COVID-19 - what should anaethesiologists and intensivists know about it?

Published on Mar 16, 2020in Anaesthesiology Intensive Therapy
· DOI :10.5114/AIT.2020.93756
Magdalena A. Wujtewicz14
Estimated H-index: 14
Anna Dylczyk-Sommer4
Estimated H-index: 4
+ 3 AuthorsRadosław Owczuk20
Estimated H-index: 20
: Over the past three months, the world has faced an unprecedented health hazard. The World Health Organization has announced a pandemic infection with an unknown species of coronavirus called SARS-CoV-2. Spreading mainly through the droplet route, the virus causes mild symptoms in the majority of cases, the most common being: fever (80%), dry cough (56%), fatigue (22%) and muscle pain (7%); less common symptoms include a sore throat, a runny nose, diarrhea, hemoptysis and chills. A life-threatening complication of SARS-CoV-2 infection is an acute respiratory distress syndrome (ARDS), which occurs more often in older adults, those with immune disorders and co-morbidities. Severe forms of the infection, being an indication for treatment in the intensive care unit, comprise acute lung inflammation, ARDS, sepsis and septic shock. The article presents basic information about etiology, pathogenesis and diagnostics (with particular emphasis on the importance of tomocomputer imaging), clinical picture, treatment and prevention of the infection. It goes on to emphasize the specific risks of providing anesthesiology and intensive care services. Due to the fact that effective causal treatment is not yet available and the number of infections and deaths increases day by day, infection prevention and strict adherence to recommendations of infection control organizations remain the basis for fighting the virus.
📖 Papers frequently viewed together
8,160 Citations
13.2k Citations
202060.39The Lancet
29 Authors (Chaolin Huang, ..., Bin Cao)
20.9k Citations
The aim of this article is to provide a brief overview on the most frequent laboratory abnormalities encountered in patients with COVID-2019 infection An electronic search was performed in Medline (PubMed interface), Scopus and Web of Science, using the keywords "2019 novel coronavirus" or "2019-nCoV"or "COVID-19" without date or language restrictions The title, abstract and full text (when available) of all articles identified according to these search criteria were scrutinized by the authors, ...
397 CitationsSource
#1Barnaby E Young (TTSH: Tan Tock Seng Hospital)H-Index: 31
#2Sean Wei Xiang Ong (TTSH: Tan Tock Seng Hospital)H-Index: 9
Last. David C. LyeH-Index: 54
view all 27 authors...
Importance Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in Wuhan, China, in December 2019 and has spread globally with sustained human-to-human transmission outside China. Objective To report the initial experience in Singapore with the epidemiologic investigation of this outbreak, clinical features, and management. Design, Setting, and Participants Descriptive case series of the first 18 patients diagnosed with polymerase chain reaction (PCR)–confirmed SARS-CoV-2 infecti...
1,161 CitationsSource
#1Graeme MacLaren (University Health System)H-Index: 31
#2Dale Fisher (NUS: National University of Singapore)H-Index: 36
Last. Daniel Brodie (Columbia University)H-Index: 55
view all 3 authors...
The novel coronavirus has now infected tens of thousands of people in China and has spread rapidly around the globe. The World Health Organization (WHO) has declared the disease, coronavirus disease 2019 (COVID-19), a Public Health Emergency of International Concern and released interim guidelines on patient management. Early reports that emerged from Wuhan, the epicenter of the outbreak, demonstrated that the clinical manifestations of infection were fever, cough, and dyspnea, with radiological...
243 CitationsSource
As of Feb 27, 2020, coronavirus disease 2019 (COVID-19) has affected 47 countries and territories around the world.1 Xiaobo Yang and colleagues2 described 52 of 710 patients with confirmed COVID-19 admitted to an intensive care unit (ICU) in Wuhan, China. 29 (56%) of 52 patients were given non-invasive ventilation at ICU admission, of whom 22 (76%) required further orotracheal intubation and invasive mechanical ventilation. The ICU mortality rate among those who required non-invasive ventilation...
117 CitationsSource
#1Weier Wang (ZJNU: Zhejiang Chinese Medical University)H-Index: 2
#2Jianming TangH-Index: 4
Last. Fangqiang WeiH-Index: 1
view all 3 authors...
To help health workers and the public recognize and deal with the 2019 novel coronavirus (2019‐nCoV) quickly, effectively, and calmly with an updated understanding. A comprehensive search from Chinese and worldwide official websites and announcements was performed between 1 December 2019 and 9:30 am 26 January 2020 (Beijing time). A latest summary of 2019‐nCoV and the current outbreak was drawn. Up to 24 pm, 25 January 2020, a total of 1975 cases of 2019‐nCoV infection were confirmed in mainland...
655 CitationsSource
#1Yushun Wan (UMN: University of Minnesota)H-Index: 13
#2Jian Shang (UMN: University of Minnesota)H-Index: 13
Last. Fang Li (UMN: University of Minnesota)H-Index: 41
view all 5 authors...
Recently a novel coronavirus (2019-nCoV) has emerged from Wuhan, China, causing symptoms in humans similar to those caused by SARS coronavirus (SARS-CoV). Since SARS-CoV outbreak in 2002, extensive structural analyses have revealed key atomic-level interactions between SARS-CoV spike protein receptor-binding domain (RBD) and its host receptor angiotensin-converting enzyme 2 (ACE2), which regulate both the cross-species and human-to-human transmissions of SARS-CoV. Here we analyzed the potential ...
2,255 CitationsSource
#1Lian Kah Ti (NUS: National University of Singapore)H-Index: 22
#2Lin Stella Ang (University Health System)H-Index: 1
Last. Bryan Su Wei Ng (University Health System)H-Index: 1
view all 4 authors...
We read with interest the recent review in the Journal by Wax and Christian1 on coronavirus disease 2019 (COVID-19). The first case of COVID-19 in Singapore was confirmed on 23 January 2020.2 In the week of February 13–19, the World Health Organization reported that Singapore had more cases of COVID-19 than any other country outside of mainland China.3 We wish to share the protocol that we use in our hospital in preparing an operating room (OR) for confirmed or suspected COVID-19 patients coming...
253 CitationsSource
#1Haibo Zhang (Guangzhou Medical University)H-Index: 81
#2Josef M. Penninger (UBC: University of British Columbia)H-Index: 164
Last. Arthur S. Slutsky (Guangzhou Medical University)H-Index: 130
view all 5 authors...
1,155 CitationsSource
#1Pengfei SunH-Index: 5
#1Pengfei SunH-Index: 2
Last. Bo Pan (Peking Union Medical College)H-Index: 2
view all 5 authors...
Since December 2019, a series of unexplained pneumonia cases has been reported in Wuhan, China. On January 12, 2020, the World Health Organization (WHO) temporarily named this new virus as the 2019 novel coronavirus (2019-nCoV). On February 11, 2020, the WHO officially named the disease caused by the 2019-nCoV as Corona Virus Disease (COVID-19). The COVID-19 epidemic is spreading all over the world, especially in China. Based on the published evidence, we systematically discuss the characteristi...
403 CitationsSource
#1Hao Xu (Academy of Medical Sciences, United Kingdom)H-Index: 10
#2Liang Zhong (Academy of Medical Sciences, United Kingdom)H-Index: 2
Last. Qianming Chen (Academy of Medical Sciences, United Kingdom)H-Index: 50
view all 8 authors...
It has been reported that ACE2 is the main host cell receptor of 2019-nCoV and plays a crucial role in the entry of virus into the cell to cause the final infection. To investigate the potential route of 2019-nCov infection on the mucosa of oral cavity, bulk RNA-seq profiles from two public databases including The Cancer Genome Atlas (TCGA) and Functional Annotation of The Mammalian Genome Cap Analysis of Gene Expression (FANTOM5 CAGE) dataset were collected. RNA-seq profiling data of 13 organ t...
1,163 CitationsSource
Cited By72
This statement summarises basic settings in lung ultrasonography and best practice recommendations for lung ultrasonography in COVID-19, representing the agreed consensus of experts from the Ultrasound Subcommittee of the European Society of Radiology (ESR). Standard lung settings and artefacts in lung ultrasonography are explained for education and training, equipment settings, documentation and self-protection.
#1Javaria Amin (University of Wah)H-Index: 7
#2Muhammad Sharif (CUI: COMSATS Institute of Information Technology)H-Index: 57
view all 5 authors...
Background null COVID-19 is a novel virus that affects the upper respiratory tract, as well as the lungs. The scale of the global COVID-19 pandemic, its spreading rate, and deaths are increasing regularly. Computed tomography (CT) scans can be used carefully to detect and analyze COVID-19 cases. In CT images/scans, ground-glass opacity (GGO) is found in the early stages of infection. While in later stages, there is a superimposed pulmonary consolidation. null Methods null This research investiga...
Abstract null null Introduction null The devasting effects of COVID-19 have caused economic and health impacts worldwide. Anesthesiologists were one of the key professionals fighting the pandemic and have been highly exposed at their multiple sites of clinical practice. Thus, the importance of determining the nature of the infection in this population that provides care to SARS-CoV-2 patients. null null null Method null We conducted a cross-sectional study administering an online questionnaire t...
#1Ali Sharifpour (Mazandaran University of Medical Sciences)H-Index: 5
#2Aref Hoseini (Mazandaran University of Medical Sciences)
Last. Kimia Rsouli (Mazandaran University of Medical Sciences)
view all 9 authors...
Abstract null null Introduction and importance null Foreign body aspiration (FBA) in adults may be asymptomatic or symptomatic. Fever and cough are the most common symptoms of Coronavirus infection and other causes of pneumonia. Regardless of the etiology of pneumonia, the first step in the treatment of FBA-associated pneumonia is to remove the foreign body from the airway. null null null Case presentation null A 32-year-old man was referred to our emergency department on 26 October 2020 with sh...
#1Thiago De MarchiH-Index: 15
Last. Shaiane Silva Tomazoni (University of Bergen)H-Index: 6
view all 11 authors...
Purpose: We aimed to investigate the effects of photobiomodulation therapy combined with static magnetic field (PBMT-sMF) on the length of intensive care unit (ICU) stay and mortality rate of severe COVID-19 patients requiring invasive mechanical ventilation and assess its role in preserving respiratory muscles and modulating inflammatory processes. Patients and Methods: We conducted a prospectively registered, triple-blinded, randomized, placebo-controlled trial of PBMT-sMF in severe COVID-19 I...
#1Erhan UgurluH-Index: 4
#2Nazlı ÇetinH-Index: 1
view all 11 authors...
Purpose: We aimed to determine the number of possible and precise cases among the patients hospitalized in our clinic and to examine the differences between the sociodemographic, clinical, chest CT and laboratory findings of these two groups. Materials and methods: The data of all patients hospitalized at the department of pulmonology service between March 13 as the date of the first case and May 5 with probable and definitive COVID-19 were evaluated retrospectively. Patient ward files and hospi...
#1Edwing Alberto Urrea Vega (UFRGS: Universidade Federal do Rio Grande do Sul)
#2Liliana Antoniolli (UFRGS: Universidade Federal do Rio Grande do Sul)H-Index: 1
Last. Sônia Beatriz Cócaro de Souza (UFRGS: Universidade Federal do Rio Grande do Sul)H-Index: 3
view all 6 authors...
Objective: to analyze evidence concerning the risks of occupational illnesses to which health workers providing care to patients infected with COVID-19 are exposed. Method: integrative literature review conducted in the following online databases: Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed), Web of Science (WoS), Excerpta Medica Data-Base (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Scopus (Elsevier). Original articles published bet...
#1Natalie Tapaskar (Stanford University)
#2Daniel Colon Hidalgo (Anschutz Medical Campus)
Last. Megan A. Rech (LUC: Loyola University Chicago)H-Index: 4
view all 15 authors...
BACKGROUND Patients with COVID-19 acute respiratory distress syndrome (ARDS) have been shown to have high sedation requirements. OBJECTIVE The purpose of this study was to compare sedative use between patients with COVID-19 ARDS and non-COVID-19 ARDS. METHODS This was a retrospective study of patients with COVID-19 ARDS compared with historical controls of non-COVID-19 ARDS who were admitted to 2 hospitals from March 1, 2020, to April 30, 2020, and April 1, 2018, to December 31, 2019, respective...
Background: The widely variable clinical manifestations of SARS-CoV2 disease (COVID-19) range from asymptomatic infections to multiple organ failure and death. Among the organs affected is the heart. This does not only affect people who already have previous cardiovascular problems, but also healthy people. This is a reason not to overlook any symptoms or to perform targeted examinations, even if apparently unrelated to the heart, for quick recognition and timely therapy. Aim of the study: This ...
Applying the dormitory system for thousands of null santri null (student of Islamic boarding school in Indonesia), Quranic null pesantren null (Islamic boarding school) has been considered as one of the main culprits in the spread of the coronavirus disease 2019 (COVID-19). Such assumption is created solely from the applicable health protocols and protective measures to avoid COVID-19 transmission in null pesantren . As a matter of fact, null pesantrens null are known to have applied a distincti...