Pande Rajesh K, Bhalla Ashish, Myatra Sheila N, Yaddanpuddi Lakshmi N, Gupta Sachin, Sahoo Tapas K, Prakash Ravi, Sahu Tarun A, Jain Akansha, Gopal Palepu Bn, Chaudhry Dhruva, Govil Deepak, Dixit Shubhal, Samavedam Srinivas
Department of Critical Care Medicine, BLK Center for Critical Care, BLK Superspeciality Hospital, New Delhi, India.
Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Crit Care Med. 2020 Nov;24(Suppl 5):S263-S271. doi: 10.5005/jp-journals-10071-23597.
The number of cases with novel coronavirus disease-2019 (COVID-19) infection is increasing every day in the world, and India contributes a substantial proportion of this burden. Critical care specialists have accepted the challenges associated with the COVID-19 pandemic and are frontline warriors in this war. They have worked hard in streamlining workflow isolation of positive patients, clinical management of critically ill patients, and infection prevention practices. With no end in sight for this pandemic, intensive care unit (ICU) practitioners, hospital administrators, and policy makers have to join hands to prepare for the surge in critical care bed capacity. In this position article, we offer several suggestions on important interventions to the ICU practitioners for better management of critically ill patients. This position article highlights key interventions for COVID-19 treatment and covers several important issues such as endotracheal intubation and tracheostomy (surgical vs PCT), nebulization, bronchoscopy, and invasive procedures such as central venous catheters, arterial lines, and HD catheters. Pande RK, Bhalla A, SN Myatra, Yaddanpuddi LN, Gupta S, Sahoo TK, . Procedures in COVID-19 Patients: Part-I. Indian J Crit Care Med 2020;24(Suppl 5):S263-S271.
2019年新型冠状病毒病（COVID-19）感染病例数在全球每天都在增加，印度在这一负担中占相当大的比例。重症监护专家已经接受了与COVID-19大流行相关的挑战，并且是这场战争中的一线战士。他们在优化阳性患者的工作流程隔离、重症患者的临床管理以及感染预防措施方面付出了努力。由于这场大流行看不到尽头，重症监护病房（ICU）从业者、医院管理人员和政策制定者必须携手为重症监护床位容量的激增做好准备。在这篇立场文章中，我们就重要干预措施向ICU从业者提出了几点建议，以更好地管理重症患者。这篇立场文章强调了COVID-19治疗的关键干预措施，并涵盖了几个重要问题，如气管插管和气管切开术（手术与经皮扩张气管切开术）、雾化、支气管镜检查以及诸如中心静脉导管、动脉导管和血液透析导管等侵入性操作。Pande RK、Bhalla A、SN Myatra、Yaddanpuddi LN、Gupta S、Sahoo TK等。COVID-19患者的操作：第一部分。《印度重症监护医学杂志》2020年；24（增刊5）：S263 - S271。
