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Deprecated: Implicit conversion from float 227.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Crit+Care 2020 ; 24 (1): 582 Nephropedia Template TP
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COVID-19: instruments for the allocation of mechanical ventilators-a narrative review #MMPMID32993736
Dos Santos MJ; Martins MS; Santana FLP; Furtado MCSPC; Miname FCBR; Pimentel RRDS; Brito AN; Schneider P; Dos Santos ES; da Silva LH
Crit Care 2020[Sep]; 24 (1): 582 PMID32993736show ga
After the World Health Organization declared COVID-19 to be a pandemic, the elaboration of comprehensive and preventive public policies became important in order to stop the spread of the disease. However, insufficient or ineffective measures may have placed health professionals and services in the position of having to allocate mechanical ventilators. This study aimed to identify instruments, analyze their structures, and present the main criteria used in the screening protocols, in order to help the development of guidelines and policies for the allocation of mechanical ventilators in the COVID-19 pandemic. The instruments have a low level of scientific evidence, and, in general, are structured by various clinical, non-clinical, and tiebreaker criteria that contain ethical aspects. Few instruments included public participation in their construction or validation. We believe that the elaboration of these guidelines cannot be restricted to specialists as this question involves ethical considerations which make the participation of the population necessary. Finally, we propose seventeen elements that can support the construction of screening protocols in the COVID-19 pandemic.