Cited by 380Disaster Response and ManagementCOVID-19 and healthcare impactsEmergency and Acute Care Studies

Managing ICU surge during the COVID-19 crisis: Rapid guidelines.

Open access
Aziz, Shadman, Arabi, Yaseen M., Alhazzani, Waleed, Evans, Laura, Citerio, Giuseppe, Fischkoff, Katherine, Salluh, Jorge, Meyfroidt, Geert +16 more·2020·Intensive Care Medicine

Abstract

Given the rapidly changing nature of COVID-19, clinicians and policy makers require urgent review and summary of the literature, and synthesis of evidence-based guidelines to inform practice. The WHO advocates for rapid reviews in these circumstances. The purpose of this rapid guideline is to provide recommendations on the organizational management of intensive care units caring for patients with COVID-19 including: planning a crisis surge response; crisis surge response strategies; triage, supporting families, and staff.

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  • The undesirable effects associated with unnecessary MRSA coverage are supported by studies showing an association between early discontinuation of MRSA coverage and better outcomes in patients with negative nares or bronchoalveolar lavage (BAL) MRSA PCR.

    “The undesirable effects associated with unnecessary MRSA coverage are also supported by studies showing an association between early discontinuation of MRSA coverage and better outcomes in patients with negative nares or bronchoalveolar lavage (BAL) MRSA PCR (157-159).”

    From Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. (2021) · cites this paper as [157]

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  • SARS-CoV-2 is now responsible for many cases of infection and sepsis.

    “More recently, SARS-CoV-2 (causing COVID-19) is now responsible for many cases of infection and sepsis [223].”

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  1. [34]Huang C Wang Y Li X Ren L Zhao J Hu Y Zhang L Fan G Xu J Gu X Cheng Z Yu T Xia J Wei Y Wu W Xie X Yin W Li H Liu M Xiao Y Gao H Guo L Xie J Wang G Jiang R Gao Z Jin Q Wang J Cao B Clinical features of patients infected with 2019 novel coronavirus in Wuhan China. Lancet 2020 395 10223 497 506 10.1016/s0140-6736(20)30183-5 31986264 PMC7159299 · DOI · Paper page
  2. [70]Tronstad C, Martinsen T, Olsen M, Rosseland L, Pettersen F, Martinsen Ø, Høgetveit J, Kalvøy H (2020) Splitting one ventilator for multiple patients—a technical assessment. arXiv preprint arXiv:200312349
  3. [72]American Association for Respiratory Care (2020) Joint statement on multiple patients per ventilator. https://www.aarc.org/wp-content/uploads/2020/03/032620-COVID-19-press-release.pdf. Accessed 9 Apr 2020

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Authors
Aziz, S., Arabi, Y. M., Alhazzani, W., Evans, L., Citerio, G., Fischkoff, K., Salluh, J., Meyfroidt, G., Alshamsi, F., Oczkowski, S., Azoulay, E., Price, A., Burry, L., Dzierba, A., Benintende, A., Morgan, J., Grasselli, G., Rhodes, A., Møller, M. H., Chu, L., Schwedhelm, S., Lowe, J. J., Bin, D., & Christian, M. D.
Affiliations
  • Barts Health NHS Trust (GB)
  • King Saud bin Abdulaziz University for Health Sciences (SA)
  • University of Washington (US)
  • University of Milano-Bicocca (IT)
  • Columbia University Irving Medical Center (US)
  • D’Or Institute for Research and Education (BR)
  • Universitair Ziekenhuis Leuven (BE)
  • United Arab Emirates University (AE)
  • Stanford University (US)
  • University of Toronto (CA)
  • NewYork–Presbyterian Hospital (US)
  • Emory University (US)
  • University of Milan (IT)
  • St George's Hospital (GB)
  • Copenhagen University Hospital (DK)
  • Nebraska Medical Center (US)
  • University of Nebraska Medical Center (US)
  • Peking Union Medical College Hospital (CN)
Corresponding author
Christian, Michael D.
Venue
Intensive Care Medicine
Published
2020-06-08
Volume
46
Issue
7
Pages
1303-1325
ISSN
  • 0342-4642 (ISSN-L)
  • 1432-1238
OpenAlex
W3034038345
Cited by
380
References
138
Citations by year
2026: 6 · 2025: 13 · 2024: 44 · 2023: 53 · 2022: 97 · 2021: 117 · 2020: 49
FWCI
74.01
Type
journal article
Language
en
Open access
Locations
  • Intensive Care Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Lirias (KU Leuven) (submittedVersion, other-oa)
  • St George's Online Research Archive (St George's University of London) (submittedVersion)
  • Archivio Istituzionale della Ricerca (Universita Degli Studi Di Milano) (submittedVersion, other-oa)
  • BOA (University of Milano-Bicocca) (submittedVersion)
Topics
  • Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
  • Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
  • Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
Keywords
COVID-19 pandemic, intensive care unit, crisis management, triage, family support, healthcare workers, organizational management, rapid review
MeSH terms
Personal Protective Equipment, Betacoronavirus, COVID-19, SARS-CoV-2, Critical Care, Equipment and Supplies, Hospital, Health Workforce, Humans, Intensive Care Units, Pneumonia, Viral, Respiration, Artificial, Triage, Health Care Rationing, Infectious Disease Transmission, Patient-to-Professional, Coronavirus Infections, Pandemics

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