Critical Care for COVID-19 Affected Patients: Updated Position Statement of the Indian Society of Critical Care Medicine

Yatin Mehta; Dhruva Chaudhry; O C Abraham; Jose Chacko; Jigeeshu Divatia; Bharat Jagiasi; Arindam Kar; G C Khilnani; Bhuvana Krishna; Prashant Kumar; R K Mani; B K Rao; Pawan K Singh; Sanjeev Singh; Pavan Tiwary; Chand Wattal; Deepak Govil; Subhal Dixit; Srinivas Samavedam

doi:10.5005/jp-journals-10071-23621

Critical Care for COVID-19 Affected Patients: Updated Position Statement of the Indian Society of Critical Care Medicine

Indian J Crit Care Med. 2020 Nov;24(Suppl 5):S225-S230. doi: 10.5005/jp-journals-10071-23621.

Authors

Yatin Mehta¹, Dhruva Chaudhry², O C Abraham³, Jose Chacko⁴, Jigeeshu Divatia⁵, Bharat Jagiasi⁶, Arindam Kar⁷, G C Khilnani⁸, Bhuvana Krishna⁹, Prashant Kumar¹⁰, R K Mani¹¹, B K Rao¹², Pawan K Singh², Sanjeev Singh¹³, Pavan Tiwary¹⁴, Chand Wattal¹⁵, Deepak Govil¹⁶, Subhal Dixit¹⁷, Srinivas Samavedam¹⁸

Affiliations

¹ Department of Critical Care and Anesthesiology, Medanta: The Medicity, Gurugram, Haryana, India.
² Department of Pulmonary and Critical Care, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
³ Infectious Disease Medicine, Christian Medical College, Vellore, Tamil Nadu, India.
⁴ Critical Care Medicine, Narayana Hrudyala, Bengaluru, Karnataka, India.
⁵ Critical Care and Anesthesia, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, India.
⁶ Department of Critical Care, Reliance Hospital, Navi Mumbai, Maharashtra, India.
⁷ CK Birla Hospitals, Gurugram, Haryana, India; CMRI Institute of Critical Care, Kolkata, West Bengal, India; Indian Society of Critical Care Medicine; European Society of Intensive Care Medicine.
⁸ Department of Pulmonary, Critical Care and Sleep Medicine, PSRI Hospital, New Delhi, India.
⁹ Department of Critical Care Medicine, St. John's Hospital, Bengaluru, Karnataka, India.
¹⁰ Department of Anaesthesiology, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
¹¹ Critical Care and Pulmonology, Batra Hospital and Medical Research Centre, New Delhi, India.
¹² Department of Critical Care and Emergency Medicine, Sir Ganga Ram Hospital, New Delhi, India.
¹³ Amrita Institute of Medical Sciences, Ernakulam, Kerala, India; Amrita Hospitals, Faridabad, Haryana, India.
¹⁴ All India Institute of Medical Sciences, New Delhi, India.
¹⁵ Clinical Microbiology and Immunology, Sir Ganga Ram Hospital, New Delhi, India.
¹⁶ Institute of Critical Care and Anesthesiology, Medanta: The Medicity, Gurugram, Haryana, India.
¹⁷ Department of Critical Care Medicine, Sanjeevan and MJM Hospital, Pune, Maharashtra, India.
¹⁸ Department of Critical Care, Virinchi Hospital, Hyderabad, Telangana, India.

Abstract

The management of coronavirus disease-2019 (COVID-19) is witnessing a change as we learn more about the pathophysiology and the severity of the disease. Several randomized controlled trials (RCTs) and meta-analysis have been published over the last few months. Several interventions and therapies which showed promise in the initial days of the pandemic have subsequently failed to show benefit in well-designed trials. Understanding of the methods of oxygen delivery and ventilation have also evolved over the past few months. The Indian Society of Critical Care Medicine (ISCCM) has reviewed the evidence that has emerged since the publication of its position statement in May and has put together an addendum of updated evidence. How to cite this article: Mehta Y, Chaudhry D, Abraham OC, Chacko J, Divatia J, Jagiasi B, et al. Critical Care for COVID-19 Affected Patients: Position Statement of the Indian Society of Critical Care Medicine. Indian J Crit Care Med 2020;24(Suppl 5):S225-S230.

Keywords: COVID-19; Convalescent plasma; SARS-CoV-2.

Publication types

Review