Anesthesia and intensive care for patients with COVID-19. Russian Federation of anesthesiologists and reanimatologists guidelines

I.b Zabolotskikh ,M.n Zamyatin ,Mikhail Y Kirov ,Ya.i Vasiliev ,Е.в Ройтман ,L.v Arsentyev ,В В Субботин ,А А Андреенко ,Е А Боева ,S N Avdeev ,И Н Лейдерман ,А А Соколов ,А А Еременко ,С В Царенко ,Е.н Ершов ,A.i Yaroshetskiy ,Э М Николаенко ,А.и Грицан ,Д Л Шукевич ,В.э Хороненко ,В.и Горбачев ,А.а Белкин ,Yu.p Orlov ,А В Власенко ,Сергей Михайлович Степаненко ,Аrtem Kuzovlev ,A Yu Bulanov ,И.и Афуков ,А В Щеголев ,Н Д Ушакова ,С В Григорьев ,E.м Shifman ,А В Куликов ,В.с Афончиков ,A Smetkin ,A I Lenkin ,Roman E Lakhin ,Т С Мусаева ,К.м Лебединский ,D.n Protsenko ,А.м Роненсон ,В.а Мазурок ,Е В Григорьев ,С С Петриков ,Michael Yaroustovsky

doi:10.21320/1818-474x-2020-s1-9-120

Abstract

The article provides the main statements of the guidelines for the anesthesia and intensive care of patients with the coronavirus disease (COVID-19), developed by the Federation of Anesthesiologists and Reanimatologists of Russia. In the process of developing the recommendations, the publications of the official websites of the Russian Federation, the electronic databases of the RSCI, PubMed, MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were analyzed by the developers independently of each other. The date of the last search query was June 29, 2020. To develop the Guidelines for the recommendations, were used documents that directly describing the features of the management of patients with coronavirus disease COVID-19 (guidelines and guidelines — 16; randomized clinical trials and Cochrane Reviews — 8; observational and comparative studies — 77; other documents, notes and comments — 54) and describing anesthetic and resuscitation support in the general population of patients. The provisions of the recommendations highlight the specifics of anesthesia, intensive care, resuscitation, manipulation, and prevention of the spread of COVID-19 in the implementation of these activities. Methods of protecting personnel from infection with COVID-19 during manipulations, anesthesia and intensive care are considered. The features of respiratory support, extracorporeal detoxification, extracorporeal membrane oxygenation, thromboprophylaxis are described. The features of the management of pregnant women, children of different age, patients with concomitant diseases, issues of transportation of patients are considered.

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