为COVID-19大流行重症监护病房(icu)做好准备:从实际和战略角度考虑

Ning Maunah
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摘要

2019冠状病毒病(COVID-19)已发展成为全球大流行。2019年冠状病毒病(COVID-19)疫情给全球卫生保健系统带来了重大挑战。建立重症监护病房是任何大流行应对措施的关键组成部分。我们在这篇综述中讨论了ICU准备的关键原则和策略。此外,我们还描述了疫情的早期阶段,并讨论了遇到的一些困难。为确保重症监护病房服务的可持续性,我们提出以下建议:1)制定和实施快速识别和隔离方案,并增加重症监护病房床位容量;(2)提供一支以感染控制为重点的可持续劳动力队伍;(3)确保有足够的物资装备重症监护室并保护卫生工作者;(4)保持临床质量管理和有效沟通。
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PREPARING THE INTENSIVE CARE UNIT (ICU) FOR THE COVID-19 PANDEMIC: WITH PRACTICAL AND STRATEGIC CONSIDERATIONS
Coronavirus Disease 2019 (COVID-19) has developed into a global pandemic. The coronavirus disease outbreak of 2019 (COVID-19) has posed significant challenges for healthcare systems worldwide. The establishment of an intensive care unit (ICU) is a critical component of any pandemic response. We discuss the critical principles and strategies for ICU readiness in this review. Additionally, we describe the early stages of our outbreak and discuss some of the difficulties encountered. To ensure the sustainability of intensive care unit services, we propose the following: 1) develop and implement rapid identification and isolation protocols, as well as increase ICU bed capacity; (2) provide a sustainable workforce with an infection control focus; (3) ensure adequate supplies to equip ICUs and protect health workers; and (4) maintain clinical quality of management and effective communication.
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