Clin Med (Lond). 2020 May 4. pii: clinmed.2020-0188. doi: 10.7861/clinmed.2020-0188. [Epub ahead of print]
Respiratory advice for the non-respiratory physician in the time of COVID-19.
Bennett J1, Munavvar M1, Walker P1, Phillips G2.
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Abstract
COVID-19, the disease caused by the SARS-CoV-2 beta-coronavirus, has changed clinical practice in a matter of weeks. Among the physician specialties, respiratory physicians have been at the forefront of the response to this new challenge. Here we provide advice for non-respiratory physicians on the ward-based care of patients with this disease. This includes recommendations on hydration, thromboprophylaxis, nutritional support and on the importance of the early detection of deterioration, setting ceilings of care and use of anticipatory drugs where appropriate. We also discuss oxygen support modalities, proning, safe working practices and a new approach to multi-professional working. We include references to a number of important research studies.
? Royal College of Physicians 2020. All rights reserved.
KEYWORDS:
COVID-19; Respiratory; coronavirus
PMID:32366580DOI:10.7861/clinmed.2020-0188