重症监护室在 COVID-19 大流行中的适应性:经验教训。

Anwar Khedr, David Rokser, Jeanine Borge, Hannah Rushing, Greta Zoesch, Wade Johnson, Han-Yin Wang, April Lanz, Brian N Bartlett, Jessica Poehler, Salim Surani, Syed A Khan
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引用次数: 0

摘要

2019 年冠状病毒疾病大流行对世界各地的医疗保健系统产生了有害影响。为了提高重症监护病房(ICU)的床位容量,必须进行多种调整,以提高快速部署能力。在这篇社论中,我们展示了美国中西部一家社区医院重症监护室所做的改变。这些变化包括将过去在重症监护室管理的病人转移到渐进式护理病房,如需要无创通气和高流量鼻插管的病人、ST 段抬高心肌梗死病人和神经外科术后病人。此外,还在氧气供需评估、病人护理巡视和重症监护室术后监测等流程中采用了更新的策略。
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Intensive care unit adaptations in the COVID-19 pandemic: Lessons learned.

The coronavirus disease 2019 pandemic had deleterious effects on the healthcare systems around the world. To increase intensive care units (ICUs) bed capacities, multiple adaptations had to be made to increase surge capacity. In this editorial, we demonstrate the changes made by an ICU of a midwest community hospital in the United States. These changes included moving patients that used to be managed in the ICU to progressive care units, such as patients requiring non-invasive ventilation and high flow nasal cannula, ST-elevation myocardial infarction patients, and post-neurosurgery patients. Additionally, newer tactics were applied to the processes of assessing oxygen supply and demand, patient care rounds, and post-ICU monitoring.

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