Dataset Information

[Recommendations for the management of critically ill patients with COVID-19 in Intensive Care Units].

ABSTRACT: The COVID-19 pandemic has led to the admission of a high number of patients to the ICU, generally due to severe respiratory failure. Since the appearance of the first cases of SARS-CoV-2 infection, at the end of 2019, in China, a huge number of treatment recommendations for this entity have been published, not always supported by sufficient scientific evidence or with methodological rigor necessary. Thanks to the efforts of different groups of researchers, we currently have the results of clinical trials, and other types of studies, of higher quality. We consider it necessary to create a document that includes recommendations that collect this evidence regarding the diagnosis and treatment of COVID-19, but also aspects that other guidelines have not considered and that we consider essential in the management of critical patients with COVID-19. For this, a drafting committee has been created, made up of members of the SEMICYUC Working Groups more directly related to different specific aspects of the management of these patients.

SUBMITTER: Vidal-Cortes P

PROVIDER: S-EPMC8443328 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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[Recommendations for the management of critically ill patients with COVID-19 in Intensive Care Units].

Vidal-Cortés P P Díaz Santos E E Aguilar Alonso E E Amezaga Menéndez R R Ballesteros M Á MÁ Bodí M A MA Bordejé Laguna M L ML Garnacho Montero J J García Sánchez M M López Sánchez M M Martín-Loeches I I Ochagavía Calvo A A Ramírez Galleymore P P Alcántara Carmona S S Andaluz Ojeda D D Badallo Arébalo O O Barrasa González H H Borges Sa M M Castellanos-Ortega Á Á Estella Á Á Ferrer Roca R R Fraile Gutiérrez V V Fuset Cabanes M M Giménez-Esparza Vich C C González Iglesias C C Hernández-Tejedor A A Igeño Cano J C JC Iglesias Posadilla D D Jiménez Rivera J J JJ Llanos Jorge C C Llompart-Pou J A JA López Camps V V Lorencio Cárdenas C C Marcos Neira P P Martín Delgado M C MC Martín-Macho González M M Martín Villén L L Nuvials Casals X X Ortiz Suñer A A Quintana Díaz M M Rascado Sedes P P Recuerda Núñez M M Del Río Carbajo L L Rodríguez Aguirregabiria M M Rodríguez Oviedo A A Seijas Betolaza I I Soriano Cuesta C C Suberviola Cañas B B Vera Ching C C Vidal González Á Á Zapata Fenor L L Zaragoza Crespo R R

Medicina intensiva 20210916 2

The COVID-19 pandemic has led to the admission of a high number of patients to the ICU, generally due to severe respiratory failure. Since the appearance of the first cases of SARS-CoV-2 infection, at the end of 2019, in China, a huge number of treatment recommendations for this entity have been published, not always supported by sufficient scientific evidence or with methodological rigor necessary. Thanks to the efforts of different groups of researchers, we currently have the results of clinic ...[more]

PMID: 34545260

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Project description:BackgroundIn response to the high patient admission rates during the COVID-19 pandemic, provisional intensive care units (ICUs) were set up, equipped with temporary monitoring and alarm systems. We sought to find out whether the provisional ICU setting led to a higher alarm burden and more staff with alarm fatigue.ObjectiveWe aimed to compare alarm situations between provisional COVID-19 ICUs and non-COVID-19 ICUs during the second COVID-19 wave in Berlin, Germany. The study focused on measuring alarms per bed per day, identifying medical devices with higher alarm frequencies in COVID-19 settings, evaluating the median duration of alarms in both types of ICUs, and assessing the level of alarm fatigue experienced by health care staff.MethodsOur approach involved a comparative analysis of alarm data from 2 provisional COVID-19 ICUs and 2 standard non-COVID-19 ICUs. Through interviews with medical experts, we formulated hypotheses about potential differences in alarm load, alarm duration, alarm types, and staff alarm fatigue between the 2 ICU types. We analyzed alarm log data from the patient monitoring systems of all 4 ICUs to inferentially assess the differences. In addition, we assessed staff alarm fatigue with a questionnaire, aiming to comprehensively understand the impact of the alarm situation on health care personnel.ResultsCOVID-19 ICUs had significantly more alarms per bed per day than non-COVID-19 ICUs (P<.001), and the majority of the staff lacked experience with the alarm system. The overall median alarm duration was similar in both ICU types. We found no COVID-19-specific alarm patterns. The alarm fatigue questionnaire results suggest that staff in both types of ICUs experienced alarm fatigue. However, physicians and nurses who were working in COVID-19 ICUs reported a significantly higher level of alarm fatigue (P=.04).ConclusionsStaff in COVID-19 ICUs were exposed to a higher alarm load, and the majority lacked experience with alarm management and the alarm system. We recommend training and educating ICU staff in alarm management, emphasizing the importance of alarm management training as part of the preparations for future pandemics. However, the limitations of our study design and the specific pandemic conditions warrant further studies to confirm these findings and to explore effective alarm management strategies in different ICU settings.

Dataset Information

[Recommendations for the management of critically ill patients with COVID-19 in Intensive Care Units].

Publications

[Recommendations for the management of critically ill patients with COVID-19 in Intensive Care Units].

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