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Covid-19 and Critical Care capacity: Can we mitigate demand?

Byrne, Matthew, Scott, Timothy, Sinclair, Jonathan and CHOCKALINGAM, Nachiappan (2021) Covid-19 and Critical Care capacity: Can we mitigate demand? Respirology, 27 (2). ISSN 1440-1843

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Abstract or description

The COVID-19 pandemic has placed unprecedenteddemand on modern healthcare resources. As such, there hasbeen much research and debate on how to best managepatients with COVID-19. Previous studies have shown thebenefits of neuromuscular blockade and prone positioningin the management of acute respiratory distress syndrome(ARDS),1as seen in COVID-19 pneumonitis,2while morerecent studies have explored the benefits of different medicaltreatments. These have included dexamethasone, sarilumaband tocilizumab as demonstrated by the RECOVERY3andREMAP-CAP trials.4None of these therapies have mitigatedthe demand for intensive care capacity which remains, atbest, extremely limited or more usually overwhelmed. Insuch circumstances, there is a need to predict which patientswith a significant oxygen dependency will avoid the need formechanical ventilation. Such patients could safely be caredfor in other parts of the hospital thereby preserving intensivecare unit capacity for mechanically ventilated patients.

Item Type: Article
Uncontrolled Keywords: COVID-19, Sars-cov-2, ventilation, ROX score, intubation
Faculty: School of Life Sciences and Education > Sport and Exercise
Depositing User: Nachiappan CHOCKALINGAM
Date Deposited: 22 Dec 2021 14:08
Last Modified: 12 Apr 2023 08:25

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