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Zhonghua Jie He He Hu Xi Za Zhi. The keypoints in treatment of the critical novel coronavirus pneumonia patient

tetano

Editor, Senior Moderator
Zhonghua Jie He He Hu Xi Za Zhi. 2020 Feb 23;43(0):E022. doi: 10.3760/cma.j.cn112147-20200222-00151. [Epub ahead of print] [h=1][The keypoints in treatment of the critical novel coronavirus pneumonia patient].[/h]
[Article in Chinese; Abstract available in Chinese from the publisher]

Qiu HB[SUP]1[/SUP], Li XY[SUP]2[/SUP], Du B[SUP]3[/SUP], Kang HYJ[SUP]2[/SUP], Wang YS[SUP]2[/SUP], Wang F[SUP]2[/SUP], Sun B[SUP]2[/SUP], Tong ZH[SUP]2[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] in English, Chinese
The novel coronavirus pneumonia (new coronavirus pneumonia) (NCP) has been prevalent in Wuhan and spread rapidly to all of our country. Some cases can develop into ARDS, or even death. We will share the treatment experience of severe NCP with the first-line treatment experience. The best respiratory support mode should be selected, but the timing of intubation and protection during intubation are two difficulties; patients with high level peep and poor effect in prone position can be given ECMO support. For NCP patients with mechanical ventilation, reasonable sedation and analgesia strategies should be formulated; delirium should not be ignored. In addition, there is up regulation of inflammatory factors in patients with severe NCP, but the effect of renal replacement therapy needs to be further confirmed by clinical research.


[h=4]KEYWORDS:[/h] Acute respiratory distress syndrome (ARDS); Delirium; Mechanical ventilation; Novel coronavirus pneumonia (NCP); Renal replacement therapy; Sedation and analgesia

PMID: 32087621 DOI: 10.3760/cma.j.cn112147-20200222-00151
 
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