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2020 ; 75
(7
): 861-871
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gab.com Text
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English Wikipedia
Battling COVID-19: critical care and peri-operative healthcare resource
management strategies in a tertiary academic medical centre in Singapore
#MMPMID32267963
Lee CCM
; Thampi S
; Lewin B
; Lim TJD
; Rippin B
; Wong WH
; Agrawal RV
Anaesthesia
2020[Jul]; 75
(7
): 861-871
PMID32267963
show ga
In December 2019, a cluster of atypical pneumonia cases were reported in Wuhan,
China, and a novel coronavirus elucidated as the aetiologic agent. Although most
initial cases occurred in China, the disease, termed coronavirus disease 2019,
has become a pandemic and continues to spread rapidly with human-to-human
transmission in many countries. This is the third novel coronavirus outbreak in
the last two decades and presents an ensuing healthcare resource burden that
threatens to overwhelm available healthcare resources. A study of the initial
Chinese response has shown that there is a significant positive association
between coronavirus disease 2019 mortality and healthcare resource burden. Based
on the Chinese experience, some 19% of coronavirus disease 2019 cases develop
severe or critical disease. This results in a need for adequate preparation and
mobilisation of critical care resources to anticipate and adapt to a surge in
coronavirus disease 2019 case-load in order to mitigate morbidity and mortality.
In this article, we discuss some of the peri-operative and critical care resource
planning considerations and management strategies employed in a tertiary academic
medical centre in Singapore in response to the coronavirus disease 2019 outbreak.