The timing of intubation and principles of ICU care in COVID-19

Turk J Med Sci. 2021 Dec 17;51(SI-1):3340-3349. doi: 10.3906/sag-2106-182.

Abstract

Coronavirus disease-19 (COVID-19) has been a serious health problem since it was first identified in Wuhan, China, in December 2019 and has created a global crisis with its economic, sociological, and psychological aspects. Approximately 15% of cases have a severe clinical presentation, and 5% of patients require admission to the intensive care unit. A significant proportion of patients presents with a rapidly progressing acute respiratory failure and require invasive mechanical ventilation. This article aimed to evaluate how the optimal intubation timing should be determined in cases of acute respiratory failure due to COVID-19 and to offer recommendations for basic intensive care support in the light of our current knowledge.

Keywords: Coronavirus disease-19; intensive care unit; intubation.

MeSH terms

  • COVID-19 / complications*
  • Critical Illness / therapy*
  • Humans
  • Intensive Care Units / organization & administration*
  • Intensive Care Units / standards
  • Intubation, Intratracheal* / adverse effects
  • Respiratory Insufficiency / complications
  • Respiratory Insufficiency / therapy*
  • SARS-CoV-2