The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice
Open Access
- 27 March 2020
- journal article
- research article
- Published by Wiley in Anaesthesia
- Vol. 75 (6), 724-732
- https://doi.org/10.1111/anae.15049
Abstract
Novel coronavirus 2019 is a single‐stranded, ribonucleic acid virus that has led to an international pandemic of coronavirus disease 2019 (COVID‐19). Clinical data from the Chinese outbreak have been reported, but experiences and recommendations from clinical practice during the Italian outbreak have not. We report the impact of the COVID‐19 outbreak on regional and national healthcare infrastructure. We also report on recommendations based on clinical experiences of managing patients throughout Italy. In particular, we describe key elements of clinical management, including safe oxygen therapy, airway management, personal protective equipment and non‐technical aspects of caring for patients diagnosed with COVID‐19. Only through planning, training and team working will clinicians and healthcare systems be best placed to deal with the many complex implications of this new pandemic.Keywords
This publication has 42 references indexed in Scilit:
- Preoxygenation: Physiologic Basis, Benefits, and Potential RisksAnesthesia & Analgesia, 2017
- A randomised controlled trial comparing transnasal humidified rapid insufflation ventilatory exchange (THRIVE) pre‐oxygenation with facemask pre‐oxygenation in patients undergoing rapid sequence induction of anaesthesiaAnaesthesia, 2016
- High-flow oxygen therapy and other inhaled therapies in intensive care unitsThe Lancet, 2016
- Aristotle, Galileo and Sellick: The unsolved dilemma of cricoid pressureTrends in Anaesthesia and Critical Care, 2016
- Considerations for Safe EMS Transport of Patients Infected with Ebola VirusPrehospital Emergency Care, 2014
- Severe acute respiratory syndrome (SARS): lessons learnt in Hong Kong2013
- The variability of critical care bed numbers in EuropeIntensive Care Medicine, 2012
- Aerosol Generating Procedures and Risk of Transmission of Acute Respiratory Infections to Healthcare Workers: A Systematic ReviewPLOS ONE, 2012
- Role of air distribution in SARS transmission during the largest nosocomial outbreak in Hong KongIndoor Air, 2004
- I. Anaesthesia and SARSBritish Journal of Anaesthesia, 2003