Objective: 

In the midst of the severe acute respiratory syndrome coronavirus 2 pandemic, which causes coronavirus disease 2019, there is a recognized need to expand critical care services and beds beyond the traditional boundaries. There is considerable concern that widespread infection will result in a surge of critically ill patients that will overwhelm our present adult ICU capacity. In this setting, one proposal to add “surge capacity” has been the use of PICU beds and physicians to care for these critically ill adults.

Design: 

Narrative review/perspective.

Setting: 

Not applicable.

Patients: 

Not applicable.

Interventions: 

None.

Measurements and Main Results: 

The virus’s high infectivity and prolonged asymptomatic shedding have resulted in an exponential growth in the number of cases in the United States within the past weeks with many (up to 6%) developing acute respiratory distress syndrome mandating critical care services. Coronavirus disease 2019 critical illness appears to be primarily occurring in adults. Although pediatric intensivists are well versed in the care of acute respiratory distress syndrome from viral pneumonia, the care of differing aged adult populations presents some unique challenges. In this statement, a team of adult and pediatric-trained critical care physicians provides guidance on common “adult” issues that may be encountered in the care of these patients and how they can best be managed in a PICU.

Conclusions: 

This concise scientific statement includes references to the most recent and relevant guidelines and clinical trials that shape management decisions. The intention is to assist PICUs and intensivists in rapidly preparing for care of adult coronavirus disease 2019 patients should the need arise.

中文翻译：

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在 PICU 中照顾患有 2019 年冠状病毒病的危重成人：经过双重培训的重症监护医师的建议。

客观的： 

在导致2019 年冠状病毒病的严重急性呼吸综合征冠状病毒 2 型大流行期间，人们认识到需要将重症监护服务和床位扩展到传统界限之外。人们非常担心广泛的感染将导致重症患者激增，从而超出我们现有的成人重症监护室的容量。在这种情况下，一项增加“激增能力”的建议是使用儿科重症监护病房（PICU）床位和医生来照顾这些危重的成年人。

设计： 

叙述评论/观点。

环境： 

不适用。

患者： 

不适用。

干预措施： 

没有任何。

测量和主要结果： 

该病毒的高传染性和长时间的无症状传播导致美国病例数量在过去几周内呈指数级增长，其中许多（高达 6%）患有急性呼吸窘迫综合征，需要重症监护服务。2019 年冠状病毒病危重疾病似乎主要发生在成人中。尽管儿科重症监护医生精通病毒性肺炎引起的急性呼吸窘迫综合征的护理，但不同年龄段成年人群的护理面临着一些独特的挑战。在这份声明中，由成人和儿科培训的重症监护医生组成的团队就这些患者在护理过程中可能遇到的常见“成人”问题以及如何在 PICU 中最好地管理他们提供了指导。

结论： 

这份简明的科学陈述包括对影响管理决策的最新相关指南和临床试验的参考。目的是在需要时协助 PICU 和重症监护室快速准备护理2019 年冠状病毒病成人患者。