tetano
Editor, Senior Moderator
J Intensive Care Soc
. 2022 May;23(2):233-236.
doi: 10.1177/1751143720978850. Epub 2020 Dec 14.
Outcomes of critically ill COVID-19 patients managed in a high-volume severe respiratory failure and ECMO centre in the United Kingdom
Peter B Sherren[SUP] 1 [/SUP], Luigi Camporota[SUP] 1 [/SUP], Barnaby Sanderson[SUP] 1 [/SUP], Andrew Jones[SUP] 1 [/SUP], Manu Shankar-Hari[SUP] 1 [/SUP], Chris Is Meadows[SUP] 1 [/SUP], Nicholas Barrett[SUP] 1 [/SUP], Marlies Ostermann[SUP] 1 [/SUP], Nicholas Hart[SUP] 1 [/SUP]
Affiliations
Abstract
During the Coronavirus Disease 2019 (COVID-19) pandemic institutions have needed to develop pragmatic clinical pathways to balance the excess critical care demand and local resources. In this single-centre retrospective cohort study we describe the outcomes of COVID-19 patients admitted to Guy's and St. Thomas' NHS Foundation Trust (GSTT) critical care service. Patients were managed according to a local respiratory failure management pathway that was predicated on timely invasive ventilation when indicated and tailored ventilatory strategies according to pulmonary mechanics. Between 2 March and 25 May 2020 GSTT critical care service admitted 316 patients with confirmed COVID-19. Of the 201 patients admitted directly through the Emergency Department (ED) with a completed critical care outcome, 71.1% survived to critical care discharge. These favourable outcomes may serve to inform the wider debate on optimal organ support in COVID-19.
Keywords: ARDS; COVID-19; SARS-CoV-2; respiratory failure; ventilation.
. 2022 May;23(2):233-236.
doi: 10.1177/1751143720978850. Epub 2020 Dec 14.
Outcomes of critically ill COVID-19 patients managed in a high-volume severe respiratory failure and ECMO centre in the United Kingdom
Peter B Sherren[SUP] 1 [/SUP], Luigi Camporota[SUP] 1 [/SUP], Barnaby Sanderson[SUP] 1 [/SUP], Andrew Jones[SUP] 1 [/SUP], Manu Shankar-Hari[SUP] 1 [/SUP], Chris Is Meadows[SUP] 1 [/SUP], Nicholas Barrett[SUP] 1 [/SUP], Marlies Ostermann[SUP] 1 [/SUP], Nicholas Hart[SUP] 1 [/SUP]
Affiliations
- PMID: 35615235
- PMCID: PMC9125444
- DOI: 10.1177/1751143720978850
Abstract
During the Coronavirus Disease 2019 (COVID-19) pandemic institutions have needed to develop pragmatic clinical pathways to balance the excess critical care demand and local resources. In this single-centre retrospective cohort study we describe the outcomes of COVID-19 patients admitted to Guy's and St. Thomas' NHS Foundation Trust (GSTT) critical care service. Patients were managed according to a local respiratory failure management pathway that was predicated on timely invasive ventilation when indicated and tailored ventilatory strategies according to pulmonary mechanics. Between 2 March and 25 May 2020 GSTT critical care service admitted 316 patients with confirmed COVID-19. Of the 201 patients admitted directly through the Emergency Department (ED) with a completed critical care outcome, 71.1% survived to critical care discharge. These favourable outcomes may serve to inform the wider debate on optimal organ support in COVID-19.
Keywords: ARDS; COVID-19; SARS-CoV-2; respiratory failure; ventilation.