2020, Number 4
<< Back Next >>
Rev Mex Anest 2020; 43 (4)
Recommendations for sedoanalgesia of SARS-CoV-2 infected patients on mechanical ventilation
Covarrubias-Gómez A, Salinas-Palacios CK, Arriaga-Morales E, Esquer-Guzmán HM, Ferretiz-López G, Alvarado-Pérez J, López-Collada-Estrada M, Bravo-Chang MJ, Pavón-Sánchez RA
Language: Spanish
References: 16
Page: 251-256
PDF size: 240.71 Kb.
ABSTRACT
In recent times, SARS-Cov-2 infection has changed the way we view global public health. Patients with coronavirus may have no symptoms or present mild, moderate, severe, or critical symptoms. Patients can be managed on an outpatient basis (66%) or hospital (34%); in the hospital context, they may require an intensive care unit. It has been documented that 3% of those hospitalized need mechanical ventilation. Sedation, analgesia, and management of the acute confusional state present interesting considerations; in COVID-19, cardiac, coagulatory, renal, nervous, cognitive changes, among others, may occur. The purpose of this document is to provide information for the clinician.
REFERENCES
Yuki K, Fujiogi M, Koutsogiannaki S. COVID-19 pathophysiology: a review. Clin Immunol. 2020;215:108427. doi: 10.1016/j.clim.2020.108427.
Ksiazek TG, Erdman D, Goldsmith CS, Zaki SR, Peret T, Emery S, et al. A novel coronavirus associated with severe acute respiratory syndrome. N Engl J Med. 2003;348:1953-1966. doi: 10.1056/NEJMoa030781.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395:497-506. doi: 10.1016/S0140-6736(20)30183-5.
Shi H, Han X, Jiang N, Cao Y, Alwalid O, Gu J, et al. Radiological findings from 81 patients with COVID-19 pneumonia in Wuhan, China: a descriptive study. Lancet Infect Dis. 2020;20:425-434. doi: 10.1016/S1473-3099(20)30086-4.
Zuo MZ, Huang YG, Ma WH, Xue ZG, Zhang JQ, Gong YH, et al. Expert recommendations for tracheal intubation in critically ill patients with noval coronavirus disease 2019. Chin Med Sci J. 2020;10.24920/003724. doi: 10.24920/003724.
Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJ, Pandharipande PP, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med. 2018;46:e825-e873. doi: 10.1097/CCM.0000000000003299.
Shehabi Y, Bellomo R, Reade MC, Bailey M, Bass F, Howe B, McArthur C, et al. Early intensive care sedation predicts long-term mortality in ventilated critically ill patients. Am J Respir Crit Care Med. 2012;186:724-731. doi: 10.1164/rccm.201203-0522OC.
Shehabi Y, Bellomo R, Kadiman S, Kah Ti L, Howe B, Reade MC, et al. Sedation intensity in the first 48 hours of mechanical ventilation and 180-day mortality: a multinational prospective longitudinal cohort study. Crit Care Med. 2018;46:850-859. doi: 10.1097/CCM.0000000000003071.
Hanidziar D, Bittner E. Sedation of mechanically ventilated COVID-19 patients: challenges and special considerations. Anesth Analg. 2020;10.1213/ANE.0000000000004887. doi: 10.1213/ANE.0000000000004887.
Madhok J, Mihm FG. Rethinking sedation during prolonged mechanical ventilation for COVID-19 respiratory failure. Anesth Analg. 2020;10.1213/ANE.0000000000004960. doi: 10.1213/ANE.0000000000004960.
Payen JF, Chanques G, Futier E, Velly L, Jaber S, Constantin JM. Sedation for critically ill patients with COVID-19: which specificities? One size does not fit all. Anaesth Crit Care Pain Med. 2020;S2352-5568(20)30077-1. doi: 10.1016/j.accpm.2020.04.010.
De Lorenzo A, Escobar S, Tibiriçá E. Systemic endothelial dysfunction: a common pathway for COVID-19, cardiovascular and metabolic diseases. Nutr Metab Cardiovasc Dis. 2020; 10.1016/j.numecd.2020.05.007. doi: 10.1016/j.numecd.2020.05.007.
Finger RG, Mallmann C, Nedel WL. BIS monitoring in sedated, mechanically ventilated patients: right tool in the wrong patients? A meta-analysis. Intensive Care Med. 2016;42:1086-1087. doi: 10.1007/s00134-016-4282-y.
Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit Care Clin. 2017;33:225-243. doi: 10.1016/j.ccc.2016.12.005.
Carini F, Cassabella C, Garcia-Sarubio M. Analgosedación en el paciente crítico en ventilación mecánica: el bundle ABDCEF en la pandemia de COVID-19. RATI. 2020;47-53. [Recuperado de internet el 10 de Junio del 2020 del sitio http://revista.sati.org.ar/index.php/MI/article/view/696/799].
Secretaría de Salud. Guía para el manejo de la sedoanalgesia en el Hospital General de México “Dr. Eduardo Liceaga”. 2015. [Recuperado de internet el 10 de Junio del 2020 del sitio http://www.hgm.salud.gob.mx/descargas/pdf/area_medica/GuiasSedoanalgesia2015.pdf].