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Published in: Critical Care 1/2020

01-12-2020 | Care | Review

COVID-19: instruments for the allocation of mechanical ventilators—a narrative review

Authors: Marcelo José dos Santos, Maristela Santini Martins, Fabiana Lopes Pereira Santana, Maria Carolina Silvano Pacheco Corrêa Furtado, Fabiana Cristina Bazana Remédio Miname, Rafael Rodrigo da Silva Pimentel, Ágata Nunes Brito, Patrick Schneider, Edson Silva dos Santos, Luciane Hupalo da Silva

Published in: Critical Care | Issue 1/2020

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Abstract

After the World Health Organization declared COVID-19 to be a pandemic, the elaboration of comprehensive and preventive public policies became important in order to stop the spread of the disease. However, insufficient or ineffective measures may have placed health professionals and services in the position of having to allocate mechanical ventilators. This study aimed to identify instruments, analyze their structures, and present the main criteria used in the screening protocols, in order to help the development of guidelines and policies for the allocation of mechanical ventilators in the COVID-19 pandemic. The instruments have a low level of scientific evidence, and, in general, are structured by various clinical, non-clinical, and tiebreaker criteria that contain ethical aspects. Few instruments included public participation in their construction or validation. We believe that the elaboration of these guidelines cannot be restricted to specialists as this question involves ethical considerations which make the participation of the population necessary. Finally, we propose seventeen elements that can support the construction of screening protocols in the COVID-19 pandemic.
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Metadata
Title
COVID-19: instruments for the allocation of mechanical ventilators—a narrative review
Authors
Marcelo José dos Santos
Maristela Santini Martins
Fabiana Lopes Pereira Santana
Maria Carolina Silvano Pacheco Corrêa Furtado
Fabiana Cristina Bazana Remédio Miname
Rafael Rodrigo da Silva Pimentel
Ágata Nunes Brito
Patrick Schneider
Edson Silva dos Santos
Luciane Hupalo da Silva
Publication date
01-12-2020
Publisher
BioMed Central
Keywords
Care
COVID-19
Published in
Critical Care / Issue 1/2020
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-020-03298-3

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