1. Organization Of Intensive Care Service For Patients With Covid-19 During Pandemia (Review)

Authors

  • T.K. Kuandykov National Scientific Center of Surgery named after A.N. Syzganov, Almaty, Kazakhstan
  • A.K. Abdrakhmanova City Clinical Infectious Diseases Hospital, Almaty, Kazakhstan
  • V.V. Mutagirov National Scientific Center of Surgery named after A.N. Syzganov, Almaty, Kazakhstan

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Abstract

Since the beginning of the new coronavirus infection pandemia over 57.9 million people have been infected and over 1.3 million have died. The world statistics on COVID-19 rates Kazakhstan as 49 with revealed cases of COVID-19 and 53 with deaths cases. In 80% of patients with COVID-19, COVID-19 have mild or moderate disease, about 15% have severe disease requires oxygen support, and 5% have a critical illness requires stay in intensive care units. The average duration of ICU stay is 10.8 days. In 22.7% of patients, ICU length of stay is over 30 days. The mortality rate of patients in intensive care units was 40-61% during the first wave, but in most affected regions it was as high as 90%. In order to improve the results of intensive care, a team-based way introduced in many hospitals. These teams do most labor-consuming and potentially dangerous manipulations. This approach requires a sufficient number of engaged and well-trained staff. In in an acute shortage of ICU staff, some actions assumed to train medical personnel of other specialties to become doctors and nurses in intensive care units. Short and superficial courses, designed to prepare the maxi-mum number of intensive care specialists in the shortest time, as a rule, leads to a deterioration in the quality of the provided intensive care and does not improve results and mortality.

Keywords

COVID-19 pandemia, critical care

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Published

2020-12-01

Issue

No. 4 (2020)

Section

Статьи