An emergency strategy for intensive care unit during COVID-19 outbreak in Chongqing, China

W Deng1, D Qi, D-X Wang

  • 1Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. 303528@hospital.cqmu.edu.cn.

Insights

This study outlines critical care strategies for the COVID-19 pandemic, focusing on intensive care unit (ICU) management. Implementing these emergency protocols can improve outcomes for critically ill patients with novel coronavirus disease 2019.

Area of Science:

  • Intensive care medicine
  • Infectious disease epidemiology
  • Public health response

Background:

  • The novel coronavirus disease 2019 (COVID-19) emerged in late 2019, rapidly escalating into a global pandemic.
  • By May 31, 2020, over 3 million cases were confirmed worldwide, with significant mortality and hospital-related infections.
  • Intensive care units (ICUs) faced unprecedented challenges in managing severe and critically ill COVID-19 patients.

Purpose of the Study:

  • To provide guidance on intensive care unit (ICU) management during the COVID-19 outbreak.
  • To detail essential strategies for the prevention and control of COVID-19 within hospital settings.
  • To outline effective treatment protocols for critically ill patients.

Main Methods:

  • The commentary synthesized information on admission and discharge criteria for ICUs.
  • It focused on developing comprehensive therapy protocols for COVID-19 patients.
  • Strategies for infection prevention and control within ICUs were a primary focus.

Main Results:

  • The proposed emergency strategies are designed to aid in the prevention and control of COVID-19.
  • These strategies aim to enhance the treatment of critically ill patients requiring intensive care.
  • The focus on ICU management is crucial for mitigating the impact of the pandemic.

Conclusions:

  • Advancements in ICU management are vital for reducing mortality rates in critically ill COVID-19 patients.
  • Continuous updates based on clinical evidence and practical experience are essential.
  • Effective ICU strategies are key to navigating the challenges posed by the COVID-19 pandemic.
Abstract

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
136
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
181
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
340
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
370
Pneumonia IV: Management01:28

Pneumonia IV: Management

The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
639
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
2.8K