Procedures in COVID-19 Patients: Part-I

Rajesh K Pande; Ashish Bhalla; Sheila N Myatra; Lakshmi N Yaddanpuddi; Sachin Gupta; Tapas K Sahoo; Ravi Prakash; Tarun A Sahu; Akansha Jain; Palepu Bn Gopal; Dhruva Chaudhry; Deepak Govil; Shubhal Dixit; Srinivas Samavedam

doi:10.5005/jp-journals-10071-23597

Procedures in COVID-19 Patients: Part-I

Indian J Crit Care Med. 2020 Nov;24(Suppl 5):S263-S271. doi: 10.5005/jp-journals-10071-23597.

Authors

Affiliations

¹ Department of Critical Care Medicine, BLK Center for Critical Care, BLK Superspeciality Hospital, New Delhi, India.
² Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
³ Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, Maharashtra, India.
⁴ Department of Anaesthesiology and Critical Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
⁵ Department of Critical Care, Narayana Superspeciality Hospital, Gurugram, Haryana, India.
⁶ Department of Critical Care Medicine, Institute of Critical Care, Medanta Hospital, Ranchi, Jharkhand, India.
⁷ Department of Paediatric ICU, Bhagwan Mahavir Medica Superspecialty Hospital, Ranchi, Jharkhand, India.
⁸ Department of Critical Care, Continental Hospital, Hyderabad, Telangana, India.
⁹ Department of Pulmonary and Critical Care, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
¹⁰ Department of Critical Care Medicine, Institute of Critical Care and Anesthesia, Medanta: The Medicity, Gurugram, Haryana, India.
¹¹ Department of Critical Care Medicine, Sanjeevan and MJM Hospital, Pune, Maharashtra, India.
¹² Department of Critical Care, Virinchi Hospital, Hyderabad, Telangana, India.

Abstract

The number of cases with novel coronavirus disease-2019 (COVID-19) infection is increasing every day in the world, and India contributes a substantial proportion of this burden. Critical care specialists have accepted the challenges associated with the COVID-19 pandemic and are frontline warriors in this war. They have worked hard in streamlining workflow isolation of positive patients, clinical management of critically ill patients, and infection prevention practices. With no end in sight for this pandemic, intensive care unit (ICU) practitioners, hospital administrators, and policy makers have to join hands to prepare for the surge in critical care bed capacity. In this position article, we offer several suggestions on important interventions to the ICU practitioners for better management of critically ill patients. This position article highlights key interventions for COVID-19 treatment and covers several important issues such as endotracheal intubation and tracheostomy (surgical vs PCT), nebulization, bronchoscopy, and invasive procedures such as central venous catheters, arterial lines, and HD catheters. How to cite this article: Pande RK, Bhalla A, SN Myatra, Yaddanpuddi LN, Gupta S, Sahoo TK, et al. Procedures in COVID-19 Patients: Part-I. Indian J Crit Care Med 2020;24(Suppl 5):S263-S271.

Keywords: Aerosols; Airway; Bronchoscopy; COVID-19; Central venous catheter; Diagnostic procedure; Emergency; Intubation endotracheal; Nebulizers; SARS-CoV-2; Tracheostomy.

Publication types

Review