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The timing of intubation and principles of ICU care in COVID-19

Sema Turan1, Sultan Sevim Yakin1, Levent Yamanel2

  • 1Department of Intensive Care, Ankara City Hospital, University of Health Sciences, Ankara, Turkey

Turkish Journal of Medical Sciences
|August 31, 2021
PubMed

Insights

Determining optimal intubation timing is crucial for severe COVID-19 acute respiratory failure patients. This review offers guidance on mechanical ventilation and intensive care support for better outcomes.

Area of Science:

  • Critical Care Medicine
  • Infectious Diseases
  • Pulmonology

Background:

  • Coronavirus disease-19 (COVID-19) emerged in late 2019, causing a global health crisis.
  • Severe cases, approximately 15%, require intensive care, with 5% needing mechanical ventilation due to acute respiratory failure.
  • The economic, sociological, and psychological impacts of the pandemic are significant.

Purpose of the Study:

  • To evaluate optimal intubation timing for acute respiratory failure in COVID-19 patients.
  • To provide recommendations for essential intensive care support based on current knowledge.

Main Methods:

  • Literature review and synthesis of existing data on COVID-19 respiratory failure.
  • Analysis of clinical presentations and outcomes related to mechanical ventilation.

Main Results:

  • Optimal intubation timing remains a critical decision in managing severe COVID-19.
  • Evidence-based recommendations for intensive care support are essential for patient management.

Conclusions:

  • Timely and appropriate mechanical ventilation is vital for patients with COVID-19-induced acute respiratory failure.
  • Standardized intensive care protocols can improve outcomes for critically ill COVID-19 patients.

Keywords:
Coronavirus disease-19intensive care unitintubation

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