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10.1080/20018525.2020.1761677

http://scihub22266oqcxt.onion/10.1080/20018525.2020.1761677
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suck abstract from ncbi


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pmid33224450      Eur+Clin+Respir+J 2020 ; 7 (1): 1761677
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  • Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting #MMPMID33224450
  • Nielsen Jeschke K; Bonnesen B; Hansen EF; Jensen JS; Lapperre TS; Weinreich UM; Hilberg O
  • Eur Clin Respir J 2020[May]; 7 (1): 1761677 PMID33224450show ga
  • INTRODUCTION: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) has presented health-care systems worldwide with novel challenges and experiences and evidence is emerging during the pandemic. Patients requiring hospitalization frequently suffer from respiratory failure of different severities. AIM: The aim of this guideline is the treatment of patients with SARS CoV-2 (COVID-19) in hospital; in particular, it addresses the treatment of respiratory failure treated in general Internal Medical- and Pulmonary Medical wards. RESULTS: Elderly patients and patients with chronic disease are particularly vulnerable to COVID-19. Target oxygen saturation should be between 92% and 96% in patients without chronic lung diseases. Treatment with >5 L oxygen/min should be in close collaboration with intensive care colleagues and >15 l/min preferably in intensive care units. High-flow nasal canula (HFNC) and long-term Continuous Positive Airway Pressure (CPAP) are recommended for patients not responding to conventional oxygen therapy. Non-invasive ventilation (NIV) is only recommended for selected patients, such as those with a ceiling of treatment or patients presenting with hypercapnic failure. With the use of humidification protective equipment as FFP2-3 masks should be used. Nebulized medication should be avoided, and spacers should be used instead. CONCLUSION: Respiratory failure is frequently the cause of hospitalization in patients with COVID-19 and should be monitored closely.
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