Juneja Deven, Savio Raymond D, Srinivasan Shrikanth, Pandit Rahul A, Ramasubban Suresh, Reddy Pavan K, Singh Manoj K, Gopal Palepu Bn, Chaudhry Dhruva, Govil Deepak, Dixit Subhal B, Samavedam Srinivas
Institute of Critical Care Medicine, Max Super Speciality Hospital, New Delhi, India.
Department of Critical Care Medicine, Apollo Hospitals, Chennai, Tamil Nadu, India.
Indian J Crit Care Med. 2020 Nov;24(Suppl 5):S254-S262. doi: 10.5005/jp-journals-10071-23593.
In a resource-limited country like India, rationing of scarce critical care resources might be required to ensure appropriate delivery of care to the critically ill patients suffering from COVID-19 infection. Most of these patients require critical care support because of respiratory failure or presence of multiorgan dysfunction syndrome. As there is no pharmacological therapy available, respiratory support in the form of supplemental oxygen, noninvasive ventilation, and invasive mechanical ventilation remains mainstay of care in intensive care units. As there is still dearth of direct evidence, most of the data are extrapolated from the experience gained from the management of general critical care patients. Juneja D, Savio RD, Srinivasan S, Pandit RA, Ramasubban S, Reddy PK, Basic Critical Care for Management of COVID-19 Patients: Position Paper of the Indian Society of Critical Care Medicine, Part II. Indian J Crit Care Med 2020;24(Suppl 5):S254-S262.
在像印度这样资源有限的国家，可能需要对稀缺的重症监护资源进行配给，以确保为患有新冠病毒感染的重症患者提供适当的护理。这些患者中的大多数因呼吸衰竭或存在多器官功能障碍综合征而需要重症监护支持。由于没有可用的药物治疗方法，以补充氧气、无创通气和有创机械通气形式的呼吸支持仍然是重症监护病房护理的主要手段。由于仍然缺乏直接证据，大多数数据是从一般重症监护患者管理经验中推断出来的。Juneja D、Savio RD、Srinivasan S、Pandit RA、Ramasubban S、Reddy PK，《新冠病毒感染患者管理的基础重症监护：印度重症监护医学学会立场文件，第二部分》。《印度重症监护医学杂志》2020年；24（增刊5）：S254 - S262。
