Critical Care for COVID-19 Affected Patients: Position Statement of the Indian Society of Critical Care Medicine

Mehta, Yatin; Chaudhry, Dhruva; Abraham, Ooriapadickal Cherian; Chacko, Jose; Divatia, Jigeeshu V.; Jagiasi, Bharat; Kar, Arindam; Khilnani, Gopi C; Krishna, Bhuvana; Kumar, Pankaj; Mani, Raj; Rao, Brijendra Kumar; Singh, Pawan; Singh, Sanjeev; Tiwary, Pavan; Wattal, Chand; Govil, Deepak; Dixit, Subhal; Samavedam, Srinivas

doi:10.5005/jp-journals-10071-23395

Cited by 28 publications

(26 citation statements)

References 26 publications

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“…Risk factors include male gender and patients with comorbidities such as cardiovascular disease, diabetes, chronic pulmonary disease, smoking, and hypertension. 3 Symptoms include fatigue, fever, headache, dry cough, myalgia, dyspnea, and other symptoms such as diarrhea, nausea, and new loss of taste and smell. The infected patients can have unexpected progression to acute respiratory distress syndrome, renal failure, cardiac injury, and death.…”

Section: Transmission and Clinical Coursementioning

confidence: 99%

“…Imaging findings include consolidation in chest X-ray and ground glass opacities on computed tomography of thorax. [3][4][5] J Card Crit Care:2020;4:12-19…”

Section: Transmission and Clinical Coursementioning

confidence: 99%

“…Since such facility is not available in most centers, and high flow nasal oxygen should be used judiciously and only if absolutely required in recovering cases. 3 Inhaled medications such as bronchodilators if required should be administered by metered dose inhalers and spacers instead of nebulization to decrease the risk of viral aerosolization. 12 Strict hand hygiene measures, droplet precautions, and use of appropriate PPE must be recommended in the postoperative period if respiratory therapy is clinically indicated.…”

Section: Extubation: Steps 11mentioning

confidence: 99%

“…• Use digital media (video conferencing) to communicate with the patient's family and discourage direct visits. 3 • If there is a high clinical suspicion of COVID-19 in view of the exposure history, clinical symptoms, imaging findings, or the high community prevalence, repeat testing is indicated during the postoperative course. 5 • However, another recommendation is to repeat PCR testing weekly and to do an exit PCR test on discharge in places with high prevalence of the infection.…”

Section: Extubation: Steps 11mentioning

confidence: 99%

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Anesthesia for Cardiac Surgery during COVID-19 Pandemic

Jeyabalan

Bangal

Kulkarni

et al. 2020

Journal of Cardiac Critical Care TSS

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The new coronavirus disease 2019 (COVID-19) is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Patients with COVID-19 can progress from asymptomatic or mild illness to hypoxemic respiratory failure to multisystem organ dysfunction and death. Healthcare workers, particularly anesthesiologists, are at increased risk since their airway management expertise is required in situations where suspected or confirmed cases of COVID-19 require surgical procedures and in critical care settings. Such patients undergoing surgery have a higher perioperative morbidity and mortality. Additionally, aerosol-generating procedures place the operating room staff at high risk of contracting the COVID-19 infection. Here, we present a review of COVID-19 management, particularly in the perioperative setting. In addition, this article highlights specific concerns with the use of transesophageal echocardiography and the precautions to be taken during cardiopulmonary resuscitation. This review article is based on this institutional protocol supported by literature from recent publications and guidelines from major health organizations on COVID-19.

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Section: Transmission and Clinical Coursementioning

confidence: 99%

“…Imaging findings include consolidation in chest X-ray and ground glass opacities on computed tomography of thorax. [3][4][5] J Card Crit Care:2020;4:12-19…”

Section: Transmission and Clinical Coursementioning

confidence: 99%

Section: Extubation: Steps 11mentioning

confidence: 99%

Section: Extubation: Steps 11mentioning

confidence: 99%

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Anesthesia for Cardiac Surgery during COVID-19 Pandemic

Jeyabalan

Bangal

Kulkarni

et al. 2020

Journal of Cardiac Critical Care TSS

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“… 16 The position statement on COVID-19 management by the Indian Society of Critical Care Medicine (ISCCM) also gives a detailed outline for ICU admission and infection control planning. 17 …”

Section: G Eneral M Anagement Pmentioning

confidence: 99%

Basic Critical Care for Management of COVID-19 Patients: Position Paper of Indian Society of Critical Care Medicine, Part-I

Chaudhry¹,

Manoj²,

Govil³

et al. 2020

Indian Journal of Critical Care Medicine

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A bstract With more than 23 million infections and more than 814,000 deaths worldwide, the coronavirus disease-2019 (COVID-19) pandemic is still far from over. Several classes of drugs including antivirals, antiretrovirals, anti-inflammatory, immunomodulatory, and antibiotics have been tried with varying levels of success. Still, there is lack of any specific therapy to deal with this infection. Although less than 30% of these patients require intensive care unit admission, morbidity and mortality in this subgroup of patients remain high. Hence, it becomes imperative to have general principles to guide intensivists managing these patients. However, as the literature emerges, these recommendations may change and hence, frequent updates may be required. How to cite this article: Juneja D, Savio RD, Srinivasan S, Pandit RA, Ramasubban S, Reddy PK, et al . Basic Critical Care for Management of COVID-19 Patients: Position Paper of Indian Society of Critical Care Medicine, Part-I. Indian J Crit Care Med 2020;24(Suppl 5):S244–S253.

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Adherence of Clinical Practice Guidelines for Pharmacologic Treatments of Hospitalized Patients With COVID-19 to Trustworthy Standards

et al. 2021

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Key Points Question Do clinical practice guidelines (CPGs) that report on pharmacologic treatments of hospitalized patients with COVID-19 meet the National Academy of Medicine standards for trustworthiness? Findings In this systematic review of 32 CPGs of predominantly low quality, few reported funding sources or conflicts of interest, included a methodologist, described a search strategy or study selection process, or synthesized evidence. Although 14 CPGs (43.8%) made recommendations or suggestions for or against treatments, they infrequently rated the confidence in the quality of the evidence (6 [18.8%]), described potential benefits and harms (6 [18.8%]), or graded the strength of recommendations (5 [15.6%]). Meaning The findings of this study suggest that few COVID-19 CPGs meet National Academy of Medicine standards for trustworthy guidelines.

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Critical Care for COVID-19 Affected Patients: Position Statement of the Indian Society of Critical Care Medicine

Cited by 28 publications

References 26 publications

Anesthesia for Cardiac Surgery during COVID-19 Pandemic

Anesthesia for Cardiac Surgery during COVID-19 Pandemic

Basic Critical Care for Management of COVID-19 Patients: Position Paper of Indian Society of Critical Care Medicine, Part-I

Adherence of Clinical Practice Guidelines for Pharmacologic Treatments of Hospitalized Patients With COVID-19 to Trustworthy Standards

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