Managing ICU surge during the COVID-19 crisis: rapid guidelines

Shadman Aziz; Yaseen M Arabi; Waleed Alhazzani; Laura Evans; Giuseppe Citerio; Katherine Fischkoff; Jorge Salluh; Geert Meyfroidt; Fayez Alshamsi; Simon Oczkowski; Elie Azoulay; Amy Price; Lisa Burry; Amy Dzierba; Andrew Benintende; Jill Morgan; Giacomo Grasselli; Andrew Rhodes; Morten H Møller; Larry Chu; Shelly Schwedhelm; John J Lowe; Du Bin; Michael D Christian

doi:10.1007/s00134-020-06092-5

Managing ICU surge during the COVID-19 crisis: rapid guidelines

Intensive Care Med. 2020 Jul;46(7):1303-1325. doi: 10.1007/s00134-020-06092-5. Epub 2020 Jun 8.

Authors

Shadman Aziz¹, Yaseen M Arabi², Waleed Alhazzani³, Laura Evans⁴, Giuseppe Citerio⁵, Katherine Fischkoff⁶, Jorge Salluh⁷, Geert Meyfroidt⁸, Fayez Alshamsi⁹, Simon Oczkowski³, Elie Azoulay¹⁰, Amy Price¹¹, Lisa Burry¹², Amy Dzierba¹³, Andrew Benintende⁶, Jill Morgan¹⁴, Giacomo Grasselli¹⁵, Andrew Rhodes¹⁶, Morten H Møller¹⁷, Larry Chu¹¹, Shelly Schwedhelm¹⁸, John J Lowe¹⁹, Du Bin²⁰, Michael D Christian²¹

Affiliations

¹ London's Air Ambulance, Royal London Hospital, Barts NHS Health Trust, Whitechapel Rd, Whitechapel, London, E1 1FR, England, UK.
² Intensive Care Department, Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Kingdom of Saudi Arabia.
³ Department of Medicine and Department of Health Research Methods, Evidence and Impact, Master University, Ontario, Canada.
⁴ Department of Pulmonary and Critical Care Medicine, University of Washington, Seattle, USA.
⁵ Università degli Studi di Milano - Bicocca, Milan, Italy.
⁶ Columbia University Medical Center, New York, USA.
⁷ Instituto D'Or de Pesquisa e Ensino, Rio de Janeiro, Brazil.
⁸ UZ Leuven, Louvain, Belgium.
⁹ Department of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Abu Dhabi, UAE.
¹⁰ Assistance publique - Hôpitaux de Paris, Paris, France.
¹¹ Anaesthesia and Informatics Lab, Stanford University, Stanford, USA.
¹² Sinai Health System, University of Toronto, Toronto, Canada.
¹³ New York-Presbyterian Hospital, Columbia University Irving Medical Center, New York, USA.
¹⁴ Emory University, Georgia, USA.
¹⁵ Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
¹⁶ St Georges Hospitals NHS Foundation Trust, London, UK.
¹⁷ Department of Intensive Care, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
¹⁸ Nebraska Medicine, Omaha, NE, USA.
¹⁹ Department of Environmental and Occupational Health, University of Nebraska Medical Center, Omaha, NE, USA.
²⁰ Peking Union Medical College Hospital, Beijing, China.
²¹ London's Air Ambulance, Royal London Hospital, Barts NHS Health Trust, Whitechapel Rd, Whitechapel, London, E1 1FR, England, UK. michael.christian1@nhs.net.

Abstract

Given the rapidly changing nature of COVID-19, clinicians and policy makers require urgent review and summary of the literature, and synthesis of evidence-based guidelines to inform practice. The WHO advocates for rapid reviews in these circumstances. The purpose of this rapid guideline is to provide recommendations on the organizational management of intensive care units caring for patients with COVID-19 including: planning a crisis surge response; crisis surge response strategies; triage, supporting families, and staff.

Keywords: COVID-19; Critical care; Guideline; Pandemics; Surge capacity; Triage.

Publication types

Practice Guideline
Review

MeSH terms

Betacoronavirus*
COVID-19
Coronavirus Infections / epidemiology
Coronavirus Infections / therapy*
Critical Care / standards
Equipment and Supplies, Hospital
Health Care Rationing / standards
Health Workforce
Humans
Infectious Disease Transmission, Patient-to-Professional / prevention & control
Intensive Care Units / organization & administration*
Intensive Care Units / standards
Pandemics*
Personal Protective Equipment
Pneumonia, Viral / epidemiology
Pneumonia, Viral / therapy*
Respiration, Artificial / instrumentation
Respiration, Artificial / standards
SARS-CoV-2
Triage