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How the COVID-19 pandemic will change the future of critical care

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Název: How the COVID-19 pandemic will change the future of critical care
Autoři: Jozef Kesecioglu, Geert Meyfroidt, Rob Fowler, Greg S. Martin, Maurizio Cecconi, Charles D. Gomersall, Carol L. Hodgson, Derek C. Angus, Nicole P. Juffermans, Yaseen M. Arabi, Jason Phua, Hasan M. Al-Dorzi, Andrew Rhodes, Alexandra Binnie, Jorge I. F. Salluh, Peter Horby, Ruth M. Kleinpell, Jean-François Timsit, Giuseppe Citerio, Flávia Ribeiro Machado, Bin Du, Elie Azoulay, Kathryn M Rowan, Jean Louis Vincent
Přispěvatelé: DVF Medisch, Brain, Infection & Immunity
Zdroj: Intensive Care Med
Informace o vydavateli: Springer Science and Business Media LLC, 2021.
Rok vydání: 2021
Témata: Technology, Soins intensifs réanimation, Critical Care, Disaster Planning, Review, Critical Care and Intensive Care Medicine, Monitoring, Physiologic/instrumentation, 1117 Public Health and Health Services, Workflow, 03 medical and health sciences, 0302 clinical medicine, Critical Care Medicine, COVID-19, Critical care, Intensive care, Pandemic, General & Internal Medicine, Journal Article, Humans, Pandemics, Personal Protective Equipment, Monitoring, Physiologic, Science & Technology, Intensive Care Units/organization & administration, 3202 Clinical sciences, Surge Capacity, 1103 Clinical Sciences, Emergency & Critical Care Medicine, Telemedicine, 3. Good health, Critical Care/organization & administration, Intensive Care Units, Life Sciences & Biomedicine
Popis: Coronavirus disease 19 (COVID-19) has posed unprecedented healthcare system challenges, some of which will lead to transformative change. It is obvious to healthcare workers and policymakers alike that an effective critical care surge response must be nested within the overall care delivery model. The COVID-19 pandemic has highlighted key elements of emergency preparedness. These include having national or regional strategic reserves of personal protective equipment, intensive care unit (ICU) devices, consumables and pharmaceuticals, as well as effective supply chains and efficient utilization protocols. ICUs must also be prepared to accommodate surges of patients and ICU staffing models should allow for fluctuations in demand. Pre-existing ICU triage and end-of-life care principles should be established, implemented and updated. Daily workflow processes should be restructured to include remote connection with multidisciplinary healthcare workers and frequent communication with relatives. The pandemic has also demonstrated the benefits of digital transformation and the value of remote monitoring technologies, such as wireless monitoring. Finally, the pandemic has highlighted the value of pre-existing epidemiological registries and agile randomized controlled platform trials in generating fast, reliable data. The COVID-19 pandemic is a reminder that besides our duty to care, we are committed to improve. By meeting these challenges today, we will be able to provide better care to future patients.
Druh dokumentu: Article
Other literature type
Review
Popis souboru: application/pdf; No full-text files
Jazyk: English
ISSN: 1432-1238
0342-4642
DOI: 10.1007/s00134-021-06352-y
Přístupová URL adresa: https://link.springer.com/content/pdf/10.1007/s00134-021-06352-y.pdf
https://pubmed.ncbi.nlm.nih.gov/33616696
https://researchinformation.amsterdamumc.org/en/publications/how-the-covid-19-pandemic-will-change-the-future-of-critical-care
https://search.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/en/covidwho-1092644
https://open.library.emory.edu/publications/emory:vkfwz/
https://boa.unimib.it/handle/10281/304432
https://link.springer.com/article/10.1007/s00134-021-06352-y
https://www.link.springer.com/article/10.1007/s00134-021-06352-y?error=cookies_not_supported&code=09fe9bf5-bccd-4e95-bd5e-04ca102f2ec3
https://dspace.library.uu.nl/handle/1874/442504
https://pure.amsterdamumc.nl/en/publications/fc5912bc-36f8-4888-9d31-a4a272ed2189
https://doi.org/10.1007/s00134-021-06352-y
https://lirias.kuleuven.be/handle/123456789/671792
https://doi.org/10.1007/s00134-021-06352-y
https://hdl.handle.net/10281/304432
https://doi.org/10.1007/s00134-021-06352-y
Rights: Springer TDM
Přístupové číslo: edsair.doi.dedup.....48be797eb7a08a13525a35835674cff6
Databáze: OpenAIRE
Popis
Abstrakt:Coronavirus disease 19 (COVID-19) has posed unprecedented healthcare system challenges, some of which will lead to transformative change. It is obvious to healthcare workers and policymakers alike that an effective critical care surge response must be nested within the overall care delivery model. The COVID-19 pandemic has highlighted key elements of emergency preparedness. These include having national or regional strategic reserves of personal protective equipment, intensive care unit (ICU) devices, consumables and pharmaceuticals, as well as effective supply chains and efficient utilization protocols. ICUs must also be prepared to accommodate surges of patients and ICU staffing models should allow for fluctuations in demand. Pre-existing ICU triage and end-of-life care principles should be established, implemented and updated. Daily workflow processes should be restructured to include remote connection with multidisciplinary healthcare workers and frequent communication with relatives. The pandemic has also demonstrated the benefits of digital transformation and the value of remote monitoring technologies, such as wireless monitoring. Finally, the pandemic has highlighted the value of pre-existing epidemiological registries and agile randomized controlled platform trials in generating fast, reliable data. The COVID-19 pandemic is a reminder that besides our duty to care, we are committed to improve. By meeting these challenges today, we will be able to provide better care to future patients.
ISSN:14321238
03424642
DOI:10.1007/s00134-021-06352-y