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The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice.
Anaesthesia. 2020 06; 75(6):724-732.A

Abstract

Novel coronavirus 2019 is a single-stranded, ribonucleic acid virus that has led to an international pandemic of coronavirus disease 2019. Clinical data from the Chinese outbreak have been reported, but experiences and recommendations from clinical practice during the Italian outbreak have not. We report the impact of the coronavirus disease 2019 outbreak on regional and national healthcare infrastructure. We also report on recommendations based on clinical experiences of managing patients throughout Italy. In particular, we describe key elements of clinical management, including: safe oxygen therapy; airway management; personal protective equipment; and non-technical aspects of caring for patients diagnosed with coronavirus disease 2019. Only through planning, training and team working will clinicians and healthcare systems be best placed to deal with the many complex implications of this new pandemic.

Authors+Show Affiliations

Anesthesia and Intensive Care, AOU Policlinico San Marco University Hospital, Catania, Italy.Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.Anesthesia and Intensive Care, Anestesia e Terapia Intensiva Polivalente, Azienda Ospedaliero Universitaria Sant'Orsola-Malpighi - Alma Mater Studiorum, Bologna, Italy.Anesthesia and Intensive Care, Anestesia, Terapia Intensiva e Terapia del Dolore, Università Campus, Bio-Medico, Roma, Italy.Anesthesia and Intensive Care, Dipartimento di Area Critica Ospedale Monaldi, Ospedali dei Colli, Napoli, Italy.Anesthesia and Intensive Care, Clinica di Anestesia e Rianimazione Ospedali Riuniti Ancona, Ancona, Italy.Anesthesia and Intensive Care, Dipartimento di Anestesia e Terapia Intensiva, Ospedale Maggiore Crema, Milano, Italy.Anesthesia and Intensive Care, Dipartimento di Anestesia, Rianimazione ed Emergenze AOU Città della salute e della scienza Torino, Italy.Anesthesia and Intensive Care, Dipartimento di Chirurgia, Anestesia e Rianimazione, Ospedale GB Morgagni-L. Pierantoni, Forlì, Italy.Anesthesia and Intensive Care, Anestesia e Rianimazione Ospedale Santo Stefano di Prato, Prato, Italy.Anesthesia and Intensive Care, Past Head of Dipartimento di Emergenza, ARNAS Garibaldi Catania, Past Bio-containment coordinator for Sicily, Italian Military Navy scientific consultant, Italy.Department of Anaesthesiology and Pain Therapy, Bern University Hospital, University of Bern, Switzerland.Università Politecnica delle Marche, Ancona, Italy.Anesthesia and Intensive Care Dipartimento di Medicina Perioperatoria, Dolore, Terapia Intensiva e Rapid Response System, Ospedale di Chieti, Università di Chieti Pescara, Chieti, Italy.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32221973

Citation

Sorbello, M, et al. "The Italian Coronavirus Disease 2019 Outbreak: Recommendations From Clinical Practice." Anaesthesia, vol. 75, no. 6, 2020, pp. 724-732.
Sorbello M, El-Boghdadly K, Di Giacinto I, et al. The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice. Anaesthesia. 2020;75(6):724-732.
Sorbello, M., El-Boghdadly, K., Di Giacinto, I., Cataldo, R., Esposito, C., Falcetta, S., Merli, G., Cortese, G., Corso, R. M., Bressan, F., Pintaudi, S., Greif, R., Donati, A., & Petrini, F. (2020). The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice. Anaesthesia, 75(6), 724-732. https://doi.org/10.1111/anae.15049
Sorbello M, et al. The Italian Coronavirus Disease 2019 Outbreak: Recommendations From Clinical Practice. Anaesthesia. 2020;75(6):724-732. PubMed PMID: 32221973.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice. AU - Sorbello,M, AU - El-Boghdadly,K, AU - Di Giacinto,I, AU - Cataldo,R, AU - Esposito,C, AU - Falcetta,S, AU - Merli,G, AU - Cortese,G, AU - Corso,R M, AU - Bressan,F, AU - Pintaudi,S, AU - Greif,R, AU - Donati,A, AU - Petrini,F, AU - ,, Y1 - 2020/03/30/ PY - 2020/03/12/accepted PY - 2020/3/30/pubmed PY - 2020/5/12/medline PY - 2020/3/30/entrez KW - COVID-19 KW - critical care KW - tracheal intubation KW - ventilation SP - 724 EP - 732 JF - Anaesthesia JO - Anaesthesia VL - 75 IS - 6 N2 - Novel coronavirus 2019 is a single-stranded, ribonucleic acid virus that has led to an international pandemic of coronavirus disease 2019. Clinical data from the Chinese outbreak have been reported, but experiences and recommendations from clinical practice during the Italian outbreak have not. We report the impact of the coronavirus disease 2019 outbreak on regional and national healthcare infrastructure. We also report on recommendations based on clinical experiences of managing patients throughout Italy. In particular, we describe key elements of clinical management, including: safe oxygen therapy; airway management; personal protective equipment; and non-technical aspects of caring for patients diagnosed with coronavirus disease 2019. Only through planning, training and team working will clinicians and healthcare systems be best placed to deal with the many complex implications of this new pandemic. SN - 1365-2044 UR - https://www.unboundmedicine.com/medline/citation/32221973/full_citation L2 - https://doi.org/10.1111/anae.15049 DB - PRIME DP - Unbound Medicine ER -