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Challenges in Preparing and Managing the Critical Care Services for a Large Urban Area During COVID-19 Outbreak: Perspective From Delhi.
Journal of Cardiothoracic and Vascular Anesthesia ( IF 2.3 ) Pub Date : 2020-05-26 , DOI: 10.1053/j.jvca.2020.05.028
Deepak K Tempe 1 , Gopi C Khilnani 2 , J C Passey 3 , B L Sherwal 4
Affiliation  

The coronavirus disease-2019 (COVID-19) pandemic has put healthcare services all over the world into a challenging situation. The contagious nature of the disease and the respiratory failure necessitating ventilatory care of these patients have put extra burden on intensive care unit (ICU) services. India has been no exception; by March 2020, the number of COVID-19 patients started increasing in India. This article describes the measures taken and challenges faced in creating ample ICU bed capacity to cater to the anticipated load of patients in the state of Delhi, India, as a result of the COVID-19 pandemic. The main challenges faced, among others, were estimating the number of ICU beds to be created; deciding on dedicated hospitals to treat COVID-19 patients; procuring ventilators, personal protective equipment, and other related material; mobilizing human resources and providing their training; and providing isolated in-house accommodations to the staff on duty. The authors acknowledge and agree that the methodology proposed in this article is but one way of approaching this difficult scenario and that there could be other, perhaps better, methods of dealing with such a problem.



中文翻译:

在COVID-19爆发期间为大城市地区准备和管理重症监护服务的挑战:德里的观点。

2019年冠状病毒病(COVID-19)大流行使世界各地的医疗服务处于充满挑战的境地。疾病的传染性和呼吸衰竭使这些患者需要通气治疗,这给重症监护病房(ICU)的服务增加了负担。印度也不例外。到2020年3月,印度的COVID-19患者人数开始增加。本文介绍了由于COVID-19大流行而在印度德里州创建足够的ICU床位容量以迎合患者预期负荷所采取的措施和面临的挑战。除其他外,面临的主要挑战是估计将要建立的重症监护病床的数量;决定专门医院治疗COVID-19患者;采购呼吸机,个人防护设备和其他相关材料;调动人力资源并提供培训;并向值班人员提供隔离的内部住宿。作者承认并同意,本文提出的方法仅是解决此困难情况的一种方法,并且可能存在其他(也许更好)的方法来处理此类问题。

更新日期:2020-05-26
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