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10.1213/ANE.0000000000004985 http://scihub22266oqcxt.onion/10.1213/ANE.0000000000004985 C7258840!7258840 !32433248     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=32433248 &cmd=llinks): Failed to open stream: HTTP request failed! 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Technologies to Optimize the Care of Severe COVID-19 Patients for Health Care Providers Challenged by Limited Resources |pdf=|usr=}}{{32433248 }} gab.com Text Technologies to Optimize the Care of Severe COVID-19 Patients for Health Care Providers Challenged by Limited Resources JO: Anesth Analg http://www.kidney.de/pget.php?&tw=1&pmid=32433248 #FOAvip Health care systems are belligerently responding to the new coronavirus disease 2019 (COVID-19). The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a specific condition, whose distinctive features are severe hypoxemia associated with (>50% of cases) normal respiratory system compliance. When a patient requires intubation and invasive ventilation, the outcome is poor, and the length of stay in the intensive care unit (ICU) is usually 2 or 3 weeks. In this article, the authors review several technological devices, which could support health care providers at the bedside to optimize the care for COVID-19 patients who are sedated, paralyzed, and ventilated. Particular attention is provided to the use of videolaryngoscopes (VL) because these can assist anesthetists to perform a successful intubation outside the ICU while protecting health care providers from this viral infection. Authors will also review processed electroencephalographic (EEG) monitors which are used to better titrate sedation and the train-of-four monitors which are utilized to better administer neuromuscular blocking agents in the view of sparing limited pharmacological resources. COVID-19 can rapidly exhaust human and technological resources too within the ICU. This review features a series of technological advancements that can significantly improve the care of patients requiring isolation. The working conditions in isolation could cause gaps or barriers in communication, fatigue, and poor documentation of provided care. The available technology has several advantages including (a) facilitating appropriate paperless documentation and communication between all health care givers working in isolation rooms or large isolation areas; (b) testing patients and staff at the bedside using smart point-of-care diagnostics (SPOCD) to confirm COVID-19 infection; (c) allowing diagnostics and treatment at the bedside through point-of-care ultrasound (POCUS) and thromboelastography (TEG); (d) adapting the use of anesthetic machines and the use of volatile anesthetics. Implementing technologies for safeguarding health care providers as well as monitoring the limited pharmacological resources are paramount. Only by leveraging new technologies, it will be possible to sustain and support health care systems during the expected long course of this pandemic. Twit Text FOAVip Technologies to Optimize the Care of Severe COVID-19 Patients for Health Care Providers Challenged by Limited Resources ????Anesth Analg http://www.kidney.de/pget.php?&tw=1&pmid=32433248 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32433248 #FOAvip English Wikipedia <ref>{{Cite pmid|32433248 }}</ref> Technologies to Optimize the Care of Severe COVID-19 Patients for Health Care Providers Challenged by Limited Resources #MMPMID32433248 Rubulotta F ; Soliman-Aboumarie H ; Filbey K ; Geldner G ; Kuck K ; Ganau M ; Hemmerling TM Anesth Analg 2020[Aug]; 131 (2 ): 351-364 PMID32433248 show ga Health care systems are belligerently responding to the new coronavirus disease 2019 (COVID-19). The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a specific condition, whose distinctive features are severe hypoxemia associated with (>50% of cases) normal respiratory system compliance. When a patient requires intubation and invasive ventilation, the outcome is poor, and the length of stay in the intensive care unit (ICU) is usually 2 or 3 weeks. In this article, the authors review several technological devices, which could support health care providers at the bedside to optimize the care for COVID-19 patients who are sedated, paralyzed, and ventilated. Particular attention is provided to the use of videolaryngoscopes (VL) because these can assist anesthetists to perform a successful intubation outside the ICU while protecting health care providers from this viral infection. Authors will also review processed electroencephalographic (EEG) monitors which are used to better titrate sedation and the train-of-four monitors which are utilized to better administer neuromuscular blocking agents in the view of sparing limited pharmacological resources. COVID-19 can rapidly exhaust human and technological resources too within the ICU. This review features a series of technological advancements that can significantly improve the care of patients requiring isolation. The working conditions in isolation could cause gaps or barriers in communication, fatigue, and poor documentation of provided care. The available technology has several advantages including (a) facilitating appropriate paperless documentation and communication between all health care givers working in isolation rooms or large isolation areas; (b) testing patients and staff at the bedside using smart point-of-care diagnostics (SPOCD) to confirm COVID-19 infection; (c) allowing diagnostics and treatment at the bedside through point-of-care ultrasound (POCUS) and thromboelastography (TEG); (d) adapting the use of anesthetic machines and the use of volatile anesthetics. Implementing technologies for safeguarding health care providers as well as monitoring the limited pharmacological resources are paramount. Only by leveraging new technologies, it will be possible to sustain and support health care systems during the expected long course of this pandemic. |Betacoronavirus/*pathogenicity [MESH] |COVID-19 [MESH] |COVID-19 Testing [MESH] |Clinical Laboratory Techniques [MESH] |Coronavirus Infections/diagnosis/*therapy/transmission/virology [MESH] |Critical Care/*organization & administration [MESH] |Delivery of Health Care, Integrated/*organization & administration [MESH] |Health Resources/*organization & administration [MESH] |Health Services Accessibility/*organization & administration [MESH] |Health Services Needs and Demand/organization & administration [MESH] |Humans [MESH] |Infection Control/*organization & administration [MESH] |Infectious Disease Transmission, Patient-to-Professional/prevention & control [MESH] |Needs Assessment/organization & administration [MESH] |Occupational Exposure/adverse effects/prevention & control [MESH] |Occupational Health [MESH] |Pandemics [MESH] |Patient Care Team/organization & administration [MESH] |Pneumonia, Viral/diagnosis/*therapy/transmission/virology [MESH] |Point-of-Care Systems/organization & administration [MESH] |Point-of-Care Testing/organization & administration [MESH] |Risk Factors [MESH] |SARS-CoV-2 [MESH]Technologies to Optimize the Care of Severe COVID-19 Patients for Heal(epmc).pdf DeepDyve Pubget Overpricing