Anesthesia and intensive care for patients with COVID-19. Russian Federation of anesthesiologists and reanimatologists guidelines. Annals of Critical Care

Author:

Zabolotskikh I.B.1ORCID,Kirov M.Yu.2ORCID,Lebedinskii K.M.34ORCID,Protsenko D.N.56ORCID,Avdeev S.N.7ORCID,Andreenko A.A.8ORCID,Arsentyev L.V.8ORCID,Afonchikov V.S.9ORCID,Afukov I.I.6ORCID,Belkin A.A.10ORCID,Boeva E.A.4ORCID,Bulanov A.Yu.11ORCID,Vasiliev Ya.I.3ORCID,Vlasenko A.V.12ORCID,Gorbachev V.I.13ORCID,Grigor'ev E.V.14ORCID,Grigor'ev S.V.1ORCID,Gritsan A.I.15ORCID,Eremenko A.A.16ORCID,Ershov E.N.8ORCID,Zamyatin M.N.17ORCID,Kuzovlev A.N.4ORCID,Kulikov A.V.10ORCID,Lakhin R.E.8ORCID,Leiderman I.N.18ORCID,Lenkin A.I.3ORCID,Mazurok V.A.18ORCID,Musaeva T.S.1ORCID,Nikolaenko E.M.19ORCID,Orlov Yu.P.20ORCID,Petrikov S.S.21ORCID,Roitman E.V.6ORCID,Ronenson A.M.22ORCID,Smetkin A.A.2ORCID,Sokolov A.A.8ORCID,Stepanenko S.M.6ORCID,Subbotin V.V.23ORCID,Ushakova N.D.24ORCID,Khoronenko V.E.25ORCID,Tsarenko S.V.11ORCID,Shifman E.M.26ORCID,Shukevich D.L.27ORCID,Shchegolev A.V.8ORCID,Yaroshetskiy A.I.6ORCID,Yarustovsky M.B.28ORCID

Affiliation:

1. State Budgetary educational institution of higher professional education Kuban State Medical University of the Ministry of Healthcare of the Russian Federation

2. Northern State Medical University

3. North-Western State Medical University named after I.I. Mechnikov

4. Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology

5. Municipal Clinical Hospital No. 40, Moscow

6. Pirogov Russian National Research Medical University

7. Sechenov First Moscow State Medical University

8. Military Medical Academy

9. Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine

10. Ural State Medical University

11. Municipal Clinical Hospital No. 52

12. Russian Medical Academy of Continuous Professional Education

13. ISMAPgE - Branch Campus of the FSBEIFPE RMACPE MOH Russia

14. Kemerovo State Medical University

15. Voino-Yasenetsky Krasnoyarsk State Medical University

16. Petrovsky National Research Centre of Surgery

17. Pirogov National Medical and Surgical Center

18. Almazov National Medical Research Centre

19. Scientific Clinical Center RZD

20. Omsk State Medical University

21. N.V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department

22. E.M. Bakunina Regional Clinical Perinatal Centre

23. Moscow clinical scientific centern.a. A. S. Loginov

24. Rostov State Research Institute of Oncology

25. P.A. Hertsen Moscow Oncology Research Center

26. Moscow Regional Research and Clinical Institute

27. Kuzbass Cardiology Center SB RAS

28. Bakoulev Scientific Center for Cardiovascular Surgery

Abstract

The article provides the main statements of the guidelines for the anesthesia and intensive care of patients with the coronavirus disease (COVID-19), developed by the Federation of Anesthesiologists and Reanimatologists of Russia. In the process of developing the recommendations, the publications of the official websites of the Russian Federation, the electronic databases of the RSCI, PubMed, MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were analyzed by the developers independently of each other. The date of the last search query was June 29, 2020. To develop the Guidelines for the recommendations, were used documents that directly describing the features of the management of patients with coronavirus disease COVID-19 (guidelines and guidelines - 16; randomized clinical trials and Cochrane Reviews - 8; observational and comparative studies - 77; other documents, notes and comments - 54) and describing anesthetic and resuscitation support in the general population of patients. The provisions of the recommendations highlight the specifics of anesthesia, intensive care, resuscitation, manipulation, and prevention of the spread of COVID-19 in the implementation of these activities. Methods of protecting personnel from infection with COVID-19 during manipulations, anesthesia and intensive care are considered. The features of respiratory support, extracorporeal detoxification, extracorporeal membrane oxygenation, thromboprophylaxis are described. The features of the management of pregnant women, children of different age, patients with concomitant diseases, issues of transportation of patients are considered.

Publisher

Practical Medicine Publishing House

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