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. 2020 Nov;132(21-22):664-670.
doi: 10.1007/s00508-020-01734-6. Epub 2020 Sep 18.

SARS-CoV-2: recommendations for treatment in intensive care medicine

Markus Köstenberger  1 , Walter Hasibeder  2 , Daniel Dankl  3 , Reinhard Germann  4 , Christoph Hörmann  5 , Michael Joannidis  6 , Klaus Markstaller  7 , Steve-Oliver Müller-Muttonen  8 , Stefan Neuwersch-Sommeregger  9 , Eva Schaden  7 , Thomas Staudinger  10 , Roman Ullrich  10 , Andreas Valentin  11 , Rudolf Likar  9
Affiliations

SARS-CoV-2: recommendations for treatment in intensive care medicine

Markus Köstenberger et al. Wien Klin Wochenschr. 2020 Nov.

Abstract

Coronavirus disease 2019 (COVID-19) progresses mildly in most of the cases; however, about 5% of the patients develop a severe acute respiratory distress syndrome (ARDS). Of all COVID-19 patients 3% need intensive care treatment, which becomes a great challenge for anesthesiology and intensive care medicine, medically, hygienically and for technical safety requirements. For these reasons, only experienced medical and nursing staff in the smallest grouping possible should be assigned. For these team members, a consistent use of personal protective equipment (PPE) is essential.Due to the immense medical challenges, the following treatment guidelines were developed by the ÖGARI (Österreichische Gesellschaft für Anästhesiologie, Reanimation und Intensivmedizin), FASIM (Federation of Austrian Societies of Intensive Care Medicine) and ÖGIAIN (Österreichische Gesellschaft für Internistische und Allgemeine Intensivmedizin und Notfallmedizin).The recommendations given in this article are to be understood as short snapshots of the moment; all basic guidelines are works in progress and will be regularly updated as evidence levels, new study results and additional experience are gathered.

Keywords: ARDS; COVID-19; Personal protective equipment; Respiratory therapy; SARS-CoV‑2.

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Conflict of interest statement

M. Köstenberger, W. Hasibeder, D. Dankl, R. Germann, C. Hörmann, M. Joannidis, K. Markstaller, S.‑O. Müller-Muttonen, S. Neuwersch-Sommeregger, E. Schaden, T. Staudinger, R. Ullrich, A. Valentin, and R. Likar declare that they have no competing interests.

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