COVID-19 SÜRECİNDE YOĞUN BAKIM YÖNETİMİ

Yıl 2020, Cilt: 3 Sayı: Özel Sayı, 66 - 85, 05.08.2020

Abdullah Yalçın

Öz

Şiddetli akut solunum yetmezliği sendromu-koronavirüs-2 (SARS-CoV-2)’nin sebep olduğu koronavirüs hastalığı-19 (COVID-19) tüm dünyayı etkilemiş ve etkin ilaç tedavisinin olmaması zorluk yaratmaktadır. Bulaştırıcılık riskinin yüksek olması yoğun bakım ünitelerinde fizibilite sorunlarına yol açmaktadır. COVID-19 ağırlıklı olarak akciğer hasarı ve miyokardiyal hasar yaratarak ağır pnömoni, kardiyojenik şok ve çoklu organ yetmezliğine sebep olmaktadır. Hızlı tanı ve izolasyon, enfeksiyon önlemleri, akut solunum yetmezliği yönetimi, organ yetmezliklerine yönelik destek tedavi ve viral yükün azaltılması tedavinin temelini oluşturmaktadır. Yoğun bakım ünitesinde çalışan personelin bulaş riskini azaltmaya yönelik tedbirler hassasiyetle uygulanmalıdır.
Coronavirus disease-19 (COVID-19) caused by severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) affects the whole world and the lack of effective drug treatment creates difficulties. The high risk of contamination causes feasibility problems in intensive care units. COVID-19 mainly creates lung and myocardial damage, causing severe pneumonia, cardiogenic shock and multiple organ failure. Rapid diagnosis and isolation, infection prevention, acute respiratory failure management, supportive therapy for organ failure and reduction of viral load are the mainstay of treatment. Precaution to reduce the risk of contagion of the intensive care unit staff should be applied with care.

Anahtar Kelimeler

Yoğun Bakım, SARS-CoV-2, COVID-19

Kaynakça

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