Protocol of mechanical ventilation and prevention of complications in critical care of patients with COVID-19: First version for Serbia

In December 2019, a new Corona virus (SARS-CoV-2) was identified as responsible for outbreak of viral pneumonia in Wuhan, Hubei Province, China. The World Health Organization has announced a pandemic of COVID-19 (Coronavirus disease 2019) on March 2nd 2020. COVID-19 is a respiratory infection where...

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Main Authors: Nešković Vojislava, Dobrosavljević Živadin, Rondović Goran, Popadić Ana, Vranjanac Aleksandar, Stojaković Miloš, Tanović Ivana, Milošević Nikolina, Vuković Rade, Stojić Mihajilo, Lađević Nebojša, Jovanović Gordana, Udovičić Ivo, Zeba Snježana, Damjanović Nebojša, Stamenković Dušica
Format: Article
Language:English
Published: Serbian Society of Anesthesiologists and Intensivists 2020-01-01
Series:Serbian Journal of Anesthesia and Intensive Therapy
Subjects:
Online Access:https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2020/2217-77442001029N.pdf
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author Nešković Vojislava
Dobrosavljević Živadin
Rondović Goran
Popadić Ana
Vranjanac Aleksandar
Stojaković Miloš
Tanović Ivana
Milošević Nikolina
Vuković Rade
Stojić Mihajilo
Lađević Nebojša
Jovanović Gordana
Udovičić Ivo
Zeba Snježana
Damjanović Nebojša
Stamenković Dušica
author_facet Nešković Vojislava
Dobrosavljević Živadin
Rondović Goran
Popadić Ana
Vranjanac Aleksandar
Stojaković Miloš
Tanović Ivana
Milošević Nikolina
Vuković Rade
Stojić Mihajilo
Lađević Nebojša
Jovanović Gordana
Udovičić Ivo
Zeba Snježana
Damjanović Nebojša
Stamenković Dušica
author_sort Nešković Vojislava
collection DOAJ
description In December 2019, a new Corona virus (SARS-CoV-2) was identified as responsible for outbreak of viral pneumonia in Wuhan, Hubei Province, China. The World Health Organization has announced a pandemic of COVID-19 (Coronavirus disease 2019) on March 2nd 2020. COVID-19 is a respiratory infection where majority of patients have mild clinical symptoms. About 14% of patients require hospitalization and oxygen therapy and 5% of patients require admission to the intensive care unit. The most severe clinical cases include ARDS, sepsis and septic shock, acute renal failure, multiorgan dysfunction, and myocardial damage. Spread of the infection so far indicates that the number of patients requiring hospital admition and intensive care treatment will significantly burden the health care system in all countries. Several intensive and critical care protocols, based on the first experiences in treatment of viral pneumonia and severe COVID-19 illness, have already been published. Here we present the first version of a suggested protocol in our country, with an attached flowchart for the initial management of the COVID-19 patients in need for mechanical ventilation. The protocol is based on the worldwide existing experience in treatment of COVID-19 patients. The intention is not to replace the clinical experience and critical judgment of the attending doctors, but to strengthen their decisions and tailor treatment according to the recourses existing in our country.
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spelling doaj.art-f48b40c274f440159d586461b9c941502022-12-21T22:25:09ZengSerbian Society of Anesthesiologists and IntensivistsSerbian Journal of Anesthesia and Intensive Therapy2466-488X2466-488X2020-01-01421-229392217-77442001029NProtocol of mechanical ventilation and prevention of complications in critical care of patients with COVID-19: First version for SerbiaNešković Vojislava0Dobrosavljević Živadin1Rondović Goran2Popadić Ana3Vranjanac Aleksandar4Stojaković Miloš5Tanović Ivana6Milošević Nikolina7Vuković Rade8Stojić Mihajilo9Lađević Nebojša10https://orcid.org/0000-0001-9569-4954Jovanović Gordana11Udovičić Ivo12Zeba Snježana13Damjanović Nebojša14Stamenković Dušica15https://orcid.org/0000-0003-4121-1966Vojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaKlinički centar Srbije, Institut za onkologiju i radiologiju, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaUniverzitet Odbrane, Medicinski fakultet VMA, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaKlinički centar Srbije, Centar za anesteziologiju i reanimatologiju, Beograd, SerbiaKliničkog centra Vojvodine, Klinika za anesteziologiju i intenzivnu negu, Novi Sad, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaVojnomedicinska Akademija, Klinika za anesteziologiju i intenzivno lečenje, Beograd, SerbiaIn December 2019, a new Corona virus (SARS-CoV-2) was identified as responsible for outbreak of viral pneumonia in Wuhan, Hubei Province, China. The World Health Organization has announced a pandemic of COVID-19 (Coronavirus disease 2019) on March 2nd 2020. COVID-19 is a respiratory infection where majority of patients have mild clinical symptoms. About 14% of patients require hospitalization and oxygen therapy and 5% of patients require admission to the intensive care unit. The most severe clinical cases include ARDS, sepsis and septic shock, acute renal failure, multiorgan dysfunction, and myocardial damage. Spread of the infection so far indicates that the number of patients requiring hospital admition and intensive care treatment will significantly burden the health care system in all countries. Several intensive and critical care protocols, based on the first experiences in treatment of viral pneumonia and severe COVID-19 illness, have already been published. Here we present the first version of a suggested protocol in our country, with an attached flowchart for the initial management of the COVID-19 patients in need for mechanical ventilation. The protocol is based on the worldwide existing experience in treatment of COVID-19 patients. The intention is not to replace the clinical experience and critical judgment of the attending doctors, but to strengthen their decisions and tailor treatment according to the recourses existing in our country.https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2020/2217-77442001029N.pdfcovid -19sars-cov-2mechanical ventilationpneumoniaviralrespiratory distress syndrome - adult
spellingShingle Nešković Vojislava
Dobrosavljević Živadin
Rondović Goran
Popadić Ana
Vranjanac Aleksandar
Stojaković Miloš
Tanović Ivana
Milošević Nikolina
Vuković Rade
Stojić Mihajilo
Lađević Nebojša
Jovanović Gordana
Udovičić Ivo
Zeba Snježana
Damjanović Nebojša
Stamenković Dušica
Protocol of mechanical ventilation and prevention of complications in critical care of patients with COVID-19: First version for Serbia
Serbian Journal of Anesthesia and Intensive Therapy
covid -19
sars-cov-2
mechanical ventilation
pneumonia
viral
respiratory distress syndrome - adult
title Protocol of mechanical ventilation and prevention of complications in critical care of patients with COVID-19: First version for Serbia
title_full Protocol of mechanical ventilation and prevention of complications in critical care of patients with COVID-19: First version for Serbia
title_fullStr Protocol of mechanical ventilation and prevention of complications in critical care of patients with COVID-19: First version for Serbia
title_full_unstemmed Protocol of mechanical ventilation and prevention of complications in critical care of patients with COVID-19: First version for Serbia
title_short Protocol of mechanical ventilation and prevention of complications in critical care of patients with COVID-19: First version for Serbia
title_sort protocol of mechanical ventilation and prevention of complications in critical care of patients with covid 19 first version for serbia
topic covid -19
sars-cov-2
mechanical ventilation
pneumonia
viral
respiratory distress syndrome - adult
url https://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2020/2217-77442001029N.pdf
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