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Evolution of COVID-19 management in critical care: review and perspective from a hospital in the United Kingdom

机译：Covid-19管理在重大关怀中的演变：从英国医院的审查与观点

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The unexpected emergence and spread of coronavirus disease 2019 (COVID-19) has been pandemic, with long-lasting effects, and unfortunately, it does not seem to have ended. Integrating advanced planning, strong teamwork, and clinical management have been both essential and rewarding during this time. Understanding the new concepts of this novel disease and accommodating them into clinical practice is an ongoing process, ultimately leading to advanced and highly specific treatment modalities. We conducted a literature review through PubMed, Europe PMC, Scopus, and Google Scholar to incorporate the most updated therapeutic principles. This article provides a concise and panoramic view of the cohort of critically ill patients admitted to the intensive care unit. We conclude that COVID-19 management includes low tidal volume ventilation, early proning, steroids, and a high suspicion for secondary bacterial/fungal infections. Lung ultrasound is emerging as a promising tool in assessing the clinical response. Managing non-clinical factors such as staff burnout, communication/consent issues, and socio-emotional well-being is equally important.
机译：冠状病毒疾病的意外出现和传播2019（Covid-19）一直是大流行，持久的效果，不幸的是，它似乎并没有结束。在此期间，整合先进的规划，强大的团队合作和临床管理一直是必不可少的和有益的。了解这部小型疾病的新概念，并将其适应临床实践是一个持续的过程，最终导致先进和高度特异性的治疗方式。我们通过PubMed，欧洲PMC，Scopus和Google Scholar进行了文献综述，以纳入最新的治疗原则。本文提供了批判性患者的群组队列的简明和全景视图。我们得出结论，Covid-19管理包括低潮量通风，早期牙龈，类固醇，以及用于二次细菌/真菌感染的高疑似。肺超声正在作为评估临床反应的有前途的工具。管理诸如员工倦怠，沟通/同意问题和社会情绪福祉等非临床因素同样重要。

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