Intensive Care Management in COVID-19 Patients

Year 2020, Volume: 4 Issue: 2, 107 - 114, 31.08.2020

Yakup Tomak Kezban Özmen Süner

https://doi.org/10.34084/bshr.748495

Cited By: 1

Abstract

In December 2019,outbreak of pneumonia,in Wuhan , was identified as coronovirus disease 2019 (COVID-19).The clinical findings of COVID-19 have been observed in a wide spectrum of mild symptoms such as asymptomatic disease and upper respiratory tract infection, leading to severe viral pneumoniaswith respiratory failure that can result in death.Critical patients with acute hypoxemic respiratory failure, shock, myocardial dysfunction, acute kidney injury and multiple organ failure are among the patients who require intensive care follow-up.
It reported the overall mortality rate as 2.3% in COVID-19, but although mortality is 49.0% in critically ill patients, it is more than 50% in those receiving invasive mechanical ventilation support.Therefore, intensive care management is important for mortality of critical COVID-19 patients.In this review, we aimed to explain the intensive care follow-up and treatments of critical COVID-19 patients.

Keywords

COVID-19, Managemnet, Intensive care

COVİD-19 Hastalarında Yoğun Bakım Yönetimi

Abstract

Aralık 2019’da, Çin’in Wuhan şehrinin merkezi olduğu pnömoni salgını, Coronavirüs hastalığı 2019 (COVID-19) olarak tanımlanmıştır.COVID-19'un klinik bulgularının asemptomatik hastalık ve üst solunum yolu enfeksiyonu gibi hafif tablolardan başlayıp solunum yetmezliğinin eşlik ettiği ve ölümlerle sonuçlanabilen ağır viral pnömonilere varan geniş spektrumda olduğu gözlenmiştir. Yoğun bakım izlemi gerektiren hastalar içerisinde Acute Respiratory Distress Syndrome (ARDS) içeren akut hipoksemik solunum yetmezliği, şok, miyokardiyal disfonksiyon , akut böbrek hasarıve çoklu organ yetmezliği gelişen kritik hastalar mevcuttur. COVID-19' da genel mortalite oranını %2.3 olarak bildirmiştir, ancak kritik hastalarda mortalite %49.0 olmasına rağmen invaziv mekanik ventilasyon desteği alanlarda ise bu %50’nin de üzerindedir. Bu nedenle kritik COVID-19 hastalarında yoğun bakım yönetimi mortalite açısından oldukça önemli bir yer tutmaktadır. Bu derlemede kritik COVID-19 hastalarının yoğun bakım takip ve tedavilerini anlatmayı hedefledik.

Keywords

COVİD-19, yoğun bakım, yoğun bakım yönetimi

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