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Organisation de la réanimation en situation de pandémie de grippe aviaire

The influenza pandemic will create a major increase in demand for hospital admissions, particularly for critical care services. The recommendations detailed herein have been elaborated by experts from medical societies potentially involved in this situation and focus on general hospital organization...

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Autores principales: Guery, B., Guidet, B., Beloucif, S., Floret, D., LeGall, C., Montravers, P., Chouaid, C., Jarreau, P.H., Régnier, B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Published by Elsevier Masson SAS 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7127334/
https://www.ncbi.nlm.nih.gov/pubmed/18995996
http://dx.doi.org/10.1016/j.arcped.2008.09.020
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author Guery, B.
Guidet, B.
Beloucif, S.
Floret, D.
LeGall, C.
Montravers, P.
Chouaid, C.
Jarreau, P.H.
Régnier, B.
author_facet Guery, B.
Guidet, B.
Beloucif, S.
Floret, D.
LeGall, C.
Montravers, P.
Chouaid, C.
Jarreau, P.H.
Régnier, B.
author_sort Guery, B.
collection PubMed
description The influenza pandemic will create a major increase in demand for hospital admissions, particularly for critical care services. The recommendations detailed herein have been elaborated by experts from medical societies potentially involved in this situation and focus on general hospital organization. Intensive care units will initially face high demand for admission; the Healthcare Authorities must therefore study how ICU capacity can be expanded. Pediatric intensive care units will be particularly affected by this situation of relative bed shortage, since young children, particularly infants, are expected to be affected by severe clinical forms of avian flu. Therefore, the weight threshold for admission to the adult ICU was lowered to 20 kg. Neonatal intensive care units (NICU) should remain, if possible, low viral density areas. Mixed (neonatal and pediatric) intensive care units could be dedicated to infants and children only. NICU admission of extreme premature babies should be limited in this difficult situation. Pediatric intensive care units (PICU) admission capacity could be doubled by using intermediate care and postoperative care units. The staff could be increased by doctors and nurses involved in canceled programmed activities. Healthcare workers transferred to PICU should be given special training.
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spelling pubmed-71273342020-04-08 Organisation de la réanimation en situation de pandémie de grippe aviaire Guery, B. Guidet, B. Beloucif, S. Floret, D. LeGall, C. Montravers, P. Chouaid, C. Jarreau, P.H. Régnier, B. Arch Pediatr Article The influenza pandemic will create a major increase in demand for hospital admissions, particularly for critical care services. The recommendations detailed herein have been elaborated by experts from medical societies potentially involved in this situation and focus on general hospital organization. Intensive care units will initially face high demand for admission; the Healthcare Authorities must therefore study how ICU capacity can be expanded. Pediatric intensive care units will be particularly affected by this situation of relative bed shortage, since young children, particularly infants, are expected to be affected by severe clinical forms of avian flu. Therefore, the weight threshold for admission to the adult ICU was lowered to 20 kg. Neonatal intensive care units (NICU) should remain, if possible, low viral density areas. Mixed (neonatal and pediatric) intensive care units could be dedicated to infants and children only. NICU admission of extreme premature babies should be limited in this difficult situation. Pediatric intensive care units (PICU) admission capacity could be doubled by using intermediate care and postoperative care units. The staff could be increased by doctors and nurses involved in canceled programmed activities. Healthcare workers transferred to PICU should be given special training. Published by Elsevier Masson SAS 2008-12 2008-11-07 /pmc/articles/PMC7127334/ /pubmed/18995996 http://dx.doi.org/10.1016/j.arcped.2008.09.020 Text en Copyright © 2008 Published by Elsevier Masson SAS. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Guery, B.
Guidet, B.
Beloucif, S.
Floret, D.
LeGall, C.
Montravers, P.
Chouaid, C.
Jarreau, P.H.
Régnier, B.
Organisation de la réanimation en situation de pandémie de grippe aviaire
title Organisation de la réanimation en situation de pandémie de grippe aviaire
title_full Organisation de la réanimation en situation de pandémie de grippe aviaire
title_fullStr Organisation de la réanimation en situation de pandémie de grippe aviaire
title_full_unstemmed Organisation de la réanimation en situation de pandémie de grippe aviaire
title_short Organisation de la réanimation en situation de pandémie de grippe aviaire
title_sort organisation de la réanimation en situation de pandémie de grippe aviaire
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7127334/
https://www.ncbi.nlm.nih.gov/pubmed/18995996
http://dx.doi.org/10.1016/j.arcped.2008.09.020
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