Critical Care Surge Capacity to Respond to the COVID-19 Pandemic in Italy: A Rapid and Affordable Solution in the Novara Hospital
Critical Care Surge Capacity to Respond to the COVID-19 Pandemic in Italy: A Rapid and Affordable Solution in the Novara Hospital
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DOI：
10.1017/s1049023x20000692
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发表时间：
2020-08-01
影响因子：
2.2
通讯作者：
Della Corte, Francesco
中科院分区：
文献类型：
--
作者：
Cammarota, Gianmaria;Ragazzoni, Luca;Della Corte, Francesco
2019年冠状病毒病(新冠肺炎)的快速叛乱和传播超过了Maggiore della Carita大学医院(意大利诺瓦拉)重症监护病房(ICU)应急计划的限制，造成了危机管理状况。这份简短的报告描述了如何通过解决从应急到危机的医疗保健系统激增能力的关键要素，对有创机械通风(IMV)的突然请求做出迅速反应。在较短的时间内，以相对较低的成本，对医院走廊进行了结构性修改，允许将普通ICU改为新冠肺炎病房，使新冠肺炎重症监护床位增加了107%。
The rapid insurgence and spread of coronavirus disease 2019 (COVID-19) exceeded the limit of the intensive care unit (ICU) contingency plan of the Maggiore della Carita University Hospital (Novara, Italy) generating a crisis management condition. This brief report describes how a prompt response to the sudden request of invasive mechanical ventilation (IMV) was provided by addressing the key elements of health care system surge capacity from contingency to crisis. In a short time and at a relatively low cost, a structural modification of a hospital aisle allowed to convert the general ICU into a COVID-19 unit, increasing the number of COVID-19 critical care beds by 107%.