Quản lý bệnh nhân COVID-19 nặng

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Phiên bản Tiếng Việt:
Khanh Phan Nguyen Quoc
Ha Xuan Nam
Kim Le Thi Anh

 

Chương này đề cập về việc quản lý bệnh nhân COVID-19 nặng tại bệnh viện/ đơn vị hồi sức tích cực (ICU) sẽ sớm được công bố. Trong thời gian này, vui lòng xem qua các khuyến cáo và bài báo chính bên dưới.

Bảng kiểm cho bệnh viện

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

Bệnh nhân chuyển vào khoa hồi sức tích cực

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. Fulltext: https://doi.org/10.4414/smw.2020.20227

Quản lý bệnh nhân ốm nặng

 

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. Fulltext: https://doi.org/10.1007/s00101-020-00760-3

Outstanding update for anesthesiologists and those working in intensive care.

 

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. PubMed: https://pubmed.gov/32221973. Fulltext: https://doi.org/10.1111/anae.15049

Khuyến nghị thực hành chi tiết, dựa trên kinh nghiệm ở Ý. Các yếu tố chính của quản lý lâm sàng, kiểm soát đường thở, đồ bảo hộ cá nhân và các khía cạnh phi kỹ thuật.

 

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

Các khuyến nghị ngắn, được thực hiện bởi Surviving Sepsis Campaign.

 

Thêm đánh giá, các tổng quan cụ thể về các vấn đề của bệnh nhân nặng

Berlin DA, Gulick RM, Martinez FJ. Severe Covid-19. May 15, 2020. DOI: 10.1056/NEJMcp2009575. Full-text: https://www.nejm.org/doi/full/10.1056/NEJMcp2009575?query=featured_home

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

Moore JB, June CH. Cytokine release syndrome in severe COVID-19. Science  17 Apr 2020: eabb8925. DOI: 10.1126/science.abb8925. Fulltext: https://science.sciencemag.org/content/early /2020/04/16/science.abb8925

Smereka J, Puslecki M, Ruetzler K, et al. Extracorporeal membrane oxygenation in COVID-19. Cardiol J. 2020 Apr 14. PubMed: https://pubmed.gov/32285929. Full-text: https://doi.org/10.5603/CJ.a2020.0053.

Stam HJ, Stucki G, Bickenbach J. Covid-19 and Post Intensive Care Syndrome: A Call for Action. J Rehabil Med. 2020 Apr 14. PubMed: https://pubmed.gov/32286675. Full-text: https://doi.org/10.2340/16501977-2677.

Telias I, Katira BH, Brochard L, et al. Is the Prone Position Helpful During Spontaneous Breathing in Patients With COVID-19? JAMA. Published online May 15, 2020. doi:10.1001/jama.2020.8539.

Wadman M, Couzin-Frankel J, Kaiser J, et al. A rampage through the body. Science  24 Apr 2020: Vol. 368, Issue 6489, pp. 356-360. DOI: 10.1126/science.368.6489.356. Full-text: https://science.sciencemag.org/content/368/6489/356

 

Đặt nội khí quản, nội soi phế quản, kiểm soát đường thở và an toàn cho nhân viên y tế

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. Fulltext: https://doi.org/10.1016/S2213-2600(20)30084-9

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. PubMed: https://pubmed.gov/32221970. Fulltext: https://doi.org/10.1111/anae.15054

Lentz RJ, Colt H. Summarizing societal guidelines regarding bronchoscopy during the COVID-19 pandemic. Respirology. 2020 Apr 11. PubMed: https://pubmed.gov/32277733. Full-text: https://doi.org/10.1111/resp.13824.

Loftus RW, Dexter F, Parra MC, Brown JR. Importance of oral and nasal decontamination for patients undergoing anesthetics during the COVID-19 era. Anesth Analg. 2020 Apr 3. PubMed: https://pubmed.gov/32250978. Full-text: https://doi.org/10.1213/ANE.0000000000004854.

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

Lyons C, Callaghan M. The use of high-flow nasal oxygen in COVID-19. Anaesthesia. 2020 Apr 4. PubMed: https://pubmed.gov/32246843. Full-text: https://doi.org/10.1111/anae.15073.

Marini JJ, Gattinoni L. Management of COVID-19 Respiratory Distress. JAMA. 2020 Apr 24. pii: 2765302. PubMed: https://pubmed.gov/32329799. Full-text: https://doi.org/10.1001/jama.2020.6825

Schünemann HJ, Khabsa J, Solo K, et al. Ventilation Techniques and Risk for Transmission of Coronavirus Disease, Including COVID-19. A Living Systematic Review of Multiple Streams of Evidence. Ann Int Med 2020, May 22. https://doi.org/10.7326/M20-2306. Full-text: https://www.acpjournals.org/doi/10.7326/M20-2306

Phân tầng nguy cơ trong điều trị hồi sức tích cực

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

Các thủ thuật

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. PubMed: https://pubmed.gov/32209526.  Fulltext: https://doi.org/10.5152/dir.2020.20167

Các khuyến cáo thực hành về việc chăm sóc bệnh nhân ở khoa chẩn đoán hình ảnh.

 

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

Quy trình làm việc ngắn gọn nhằm phòng ngừa lây nhiễm SARS-CoV-2 tại trung tâm nội soi.

 

Casini A, Alberio L, Angelillo-Scherrer A, et al. Thromboprophylaxis and laboratory monitoring for in-hospital patients with Covid-19 – a Swiss consensus statement by the Working Party Hemostasis. Swiss Med Wkly. 2020 Apr 11;150:w20247. PubMed: https://pubmed.gov/32277760. Full-text: https://doi.org/10.4414/smw.2020.20247

Dự phòng huyết khối và theo dõi các xét nghiệm.

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. Full-text: https://doi.org/10.1001/jamaoto.2020.0764

Cách thực hiện mở khí quản

 

Hanley B, Lucas SB, Youd E, Swift B, Osborn M. Autopsy in suspected COVID-19 cases. J Clin Pathol. 2020 Mar 20. PubMed: https://pubmed.gov/32198191. Fulltext: 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.

Các khuyến cáo về việc thực hiện tử khám nghiệm tử thi.