Crit Care. Preparing your intensive care unit for the COVID-19 pandemic: practical considerations and strategies

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Crit Care. 2020 May 11;24(1):215. doi: 10.1186/s13054-020-02916-4.
Preparing your intensive care unit for the COVID-19 pandemic: practical considerations and strategies.


Goh KJ¹, Wong J², Tien JC², Ng SY², Duu Wen S³, Phua GC³, Leong CK³.

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Abstract

The coronavirus disease 2019 (COVID-19) has rapidly evolved into a worldwide pandemic. Preparing intensive care units (ICU) is an integral part of any pandemic response. In this review, we discuss the key principles and strategies for ICU preparedness. We also describe our initial outbreak measures and share some of the challenges faced. To achieve sustainable ICU services, we propose the need to 1) prepare and implement rapid identification and isolation protocols, and a surge in ICU bed capacity; (2) provide a sustainable workforce with a focus on infection control; (3) ensure adequate supplies to equip ICUs and protect healthcare workers; and (4) maintain quality clinical management, as well as effective communication.



KEYWORDS:

Coronavirus disease 2019; Critical care; Infection control; Pandemic preparedness; SARS-CoV-2


PMID:32393325DOI:10.1186/s13054-020-02916-4