Abstract
COVİD-19 (SARS-CoV2) vakalarının yaklaşık %5’inde, ciddi hastalık nedeniyle yoğun bakım yatış ihtiyacı doğmaktadır. Genellikle pnömoniye bağlı akut respiratuar distres sendromu (ARDS) ile yatırılan bu hastaların çoğunda, invaziv mekanik ventilasyon ihtiyacı gelişmektedir. ARDS, yoğun bakım ünitelerinde takibi ve tedavisi zaman alan, özellikli bir hastalık grubunu oluşturmaktadır. COVİD-19 ile yatırılan, kritik hastaların viral yükleri fazla ve tedavi süreci uzun olduğundan, hastalardan sağlık çalışanlarına virüs bulaş riski de yüksektir. Hasta tedavileri ve invaziv girişimler esnasında, sağlık çalışanlarının kişisel koruyucu ekipman (eldiven, maske, bone, tulum, gözlük ve direkt solunum yolu temaslarında sperlikten oluşan koruyucu) giymeleri gerekmektedir. COVİD-19 pandemisi süresince, yoğun bakımdaki kritik COVID-19 hastaların takibiyle elde ettiğimiz tecrübeyi paylaşmak istedik.
References
- 1- Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA 2020 Feb 24. DOI: 10.1001/jama.2020.2648. 2- Berlin DA, Gulick RM, Martinez FJ. Severe Covid-19. N Engl J Med 2020, May 15. DOI: 10.1056/NEJMcp2009575. 4- Phaua J, Ling L, Egi M, Lim CM, Divatia JV, Shrestha BJ, et al. Intensive care management of corononavirus diseases 2019 (COVID-19): challenges and recomemmendations. Lancet Respir Med 2020 May;8(5):506-517. DOI: 10.1016/S2213-2600(20)30161-
Abstract
Nearly 5% of patients with COVID-19 need intensive care unit (ICU) admission due to the severity of disease progress. These patients generally have pneumonia induced acute respiratory disease syndrome (ARDS) and mostly need invasive mechanic ventilation. ARDS is a specific disease state that needs a long and complex treatment period. Since critical patients with COVID-19 have high viral loads and require a long therapy period, the risk of disease transmission from patients to medical staffs is high. Therefore, healthcare personnel should wear personal protective equipment (gloves, respirators, full bodysuits, bonnet, safety glasses, and full shield in the case of contact with airway) during the invasive procedures and therapies. In this article, we wanted to share our own experience of caring for critically ill patients with COVID-19-pandemia.
References
- 1- Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA 2020 Feb 24. DOI: 10.1001/jama.2020.2648. 2- Berlin DA, Gulick RM, Martinez FJ. Severe Covid-19. N Engl J Med 2020, May 15. DOI: 10.1056/NEJMcp2009575. 4- Phaua J, Ling L, Egi M, Lim CM, Divatia JV, Shrestha BJ, et al. Intensive care management of corononavirus diseases 2019 (COVID-19): challenges and recomemmendations. Lancet Respir Med 2020 May;8(5):506-517. DOI: 10.1016/S2213-2600(20)30161-
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Short Communication |
| Authors | |
| Publication Date | July 21, 2020 |
| Acceptance Date | July 13, 2020 |
| Published in Issue | Year 2020 Volume: 12 Issue: S1 |