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Crit Care Resusc. Fast reshaping of intensive care unit facilities in a large metropolitan hospital in Milan, Italy: facing the COVID-19 pandemic emergency

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  • Crit Care Resusc. Fast reshaping of intensive care unit facilities in a large metropolitan hospital in Milan, Italy: facing the COVID-19 pandemic emergency


    Crit Care Resusc. 2020 Apr 1. [Epub ahead of print]
    Fast reshaping of intensive care unit facilities in a large metropolitan hospital in Milan, Italy: facing the COVID-19 pandemic emergency


    Zangrillo A1, Beretta L1, Silvani P1, Colombo S1, Scandroglio AM1, Dell’Acqua A1, Fominskiy E1, Landoni G2, Monti G1, Azzolini ML1, Monaco F1, Oriani A1, Belleti A1, Sartorelli M1, Pallanch O1, Saleh O1, Sartini C1, Nardelli P1, Lombardi G1, Morselli F1, Scquizzato T1, Frontera A1, Ruggeri A1, Scotti R1, Assanelli A1, Dagna L1, Rovere-Querini P1, Castagna A1, Scarpellini P1, Di Napoli D1, Ambrosio A1, Ciceri F1, Tresoldi M1.

    Author information




    Abstract

    At the end of 2019, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak spread from China all around the world, causing thousands of deaths. In Italy, the hardest hit region was Lombardy, with the first reported case on 20 February 2020. San Raffaele Scientific Institute — a large tertiary hospital and research centre in Milan, Italy — was immediately involved in the management of the public health emergency. Since the beginning of the outbreak, the elective surgical activity of the hospital was rapidly reduced and large areas of the hospital were simultaneously reorganised to admit and assist patients with coronavirus disease 2019 (COVID-19). In addition, the hospital became the regional referral hub for cardiovascular emergencies in order to keep ensuring a high level of health care to non-COVID-19 patients in northern Italy. In a few days, a COVID-19 emergency department was created, improving the general ward capacity to a total number of 279 beds dedicated to patients with COVID-19. Moreover, the number of intensive care unit (ICU) beds was increased from 28 to 72 (54 of them dedicated to patients with COVID-19, and 18 to cardiology and cardiac surgery hub emergencies), both converting pre-existing areas and creating new high technology spaces. All the involved health care personnel were rapidly trained to use personal protection equipment and to manage this particular category of patients both in general wards and ICUs. Furthermore, besides clinical activities, continuously important research projects were carried out in order to find new strategies and more effective therapies to better face an unprecedented health emergency in Italy.



    KEYWORDS:

    Administration and health services; Public and environmental health; Anesthesia and intensive care; COVID-19; Disaster


    PMID:32227819

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