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Intensive Care Medicine
Published in: Intensive Care Medicine 3/2021

01-03-2021 | Care | Review

How the COVID-19 pandemic will change the future of critical care

Authors: Yaseen M. Arabi, Elie Azoulay, Hasan M. Al-Dorzi, Jason Phua, Jorge Salluh, Alexandra Binnie, Carol Hodgson, Derek C. Angus, Maurizio Cecconi, Bin Du, Rob Fowler, Charles D. Gomersall, Peter Horby, Nicole P. Juffermans, Jozef Kesecioglu, Ruth M. Kleinpell, Flavia R. Machado, Greg S. Martin, Geert Meyfroidt, Andrew Rhodes, Kathryn Rowan, Jean-François Timsit, Jean-Louis Vincent, Giuseppe Citerio

Published in: Intensive Care Medicine | Issue 3/2021

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Abstract

Coronavirus disease 19 (COVID-19) has posed unprecedented healthcare system challenges, some of which will lead to transformative change. It is obvious to healthcare workers and policymakers alike that an effective critical care surge response must be nested within the overall care delivery model. The COVID-19 pandemic has highlighted key elements of emergency preparedness. These include having national or regional strategic reserves of personal protective equipment, intensive care unit (ICU) devices, consumables and pharmaceuticals, as well as effective supply chains and efficient utilization protocols. ICUs must also be prepared to accommodate surges of patients and ICU staffing models should allow for fluctuations in demand. Pre-existing ICU triage and end-of-life care principles should be established, implemented and updated. Daily workflow processes should be restructured to include remote connection with multidisciplinary healthcare workers and frequent communication with relatives. The pandemic has also demonstrated the benefits of digital transformation and the value of remote monitoring technologies, such as wireless monitoring. Finally, the pandemic has highlighted the value of pre-existing epidemiological registries and agile randomized controlled platform trials in generating fast, reliable data. The COVID-19 pandemic is a reminder that besides our duty to care, we are committed to improve. By meeting these challenges today, we will be able to provide better care to future patients.
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Metadata
Title
How the COVID-19 pandemic will change the future of critical care
Authors
Yaseen M. Arabi
Elie Azoulay
Hasan M. Al-Dorzi
Jason Phua
Jorge Salluh
Alexandra Binnie
Carol Hodgson
Derek C. Angus
Maurizio Cecconi
Bin Du
Rob Fowler
Charles D. Gomersall
Peter Horby
Nicole P. Juffermans
Jozef Kesecioglu
Ruth M. Kleinpell
Flavia R. Machado
Greg S. Martin
Geert Meyfroidt
Andrew Rhodes
Kathryn Rowan
Jean-François Timsit
Jean-Louis Vincent
Giuseppe Citerio
Publication date
01-03-2021
Publisher
Springer Berlin Heidelberg
Keywords
Care
COVID-19
Published in
Intensive Care Medicine / Issue 3/2021
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-021-06352-y

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