Recommendations from the Sociedade Portuguesa de Cuidados Intensivos and Infection
            &amp; Sepsis Group for intensive care approach to COVID-19

Mendes, João João; Mergulhão, Paulo; Froes, Filipe; Paiva, José Artur; Gouveia, João

doi:10.5935/0103-507x.20200002

Cited by 18 publications

(19 citation statements)

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“…Parte-se a fisiopatologia do Coronavírus de dois processos inter-relacionados: efeito citopático direito decorrente da infecção viral, que predomina nos estádios precoces da doença e na resposta inflamatória desregulada do hospedeiro, que predomina nos estádios tardios. 7 Alerta-se que, diante desses dois processos, a evolução da doença ocorre em três estágios: o primeiro decorre da replicação viral, que condiciona a ativação de resposta imune inata.…”

Section: Introductionunclassified

“…Acrescenta-se que, nesta fase, o paciente apresenta clínica como tosse, febre, astenia, cefaleia e mialgias associadas à linfopenia. [7][8] Escoa-se, no estágio 2, considerada a fase pulmonar, pela ativação da resposta imune adaptativa, resultando na redução da viremia, contudo, inicia-se uma cascata inflamatória capaz de causar lesão tecidual, caracterizada por agravamento do quadro respiratório que pode condicionar insuficiência respiratória aguda. 6 Corresponde-se o estágio 3 à fase hiperinflamatória, caracterizada por insuficiência multiorgânica fulminante com frequente agravamento do envolvimento pulmonar.…”

Section: Introductionunclassified

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Processo De Enfermagem Para Pacientes Com Manifestações Respiratórias Da Covid-19

Lima

Bessa

Silva

et al. 2021

Rev enferm UFPE on line.

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Objetivo: discutir sobre o Processo de Enfermagem diante dos aspectos clínicos respiratórios da COVID-19. Método: trata-se de um estudo qualitativo, descritivo, informativo que partiu de uma revisão narrativa da literatura, documentos da Organização Mundial da Saúde e das taxonomias aplicadas ao Processo de Enfermagem North American Nursing Diagnosis Association, Nursing Interventions Classification e Nursing Outcomes Classification. Realizou-se uma busca bibliográfica de artigos científicos que abordassem o tema na Biblioteca Virtual de Saúde e Biblioteca Virtual SciELO. Utilizaram-se descritores como: Coronavírus OR COVID-19 AND pessoal da saúde OR Enfermagem. Resultados: informa-se que diante da clínica apresentada, os principais diagnósticos são: Hipertermia, Padrão respiratório ineficaz e Troca de gases prejudicada. Ressalta-se que, para isso, são necessárias as intervenções de Enfermagem, as quais terão como resultado esperado a temperatura normalizada, conforto e padrão respiratório normal e a melhora na troca de gases. Conclusão: reconhece-se a importância do Processo de Enfermagem, o qual possibilita reconhecer as necessidades do paciente e atuar diretamente neles, identificando aqueles que forem prioritários e fortificando o cunho científico da profissão, padronizando uma linguagem própria e facilitando a comunicação entre os enfermeiros do mundo.

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Section: Introductionunclassified

Processo De Enfermagem Para Pacientes Com Manifestações Respiratórias Da Covid-19

Lima

Bessa

Silva

et al. 2021

Rev enferm UFPE on line.

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“…12,14 Despite the uncertainties, the most recent recommendations of the Portuguese Society of Intensive Care for COVID-19 treatment are in line with this therapeutic choice. 15 This case underlines the importance of case series and clinical trials to achieve a better understanding of SARS-CoV-2 infection in cancer patients.…”

Section: Discussionmentioning

confidence: 86%

Full recovery of a stage IV cancer patient facing COVID-19 pandemic

Parmanande¹,

Simão²,

Sardinha³

et al. 2020

Autops. Case Rep.

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Coronavirus disease 2019 (COVID-19), first recognized in Wuhan, China, was recently declared a global pandemic by the World Health Organization (WHO). Advanced age and comorbid disease, well-known characteristics in the solid tumor population, have been reported as risk factors for severe disease and death. Cancer-related immunosuppression and its treatments also seem to play an active role in the prognosis, response, and clinical outcomes of these patients. The most effective combination therapy for COVID-19 is still under investigation, and the use of corticosteroids is controversial. Although, as a group, metastatic cancer patients are often considered not to be good candidates for ICU treatment, the individual prognosis should always come into consideration, even in a context of high pressure on medical facilities. We report the case of a stage IV prostate cancer patient infected with SARS-CoV-2 who required ICU admission and recovered from COVID-19 infection. Further studies are needed in order to identify accurate clinical prognostic criteria and provide the best treatment for these challenging patients.

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“…According to Yang et al (2020), the use of corticosteroids is not indicated in the mild form of SARS-CoV-2. However, according to Mendes et al, the indication becomes plausible in the presence of chronic lung diseases, asthma, COPD, or septic shock (Mendes, Mergulhão, Froes, Paiva, & Gouveia, 2020). Corticosteroids reduce the risk of exacerbating the pathologies above since, according to Halpin, Singh and Hadfield (2020), approximately 40-60% of COPD and up to 80% of asthma exacerbations are viral infections (Halpin et al, 2020).…”

Section: Source: Authorsmentioning

confidence: 99%

Corticosteroid therapy in patients with severe COVID-19

Dantas

Gomes

Lima

et al. 2021

RSD

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The world panorama of disseminating the new coronavirus SARS-CoV-2 is considered a pandemic by the World Health Organization (WHO) with the risk of complications due to the imbalance of immune responses. The present study evaluated whether the use of corticosteroids has scientifically proven efficacy in treating patients with the severe form of COVID-19. It was a cross-sectional and integrative literature review from December 2019 to November 2020 after researching the PubMed, Scopus, Embase, Web of Science, and Google Scholar databases. According to the studies analyzed, positive results of corticotherapy were observed in patients with SARS-CoV-2 in the severe form of the disease. It was concluded that steroids are not indicated in the mild form of COVID-19 unless they have other comorbidities, such as chronic obstructive pulmonary disease (COPD) or asthma. Glucocorticoid therapy is relevant in the severe form of SARS-CoV-2, with short-term management and low doses being beneficial. It reduces morbidity and mortality and the length of stay in the ICU.

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Recommendations from the Sociedade Portuguesa de Cuidados Intensivos and Infection & Sepsis Group for intensive care approach to COVID-19

Cited by 18 publications

References 0 publications

Processo De Enfermagem Para Pacientes Com Manifestações Respiratórias Da Covid-19

Processo De Enfermagem Para Pacientes Com Manifestações Respiratórias Da Covid-19

Full recovery of a stage IV cancer patient facing COVID-19 pandemic

Corticosteroid therapy in patients with severe COVID-19

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