Методические рекомендации посвящены вопросам практической работы по диагностике и лечению новой коронавирусной инфекции COVID-19. Целью создания данного документа явилась необходимость выработки единого подхода в организации помощи пациентам с новой коронавирусной инфекцией COVID-19 в военных стационарах с позиций практического опыта специалистов госпиталя, требо-ваний национальных рекомендаций. наиболее важные рекомендации касаются вопросов правильного понимания заболевания, алго-ритмов действий врачебного персонала и режимов фармакотерапии пациентов с коронавирусной инфекцией. Ключевые слова: новая коронавирусная инфекция COVID-19, фармакотерапия, алгоритмы работы, клинические рекомендации. Для цитирования: Зайцев А.А., чернов С.А., Стец В.В. и др. Алгоритмы ведения пациентов с новой коронавирусной инфекцией COVID-19 в стационаре. Методические рекомендации. Consilium Medicum. 2020; 22 (11): 91–97. DOI: 10.26442/20751753.2020.11.200520
Prophylaxis, diagnostics and correction of nutritional status disturbances is considered as one of the main treatment methods of patients with COVID-19 infection-directed to resolve systemic inflammatory response and correction of metabolic response to a viral infection. Systemic Inflammatory Reaction (SIR) manisfestation as a result of viral infection leads to pronounced metabolic processes disturbances. The main metabolic manifestations of SIR is reflected as hypermetabolic-hypercatabolic syndrome with complex disturbances of protein, lipids and carbohydrates metabolism, increased consumption of carbohydrate-lipid reserves and breakdown of tissue proteins. Thus, adequate correction of metabolic disorders and a wholesome nutritional support, taking into account the clinical picture, severity of the disease, ongoing respiratory and intensive care therapy is an integral component in treating patients with COVID-19 infection which determines the efficiency of its treatment and reduction in mortality. Given the relevance of the problem, the authors decided that it was important to increase the COVID-19 treatment efficacy by producing guidelines based on the most fundamental provisions of the modern approach to nutritional support in critical patients with community acquired pneumonia, acute respiratory failure, ARDS, sepsis, multiple organ failure.
The experience of clinical testing of the personal telemedicine system ‘Obereg’ for remote monitoring of patients at the intensive care units of leading Russian clinics is described. The high quality of communication with the remote receiving devices of doctors, the accuracy of measurements, resistance to interference from various hospital equipment and the absence of its own impact on such equipment were confirmed. There are significant advantages compared to stationary patient monitors, in particular, for intra and out-of-hospital transportation of patients.
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