Challenges in the delivery of critical care in India during the COVID-19 pandemic

Author:

Tirupakuzhi Vijayaraghavan Bharath Kumar123ORCID,Nainan Myatra Sheila4,Mathew Meghena1,Lodh Nirmalyo4,Vasishtha Divatia Jigeeshu4,Hammond Naomi56,Jha Vivekanand378,Venkatesh Balasubramanian5910

Affiliation:

1. Department of Critical Care, Apollo Hospitals, Chennai, India

2. Asia Pacific Sepsis Alliance, Newton, New South Wales, Australia

3. The George Institute for Global Health, New Delhi, India

4. Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, India

5. Division of Critical Care, The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia

6. Malcom Fisher Department of Intensive Care Medicine, Royal North Shore Hospital, New South Wales, Australia

7. School of Public Health, Imperial College, London, UK

8. Manipal Academy of Higher Education, Manipal, India

9. Department of Critical Care Medicine, University of Queensland, St Lucia, QLD, Australia

10. Wesley Hospital, Auchenflower, Brisbane, Australia

Abstract

Coronavirus disease 2019 cases in India continue to increase and are expected to peak over the next few weeks. Based on some projection models, India is expected to have more than 10 million cases by September 2020. The spectrum of disease can vary from mild upper respiratory tract symptoms to life-threatening acute respiratory distress syndrome and multi-organ failure requiring intensive care. Even if less than 5% of patients require critical care services, this will still rapidly overwhelm the healthcare system in a country, where intensive care services and resources are scarce and unevenly distributed. In this perspective article, we highlight the critical care preparedness of India for the pandemic and the associated challenges.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Critical Care Nursing

Reference50 articles.

1. https://covid19.who.int/ (accessed 25 July 2020).

2. https://www.mohfw.gov.in/ (accessed 25 July 2020).

3. http://covidindiaupdates.in/ (accessed 25 July 2020).

4. https://en.wikipedia.org/wiki/COVID-19_pandemic_in_India (accessed 25 July 2020).

5. https://www.who.int/publications/i/item/clinical-management-of-covid-19 (accessed 25 July 2020).

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