Challenges and solutions in meeting up the urgent requirement of ventilators for COVID-19 patients
Challenges and solutions in meeting up the urgent requirement of ventilators for COVID-19 patients
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DOI：
10.1016/j.dsx.2020.04.048
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发表时间：
2020-07-01
影响因子：
10
通讯作者：
Vaish, Abhishek
中科院分区：
文献类型：
--
作者：
Iyengar, Karthikeyan;Bahl, Shashi;Vaish, Abhishek
背景：新冠肺炎大流行中受严重影响的患者需要呼吸机，我们将医疗保健系统在采购这些机器时面临的挑战以及3-D打印技术在制造呼吸机中的作用绘制成图表。目的：我们试图找到呼吸机在新冠肺炎大流行中的当前角色、可获得性和需求，并评估应用创新技术的作用。方法：我们使用合适的关键词对文献进行全面综述，检索PubMed，Scope us，谷歌学者和研究门在2020年4月的第二周。结果：我们在回顾中发现，呼吸机和操作这些复杂机器的人力严重短缺。呼吸机的生产和供应链存在明显不足。许多需要住院的重病患者可能需要呼吸机支持。结论：随着新冠肺炎大流行引起的呼吸道疾病在全球范围内的蔓延，医疗保健系统面临着获取呼吸机以支持患者的严峻挑战。呼吸机供应链管理所涉及的所有步骤正在升级，以便为冠状病毒前线生产更多呼吸机。像3D打印机技术这样的添加剂医学的创新应用可能会在提供足够的呼吸机方面发挥关键作用。(C)2020年印度糖尿病。爱思唯尔有限公司出版。保留所有权利。
Background: Severely affected patients in the COVID-19 pandemic need Ventilators, we chart the challenges faced by the health care systems in procuring these machines and the role of 3-D printing technology in building ventilators.Aims: We tried to find the current role, availability and need of ventilators in the COVID-19 pandemic and the role of applied innovative technologies is assessed.Methods: We have done a comprehensive review of the literature using suitable keywords on the search engines of PubMed, SCOPUS, Google Scholar and Research Gate in the second week of April 2020.Results: We found in our review that there is an acute shortage of the ventilators and the manpower to operate these sophisticated machines. There is significant deficiency in the production and supply chain of the ventilators. Many of the seriously ill patients who require hospitalization may need ventilator support. Non-invasive ventilation is not recommended in these patients.Conclusion: As the respiratory illness due to COVID-19 pandemic spreads worldwide, health care systems are facing the tough challenges of acquiring ventilators to support patients. All steps involved in the supply chain management of ventilators are being escalated to produce more ventilators for the coronavirus frontline. Innovative applications of Additive medicine like 3-D printer technology may play key role in delivering sufficient ventilators. (C) 2020 Diabetes India. Published by Elsevier Ltd. All rights reserved.