1007/s11739-020-02370-8
PMID:32435934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7238716/
Abstract

With the rapid pandemic spread of the novel coronavirus (SARS-CoV2), Emergency Departments of affected countries are facing an increasing number of patients presenting with hypoxemic respiratory failure due to coronavirus disease 2019 (COVID-19). Providing mechanical support and endotracheal intubation can be challenging due to a number of patients larger than usual, often exceeding available resources. Considering the lack of recommendations available, we developed a flowchart to standardize the first approach to patients presenting to the Emergency Department with hypoxemic respiratory failure due to COVID-19.

摘要

随着新型冠状病毒(SARS-CoV2)的迅速流行,受影响国家的急诊科正面临越来越多因 2019 年冠状病毒病(COVID-19)而出现低氧性呼吸衰竭的患者。由于患者数量通常超过可用资源,因此提供机械支持和气管插管可能具有挑战性。考虑到缺乏可用的建议,我们制定了一个流程图,以规范因 COVID-19 出现低氧性呼吸衰竭而到急诊科就诊的患者的初步处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a387/7238716/6094c68129fb/11739_2020_2370_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a387/7238716/6094c68129fb/11739_2020_2370_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a387/7238716/6094c68129fb/11739_2020_2370_Fig1_HTML.jpg

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2
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J Educ Health Promot. 2023 May 31;12:178. doi: 10.4103/jehp.jehp_36_23. eCollection 2023.
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