Some aspects of the organization of work and intensive care in treatment patients with SARS-Cov-2

Abstract

The 45-day experience of an infectious diseases hospital for providing care to patients with COVID-19, deployed on the basis of a multifunctional surgical center, was analyzed. It was shown that more than 30% of patients required intensive care, of which 50.6% required prolonged mechanical ventilation (ALV). The most severe group consisted of patients aged> 80 years (13.5%) and a body mass index> 40 kg / m 2 (21.8%). The treatment used standards 5 and 6 recommendations of the Ministry of Health of the Russian Federation. Non-invasive ventilation (NIV) was performed in 17.9%, high-flow oxygenation (HPO) in 33.9%. 69% were weaned from endotracheal mechanical ventilation, 19.8% of them through tracheostomy. The overall mortality rate was 4.8% (mainly women -55%, with obesity -36.8% and in old age -45% of all deaths), resuscitation mortality -12.8%. The effectiveness of the consistent application of respiratory support methods and the use of separate components of the fasttrack techniques for compulsory mechanical ventilation, extracorporeal treatment methods and tocilizumab for cytokine storms has been demonstrated.