The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice

doi:10.1111/anae.15049

. 2020 Jun;75(6):724-732.

doi: 10.1111/anae.15049. Epub 2020 Mar 30.

The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice

Affiliations

¹ Anesthesia and Intensive Care, AOU Policlinico San Marco University Hospital, Catania, Italy.
² Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.
³ Anesthesia and Intensive Care, Anestesia e Terapia Intensiva Polivalente, Azienda Ospedaliero Universitaria Sant'Orsola-Malpighi - Alma Mater Studiorum, Bologna, Italy.
⁴ Anesthesia and Intensive Care, Anestesia, Terapia Intensiva e Terapia del Dolore, Università Campus, Bio-Medico, Roma, Italy.
⁵ Anesthesia and Intensive Care, Dipartimento di Area Critica Ospedale Monaldi, Ospedali dei Colli, Napoli, Italy.
⁶ Anesthesia and Intensive Care, Clinica di Anestesia e Rianimazione Ospedali Riuniti Ancona, Ancona, Italy.
⁷ Anesthesia and Intensive Care, Dipartimento di Anestesia e Terapia Intensiva, Ospedale Maggiore Crema, Milano, Italy.
⁸ Anesthesia and Intensive Care, Dipartimento di Anestesia, Rianimazione ed Emergenze AOU Città della salute e della scienza Torino, Italy.
⁹ Anesthesia and Intensive Care, Dipartimento di Chirurgia, Anestesia e Rianimazione, Ospedale GB Morgagni-L. Pierantoni, Forlì, Italy.
¹⁰ Anesthesia and Intensive Care, Anestesia e Rianimazione Ospedale Santo Stefano di Prato, Prato, Italy.
¹¹ Anesthesia and Intensive Care, Past Head of Dipartimento di Emergenza, ARNAS Garibaldi Catania, Past Bio-containment coordinator for Sicily, Italian Military Navy scientific consultant, Italy.
¹² Department of Anaesthesiology and Pain Therapy, Bern University Hospital, University of Bern, Switzerland.
¹³ Università Politecnica delle Marche, Ancona, Italy.
¹⁴ Anesthesia and Intensive Care Dipartimento di Medicina Perioperatoria, Dolore, Terapia Intensiva e Rapid Response System, Ospedale di Chieti, Università di Chieti Pescara, Chieti, Italy.

PMID: 32221973
DOI: 10.1111/anae.15049

Free article

The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice

M Sorbello et al. Anaesthesia. 2020 Jun.

Free article

. 2020 Jun;75(6):724-732.

doi: 10.1111/anae.15049. Epub 2020 Mar 30.

Authors

Affiliations

¹ Anesthesia and Intensive Care, AOU Policlinico San Marco University Hospital, Catania, Italy.
² Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.
³ Anesthesia and Intensive Care, Anestesia e Terapia Intensiva Polivalente, Azienda Ospedaliero Universitaria Sant'Orsola-Malpighi - Alma Mater Studiorum, Bologna, Italy.
⁴ Anesthesia and Intensive Care, Anestesia, Terapia Intensiva e Terapia del Dolore, Università Campus, Bio-Medico, Roma, Italy.
⁵ Anesthesia and Intensive Care, Dipartimento di Area Critica Ospedale Monaldi, Ospedali dei Colli, Napoli, Italy.
⁶ Anesthesia and Intensive Care, Clinica di Anestesia e Rianimazione Ospedali Riuniti Ancona, Ancona, Italy.
⁷ Anesthesia and Intensive Care, Dipartimento di Anestesia e Terapia Intensiva, Ospedale Maggiore Crema, Milano, Italy.
⁸ Anesthesia and Intensive Care, Dipartimento di Anestesia, Rianimazione ed Emergenze AOU Città della salute e della scienza Torino, Italy.
⁹ Anesthesia and Intensive Care, Dipartimento di Chirurgia, Anestesia e Rianimazione, Ospedale GB Morgagni-L. Pierantoni, Forlì, Italy.
¹⁰ Anesthesia and Intensive Care, Anestesia e Rianimazione Ospedale Santo Stefano di Prato, Prato, Italy.
¹¹ Anesthesia and Intensive Care, Past Head of Dipartimento di Emergenza, ARNAS Garibaldi Catania, Past Bio-containment coordinator for Sicily, Italian Military Navy scientific consultant, Italy.
¹² Department of Anaesthesiology and Pain Therapy, Bern University Hospital, University of Bern, Switzerland.
¹³ Università Politecnica delle Marche, Ancona, Italy.
¹⁴ Anesthesia and Intensive Care Dipartimento di Medicina Perioperatoria, Dolore, Terapia Intensiva e Rapid Response System, Ospedale di Chieti, Università di Chieti Pescara, Chieti, Italy.

PMID: 32221973
DOI: 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. 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 coronavirus disease 2019 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 coronavirus disease 2019. 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: COVID-19; critical care; tracheal intubation; ventilation.

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References

1. Livingston E, Bucher K, Rekito A. Coronavirus disease 2019 and influenza. Journal of the American Medical Association 2020; [Epub ahead of print]. https://doi.org/10.1001/jama.2020.2633.
1. Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet 2020; 395: 470-3.
1. Peng PWH, Ho P, Hota SS. Outbreak of a new coronavirus: what anaesthetists should know. British Journal of Anaesthesia 2020; 395: 470-3. https://doi.org/10.1016/S0140-6736(20)30185-9.
1. Centers for Disease Control and Prevention. Coronavirus. 2020. https://www.cdc.gov/coronavirus/about/index.html (accessed 28/02/2020).
1. Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395: 497-506.

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[1] Livingston E, Bucher K, Rekito A. Coronavirus disease 2019 and influenza. Journal of the American Medical Association 2020; [Epub ahead of print]. https://doi.org/10.1001/jama.2020.2633.

[2] Livingston E, Bucher K, Rekito A. Coronavirus disease 2019 and influenza. Journal of the American Medical Association 2020; [Epub ahead of print]. https://doi.org/10.1001/jama.2020.2633.

[3] Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet 2020; 395: 470-3.

[4] Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet 2020; 395: 470-3.

[5] Peng PWH, Ho P, Hota SS. Outbreak of a new coronavirus: what anaesthetists should know. British Journal of Anaesthesia 2020; 395: 470-3. https://doi.org/10.1016/S0140-6736(20)30185-9.

[6] Peng PWH, Ho P, Hota SS. Outbreak of a new coronavirus: what anaesthetists should know. British Journal of Anaesthesia 2020; 395: 470-3. https://doi.org/10.1016/S0140-6736(20)30185-9.

[7] Centers for Disease Control and Prevention. Coronavirus. 2020. https://www.cdc.gov/coronavirus/about/index.html (accessed 28/02/2020).

[8] Centers for Disease Control and Prevention. Coronavirus. 2020. https://www.cdc.gov/coronavirus/about/index.html (accessed 28/02/2020).

[9] Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395: 497-506.

[10] Huang C, Wang Y, Li X, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020; 395: 497-506.

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The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice

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The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice

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