Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS)
<p>Severe acute respiratory syndrome (SARS) is frequently complicated with acute respiratory failure. In this article, we aim to focus on the management of the subgroup of SARS patients who are critically ill. Most SARS patients would require high flow oxygen supplementation, 20–30%...
| Format: | Article |
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| Language: | English |
| Published: |
Ivyspring International Publisher
2004-03-01
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| Series: | International Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.medsci.org/v01p0001.htm |
| _version_ | 1818368520607498240 |
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| collection | DOAJ |
| description | <p>Severe acute respiratory syndrome (SARS) is frequently complicated with acute respiratory failure. In this article, we aim to focus on the management of the subgroup of SARS patients who are critically ill. Most SARS patients would require high flow oxygen supplementation, 20–30% required intensive care unit (ICU) or high dependency care, and 13–26% developed acute respiratory distress syndrome (ARDS). In some of these patients, the clinical course can progress relentlessly to septic shock and/or multiple organ dysfunction syndrome (MODS). The management of critically ill SARS patients requires timely institution of pharmacotherapy where applicable and supportive treatment (oxygen therapy, noninvasive and invasive ventilation). Superimposed bacterial and other opportunistic infections are common, especially in those treated with mechanical ventilation. Subcutaneous emphysema, pneumothoraces and pneumomediastinum may arise spontaneously or as a result of positive ventilatory assistance. Older age is a consistently a poor prognostic factor. Appropriate use of personal protection equipment and adherence to infection control measures is mandatory for effective infection control. Much of the knowledge about the clinical aspects of SARS is based on retrospective observational data and randomized-controlled trials are required for confirmation. Physicians and scientists all over the world should collaborate to study this condition which may potentially threaten human existence. </p> |
| first_indexed | 2024-12-13T23:09:15Z |
| format | Article |
| id | doaj.art-50984575a7e8450eb58e9d49996e1e44 |
| institution | Directory Open Access Journal |
| issn | 1449-1907 |
| language | English |
| last_indexed | 2024-12-13T23:09:15Z |
| publishDate | 2004-03-01 |
| publisher | Ivyspring International Publisher |
| record_format | Article |
| series | International Journal of Medical Sciences |
| spelling | doaj.art-50984575a7e8450eb58e9d49996e1e442022-12-21T23:28:09ZengIvyspring International PublisherInternational Journal of Medical Sciences1449-19072004-03-0111110Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS)<p>Severe acute respiratory syndrome (SARS) is frequently complicated with acute respiratory failure. In this article, we aim to focus on the management of the subgroup of SARS patients who are critically ill. Most SARS patients would require high flow oxygen supplementation, 20–30% required intensive care unit (ICU) or high dependency care, and 13–26% developed acute respiratory distress syndrome (ARDS). In some of these patients, the clinical course can progress relentlessly to septic shock and/or multiple organ dysfunction syndrome (MODS). The management of critically ill SARS patients requires timely institution of pharmacotherapy where applicable and supportive treatment (oxygen therapy, noninvasive and invasive ventilation). Superimposed bacterial and other opportunistic infections are common, especially in those treated with mechanical ventilation. Subcutaneous emphysema, pneumothoraces and pneumomediastinum may arise spontaneously or as a result of positive ventilatory assistance. Older age is a consistently a poor prognostic factor. Appropriate use of personal protection equipment and adherence to infection control measures is mandatory for effective infection control. Much of the knowledge about the clinical aspects of SARS is based on retrospective observational data and randomized-controlled trials are required for confirmation. Physicians and scientists all over the world should collaborate to study this condition which may potentially threaten human existence. </p>http://www.medsci.org/v01p0001.htmSARSsevere acute respiratory syndromecritically ill patientsmanagementtreatment and control. |
| spellingShingle | Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS) International Journal of Medical Sciences SARS severe acute respiratory syndrome critically ill patients management treatment and control. |
| title | Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS) |
| title_full | Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS) |
| title_fullStr | Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS) |
| title_full_unstemmed | Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS) |
| title_short | Management of Critically Ill Patients with Severe Acute Respiratory Syndrome (SARS) |
| title_sort | management of critically ill patients with severe acute respiratory syndrome sars |
| topic | SARS severe acute respiratory syndrome critically ill patients management treatment and control. |
| url | http://www.medsci.org/v01p0001.htm |