COVID-19 grave

Este capítulo sobre COVID-19 grave no hospital / UTI ainda está em construção. Por enquanto, veja as seguintes recomendações.

Checklists para hospitais

European Centre for Disease Prevention and Control. Checklist for hospitals preparing for the reception and care of coronavirus 2019 (COVID-19) patients. ECDC: Stockholm; 2020. https://www.ecdc.europa.eu/sites/default/files/documents/covid-19-checklist-hospitals-preparing-reception-care-coronavirus-patients.pdf

Adimissão de doentes na UCI

Swiss Society Of Intensive Care Medicine. Recommendations for the admission of patients with COVID-19 to intensive care and intermediate care units (ICUs and IMCUs). Swiss Med Wkly. 2020 Mar 24;150:w20227.
Full-text: https://doi.org/10.4414/smw.2020.20227

 

Gestão de doentes críticos

Excelente atualização detalhada para anestesiologistas e os que trabalham nos cuidados intensivos:

Thomas-Ruddel D, Winning J, Dickmann P, et al. Coronavirus disease 2019 (COVID-19): update for anesthesiologists and intensivists March 2020. Anaesthesist. 2020 Mar 24. Full-text: https://doi.org/10.1007/s00101-020-00760-3

 

Recomendações práticas detalhadas baseadas em experiências em Itália. Elementos-Chave de coordenação clínica, gestão dos ventiladores, do equipamento de proteção pessoal e aspetos não técnicos:

Sorbello M, El-Boghdadly K, Di Giacinto I, et al. The Italian COVID-19 outbreak: experiences and recommendations from clinical practice. Anaesthesia. 2020 Mar 27. Abstract: https://pubmed.gov/32221973. Fulltext: https://doi.org/10.1111/anae.15049

 

Breves recomendações sobre as opções terapêuticas para o Síndrome de Dificuldade Respiratória Agudo:

Matthay MA, Aldrich JM, Gotts JE. Treatment for severe acute respiratory distress syndrome from COVID-19. Lancet Respir Med. 2020 Mar 20. pii: S2213-2600(20)30127-2. Abstract: https://pubmed.gov/32203709. Fulltext: https://doi.org/10.1016/S2213-2600(20)30127-2

 

Breves recomendações, feitas pela Campanha Sobreviver à Sépsis

Poston JT, Patel BK, Davis AM. Management of Critically Ill Adults With COVID-19. JAMA. 2020 Mar 26. Full-text: https://doi.org/10.1001/jama.2020.4914

 

Recomendações pragmáticas de Itália sobre ventilação mecânica e tratamento da sépsis: https://www.esicm.org/blog

Entubação endotraqueal, gestão das vias aéreas e segurança do operador

Cook TM, El-Boghdadly K, McGuire B, McNarry AF, Patel A, Higgs A. Consensus guidelines for managing the airway in patients with COVID-19. Anaesthesia. 2020 Mar 27. Abstract: https://pubmed.gov/32221970. Full-text: https://doi.org/10.1111/anae.15054

Luo M, Cao S, Wei L, et al. Precautions for Intubating Patients with COVID-19. Anesthesiology. 2020 Mar 19. Abstract: https://pubmed.gov/32195703. Full-text: https://doi.org/10.1097/ALN.0000000000003288

Cheung JC, Ho LT, Cheng JV, Cham EYK, Lam KN. Staff safety during emergency airway management for COVID-19 in Hong Kong. Lancet Respir Med. 2020 Feb 24. pii: S2213-2600(20)30084-9.
Full-text: https://doi.org/10.1016/S2213-2600(20)30084-9

Triagem para tratamento em cuidados intensivos

Swiss Academy Of Medical Sciences. COVID-19 pandemic: triage for intensive-care treatment under resource scarcity. Swiss Med Wkly. 2020 Mar 24;150:w20229. Abstract: https://pubmed.gov/32208495. https://doi.org/10.4414/smw.2020.20229

 

Procedimentos

Recomendações pragmáticas do tratamento médico no departamento de radiologia

An P, Ye Y, Chen M, Chen Y, Fan W, Wang Y. Management strategy of novel coronavirus (COVID-19) pneumonia in the radiology department: a Chinese experience. Diagn Interv Radiol. 2020 Mar 25. Abstract: https://pubmed.gov/32209526.
Full-text: https://doi.org/10.5152/dir.2020.20167

 

Breve fluxo de trabalho na prevenção da tansmissão  do SARS-CoV-2 no centro de endoscopia

Zhang Y, Zhang X, Liu L, Wang H, Zhao Q. Suggestions for infection prevention and control in digestive endoscopy during current 2019-nCoV pneumonia outbreak in Wuhan, Hubei province, China. Endoscopy. 2020 Apr;52(4):312-314. PubMed: https://pubmed.gov/32212122. Full-text: https://doi.org/10.1055/a-1128-4313

 

Como fazer uma traqueostomia

Tay JK, Koo ML, Loh WS. Surgical Considerations for Tracheostomy During the COVID-19 PandemicLessons Learned From the Severe Acute Respiratory Syndrome Outbreak. JAMA Otolaryngol Head Neck Surg. Published online March 31, 2020. https://doi.org/10.1001/jamaoto.2020.0764

 

Recomendações para a realização de autópsias

Hanley B, Lucas SB, Youd E, Swift B, Osborn M. Autopsy in suspected COVID-19 cases. J Clin Pathol. 2020 Mar 20. pii: jclinpath-2020-206522. Abstract: https://pubmed.gov/32198191.
Full-text: https://doi.org/10.1136/jclinpath-2020-206522

 

European Centre for Disease Prevention and Control. Considerations related to the safe handling of bodies of deceased persons with suspected or confirmed COVID-19. Stockholm: ECDC; 2020. https://www.ecdc.europa.eu/sites/default/files/documents/COVID-19-safe-handling-of-bodies-or-persons-dying-from-COVID19.pdf