Management of CO2 absorbent while using the anesthesia machine as a mechanical ventilator on patients with COVID-19

Torres, Marcelo Luís Abramides; Canhisares, Fernando Augusto Tavares; Quintão, Vinícius Caldeira

doi:10.1016/j.bjane.2020.04.001

Cited by 9 publications

(6 citation statements)

References 1 publication

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“…A ventilação mecânica é um dos recursos de maior importância dentro de uma Unidade de Terapia Intensiva (UTI) (TORRES; CANHISARES; QUINTÃO, 2020;DAMASCENO et al, 2006). O seu surgimento teve início no ano de 1952, com a grande epidemia da poliomielite que assolou Copenhague, capital da Dinamarca.…”

Section: Referencial Teóricounclassified

Pandemia Da Covid-19: Prospecção Bibliométrica E Patentária De Ventiladores Mecânicos Alternativos De Baixo Custo

Schultz-Macedo

Bastos²,

Lima³

2021

RAHIS

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O estudo tem por objetivo realizar uma prospecção bibliométrica e patentária de ventiladores mecânicos alternativos de baixo custo relacionados a doenças respiratórias como forma de enfrentamento à covid-19. Trata-se de uma pesquisa descritiva exploratória com abordagem quali-quantitativa, utilizando como técnicas de tratamento das informações as prospecções bibliométrica e patentária. As bases de dados utilizadas para o levantamento dos artigos foram Web of Science e Scopus e para o mapeamento de patentes o Orbit Intelligence e o Instituto Nacional de Propriedade Industrial. Ao todo foram analisados 15 artigos, sendo todos de código aberto, e 83 patentes. O país que mais publica artigos são os Estados Unidos, com 5, e a China a maior detentora de patentes, com 63. O Brasil apresenta-se com duas publicações de artigos, fruto de cooperações entre universidades, e cinco proteções de patentes. Pode-se concluir que nos últimos 5 anos houve um engajamento entre os países para o desenvolvimento de ventiladores alternativos de baixo custo e o aumento no desenvolvimento de pesquisas, por meio de artigos científicos, visando o rompimento de paradigmas em busca de novas tecnologias. Palavras-chave: Covid-19; Ventiladores mecânicos; Baixo custo.

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Section: Referencial Teóricounclassified

Pandemia Da Covid-19: Prospecção Bibliométrica E Patentária De Ventiladores Mecânicos Alternativos De Baixo Custo

Schultz-Macedo

Bastos²,

Lima³

2021

RAHIS

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“…In order to manage shortness of breath, certain breathing techniques have been effective, such as "pursed-lip breathing" as well as medications like antiemetics [14]. Furthermore, ventilators may be required if the patient has severe difficulty breathing on their own; however, there have been shortages of ventilators in major hospitals due to the large influx of COVID-19 patients [26]. Thus, hospitals in Brazil have been proposing the use of anesthesia machines to substitute the use of ventilators whenever necessary [26].…”

Section: Management Of Covid-19 Symptomsmentioning

confidence: 99%

“…Furthermore, ventilators may be required if the patient has severe difficulty breathing on their own; however, there have been shortages of ventilators in major hospitals due to the large influx of COVID-19 patients [26]. Thus, hospitals in Brazil have been proposing the use of anesthesia machines to substitute the use of ventilators whenever necessary [26]. COVID-19 can also take a psychological toll, increasing levels of anxiety and stress among the patient, family, and healthcare professionals [14,27].…”

Section: Management Of Covid-19 Symptomsmentioning

confidence: 99%

Impacts of COVID-19 on Global Healthcare Management and Research

Autore

2021

Adv. J. Grad. Res.

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The Coronavirus Infectious Disease 2019 (COVID-19) pandemic has affected most nations at all levels of functioning, individual to governmental. Therefore, it is imperative to evaluate the effects the virus has had on one of the most important socioeconomic global sectors, healthcare. This literature review explores key, recent research and management strategies that have been undertaken in healthcare systems around the world in order to make meaningful attempts at identifying the etiology, diagnosis, and treatment of the disease, and combating the spread of this deadly virus. Healthcare facilities have implemented a variety of changes, all geared towards reducing non-emergency patient visits and preventing transmission of the infection; this includes shifting appointments to online modality via telecommunication use, altering remedial options and procedures, and developing more effective personal protective equipment (PPE). Efforts have also been made to define appropriate treatment methods as well as a potential cure for COVID-19; many vaccines and antiviral drugs have been designed or are continuing to undergo clinical testing, and symptom management approaches are being employed along with careful evaluation or recommendation of already available medications to counter the disease. Our comprehensive analysis provides insights into prominent consequences as well as implications of COVID-19 in contemporary global healthcare research and management, and would help this crucial sector be better prepared for pandemics in the future.

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“…Using anesthesia machines in addition to standard ICU ventilators significantly increases a hospital's capacity to provide critical ventilatory support. Several authors and societies have advocated using Anesthesia Machines in COVID-19 patients at institutions faced with resource limitations [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

The repurposed use of anesthesia machines to ventilate critically ill patients with coronavirus disease 2019 (COVID-19)

et al. 2021

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Background The surge of critically ill patients due to the coronavirus disease-2019 (COVID-19) overwhelmed critical care capacity in areas of northern Italy. Anesthesia machines have been used as alternatives to traditional ICU mechanical ventilators. However, the outcomes for patients with COVID-19 respiratory failure cared for with Anesthesia Machines is currently unknow. We hypothesized that COVID-19 patients receiving care with Anesthesia Machines would have worse outcomes compared to standard practice. Methods We designed a retrospective study of patients admitted with a confirmed COVID-19 diagnosis at a large tertiary urban hospital in northern Italy. Two care units were included: a 27-bed standard ICU and a 15-bed temporary unit emergently opened in an operating room setting. Intubated patients assigned to Anesthesia Machines (AM group) were compared to a control cohort treated with standard mechanical ventilators (ICU-VENT group). Outcomes were assessed at 60-day follow-up. A multivariable Cox regression analysis of risk factors between survivors and non-survivors was conducted to determine the adjusted risk of death for patients assigned to AM group. Results Complete daily data from 89 mechanically ventilated patients consecutively admitted to the two units were analyzed. Seventeen patients were included in the AM group, whereas 72 were in the ICU-VENT group. Disease severity and intensity of treatment were comparable between the two groups. The 60-day mortality was significantly higher in the AM group compared to the ICU-vent group (12/17 vs. 27/72, 70.6% vs. 37.5%, respectively, p = 0.016). Allocation to AM group was associated with a significantly increased risk of death after adjusting for covariates (HR 4.05, 95% CI: 1.75–9.33, p = 0.001). Several incidents and complications were reported with Anesthesia Machine care, raising safety concerns. Conclusions Our results support the hypothesis that care associated with the use of Anesthesia Machines is inadequate to provide long-term critical care to patients with COVID-19. Added safety risks must be considered if no other option is available to treat severely ill patients during the ongoing pandemic. Clinical trial number Not applicable.

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Management of CO2 absorbent while using the anesthesia machine as a mechanical ventilator on patients with COVID-19

Cited by 9 publications

References 1 publication

Pandemia Da Covid-19: Prospecção Bibliométrica E Patentária De Ventiladores Mecânicos Alternativos De Baixo Custo

Pandemia Da Covid-19: Prospecção Bibliométrica E Patentária De Ventiladores Mecânicos Alternativos De Baixo Custo

Impacts of COVID-19 on Global Healthcare Management and Research

The repurposed use of anesthesia machines to ventilate critically ill patients with coronavirus disease 2019 (COVID-19)

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