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Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting

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 severi...

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Autores principales: Nielsen Jeschke, Klaus, Bonnesen, Barbara, Hansen, Ejvind Frausing, Jensen, Jens-Ulrik Stæhr, Lapperre, Therese Sophie, Weinreich, Ulla Møller, Hilberg, Ole
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7655082/
https://www.ncbi.nlm.nih.gov/pubmed/33224450
http://dx.doi.org/10.1080/20018525.2020.1761677
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author Nielsen Jeschke, Klaus
Bonnesen, Barbara
Hansen, Ejvind Frausing
Jensen, Jens-Ulrik Stæhr
Lapperre, Therese Sophie
Weinreich, Ulla Møller
Hilberg, Ole
author_facet Nielsen Jeschke, Klaus
Bonnesen, Barbara
Hansen, Ejvind Frausing
Jensen, Jens-Ulrik Stæhr
Lapperre, Therese Sophie
Weinreich, Ulla Møller
Hilberg, Ole
author_sort Nielsen Jeschke, Klaus
collection PubMed
description 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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spelling pubmed-76550822020-11-19 Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting Nielsen Jeschke, Klaus Bonnesen, Barbara Hansen, Ejvind Frausing Jensen, Jens-Ulrik Stæhr Lapperre, Therese Sophie Weinreich, Ulla Møller Hilberg, Ole Eur Clin Respir J Review Article 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. Taylor & Francis 2020-05-28 /pmc/articles/PMC7655082/ /pubmed/33224450 http://dx.doi.org/10.1080/20018525.2020.1761677 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Nielsen Jeschke, Klaus
Bonnesen, Barbara
Hansen, Ejvind Frausing
Jensen, Jens-Ulrik Stæhr
Lapperre, Therese Sophie
Weinreich, Ulla Møller
Hilberg, Ole
Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting
title Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting
title_full Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting
title_fullStr Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting
title_full_unstemmed Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting
title_short Guideline for the management of COVID-19 patients during hospital admission in a non-intensive care setting
title_sort guideline for the management of covid-19 patients during hospital admission in a non-intensive care setting
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7655082/
https://www.ncbi.nlm.nih.gov/pubmed/33224450
http://dx.doi.org/10.1080/20018525.2020.1761677
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