Open AccessAnesthesia and intensive care for patients with COVID-19. Russian Federation of anesthesiologists and reanimatologists guidelines
Author(s) -
I.B. Zabolotskikh,
Mikhail Y. Kirov,
К.М. Лебединский,
D.N. Protsenko,
S. N. Avdeev,
А. А. Андреенко,
L.V. Arsentyev,
В.С. Афончиков,
И.И. Афуков,
Andrey Belkin,
Е. А. Боева,
A. Yu. Bulanov,
Ya.I. Vasiliev,
А. В. Власенко,
В.И. Горбачев,
Е. В. Григорьев,
С. В. Григорьев,
А.И. Грицан,
А А Еременко,
Е.Н. Ершов,
M.N. Zamyatin,
Galina E. Ivanova,
Аrtem Kuzovlev,
А В Куликов,
Roman E. Lakhin,
И. Н. Лейдерман,
A. I. Lenkin,
В.А. Мазурок,
Т. С. Мусаева,
Э. М. Николаенко,
Yu.P. Orlov,
С. С. Петриков,
Е.В. Ройтман,
А.М. Роненсон,
A. Smetkin,
А. А. Соколов,
Сергей Михайлович Степаненко,
В. В. Субботин,
Н. Д. Ушакова,
В.Э. Хороненко,
С. В. Царенко,
E.М. Shifman,
Д. Л. Шукевич,
А. В. Щеголев,
A.I. Yaroshetskiy,
Michael Yaroustovsky
Publication year - 2021
Publication title -
vestnik intensivnoj terapii
Language(s) - English
Resource type - Journals
eISSN - 1818-474X
pISSN - 1726-9806
DOI - 10.21320/1818-474x-2021-s1-9-143
Subject(s) - medicine , intensive care , observational study , medline , intensive care unit , population , rehabilitation , intensive care medicine , randomized controlled trial , medical emergency , physical therapy , surgery , political science , environmental health , law
The article provides the main statements of the guidelines for the anesthesia and intensive care of patients with the coronavirus disease (COVID-19), developed by the Federation of Anesthesiologists and Reanimatologists of Russia. In the process of developing the recommendations, the publications of the official websites of the Russian Federation, the electronic databases of the RSCI, PubMed, MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were analyzed by the developers independently of each other. The date of the last search query was February 01, 2021. To develop the recommendations for the Guidelines, were used documents directly describing the features of the management of patients with NCI COVID-19 (guidelines - 34; randomized clinical trials and Cochrane Reviews - 13; observational and comparative studies - 107; other documents, notes and comments - 64), and documents describing anesthesia and intensive care in the general population of patients. Compared to the previous 4th version of the guidelines, the recommendations in 8 sections have been corrected; new subsections “Chronic kidney disease”, “Rehabilitation treatment of patients with COVID-19 in the intensive care unit”, “Routing of patients with COVID-19 to the stages of rehabilitation” were created; revised 1 Appendix, additionally developed 7 Appendices; the section “Quality criteria” has been supplemented. The provisions of the current version of the guidelines highlight the specifics of anesthesia, intensive care, rehabilitation, resuscitation measures, manipulation, transportation, prevention of the spread of COVID-19 in the implementation of these activities. Methods of protecting personnel from infection with COVID-19 during manipulations, anesthesia and intensive care are considered. The features of respiratory support, extracorporeal detoxification, extracorporeal membrane oxygenation, thromboprophylaxis, drug interactions are described. The features of management of pregnant women, children of different age groups, patients with concomitant diseases, the principles of the formation of stocks of drugs and consumables are considered.