Severe Covid-19
Patients with severe Covid-19 should have close monitoring for the need for endotracheal intubation; intubated patients should receive lung-protective ventilation. Data from randomized, controlled trials support a reduction in mortality with the use of dexamethasone and a reduction in time to clinic...
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Veröffentlicht in: | The New England journal of medicine 2020-12, Vol.383 (25), p.2451-2460 |
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creator | Berlin, David A Gulick, Roy M Martinez, Fernando J |
description | Patients with severe Covid-19 should have close monitoring for the need for endotracheal intubation; intubated patients should receive lung-protective ventilation. Data from randomized, controlled trials support a reduction in mortality with the use of dexamethasone and a reduction in time to clinical recovery with the use of remdesivir. |
doi_str_mv | 10.1056/NEJMcp2009575 |
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Data from randomized, controlled trials support a reduction in mortality with the use of dexamethasone and a reduction in time to clinical recovery with the use of remdesivir.</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMcp2009575</identifier><identifier>PMID: 32412710</identifier><language>eng</language><publisher>WALTHAM: Massachusetts Medical Society</publisher><subject><![CDATA[Adenosine Monophosphate - analogs & derivatives ; Adenosine Monophosphate - therapeutic use ; Alanine - analogs & derivatives ; Alanine - therapeutic use ; Anti-Inflammatory Agents - therapeutic use ; Antiviral Agents - therapeutic use ; Antiviral drugs ; Brain - diagnostic imaging ; Clinical trials ; Coronaviruses ; COVID-19 ; COVID-19 - complications ; COVID-19 - diagnosis ; COVID-19 - therapy ; COVID-19 Testing ; Dexamethasone ; Dexamethasone - therapeutic use ; Dyspnea ; Dyspnea - etiology ; Edema ; Failure ; General & Internal Medicine ; Humans ; Hypoxemia ; Illnesses ; Infections ; Intubation ; Life Sciences & Biomedicine ; Lung - diagnostic imaging ; Lung - pathology ; Male ; Masks ; Mechanical ventilation ; Medical supplies ; Medicine, General & Internal ; Middle Aged ; Oxygen saturation ; Pandemics ; Patient Acuity ; Patients ; Personal protective equipment ; Radiography, Thoracic ; Renal failure ; Respiration, Artificial ; Respiratory distress syndrome ; Respiratory Distress Syndrome - etiology ; Respiratory Distress Syndrome - therapy ; SARS-CoV-2 - genetics ; SARS-CoV-2 - isolation & purification ; Science & Technology ; Severe acute respiratory syndrome coronavirus 2 ; Thrombosis ; Tomography, X-Ray Computed ; Ventilators]]></subject><ispartof>The New England journal of medicine, 2020-12, Vol.383 (25), p.2451-2460</ispartof><rights>Copyright © 2020 Massachusetts Medical Society. 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Data from randomized, controlled trials support a reduction in mortality with the use of dexamethasone and a reduction in time to clinical recovery with the use of remdesivir.</description><subject>Adenosine Monophosphate - analogs & derivatives</subject><subject>Adenosine Monophosphate - therapeutic use</subject><subject>Alanine - analogs & derivatives</subject><subject>Alanine - therapeutic use</subject><subject>Anti-Inflammatory Agents - therapeutic use</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Antiviral drugs</subject><subject>Brain - diagnostic imaging</subject><subject>Clinical trials</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - complications</subject><subject>COVID-19 - diagnosis</subject><subject>COVID-19 - therapy</subject><subject>COVID-19 Testing</subject><subject>Dexamethasone</subject><subject>Dexamethasone - therapeutic use</subject><subject>Dyspnea</subject><subject>Dyspnea - etiology</subject><subject>Edema</subject><subject>Failure</subject><subject>General & Internal Medicine</subject><subject>Humans</subject><subject>Hypoxemia</subject><subject>Illnesses</subject><subject>Infections</subject><subject>Intubation</subject><subject>Life Sciences & Biomedicine</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - pathology</subject><subject>Male</subject><subject>Masks</subject><subject>Mechanical ventilation</subject><subject>Medical supplies</subject><subject>Medicine, General & Internal</subject><subject>Middle Aged</subject><subject>Oxygen saturation</subject><subject>Pandemics</subject><subject>Patient Acuity</subject><subject>Patients</subject><subject>Personal protective equipment</subject><subject>Radiography, Thoracic</subject><subject>Renal failure</subject><subject>Respiration, Artificial</subject><subject>Respiratory distress syndrome</subject><subject>Respiratory Distress Syndrome - etiology</subject><subject>Respiratory Distress Syndrome - therapy</subject><subject>SARS-CoV-2 - genetics</subject><subject>SARS-CoV-2 - isolation & purification</subject><subject>Science & Technology</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Thrombosis</subject><subject>Tomography, X-Ray Computed</subject><subject>Ventilators</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqN0E1LxDAQBuAgiruu4smrCOJJqpNpkibHpaxfrHpQz6VNp9DFtmvTrvjvzdJ1wYNgLnN5ZibvMHbC4YqDVNdPs4dHu0QAIyO5w8ZchmEgBKhdNgZAHYjIhCN24NwC_OPC7LNRiIJjxGHMjl9oRS2dxc2qzANuDtlekb47OtrUCXu7mb3Gd8H8-fY-ns4DKxR2AREVIU8xxyzlEUYplxIiJJNzhVZozLXWqdWosqLQJhMAVmCWZ0ZCWBCFE3Y-zF22zUdPrksWTd_WfmWCIgKltDTgVTAo2zbOtVQky7as0vYr4ZCs4ye_4nt_upnaZxXlW_2T14PLAXxS1hTOllRb2jJ_H7U-kZe-oNf6_zouu7Qrmzpu-rrzrRdDa1W5pKZF9cePvwFHyn3J</recordid><startdate>20201217</startdate><enddate>20201217</enddate><creator>Berlin, David A</creator><creator>Gulick, Roy M</creator><creator>Martinez, Fernando J</creator><general>Massachusetts Medical Society</general><general>Massachusetts Medical Soc</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><orcidid>https://orcid.org/0000-0002-1431-8912</orcidid><orcidid>https://orcid.org/0000-0002-7397-8945</orcidid></search><sort><creationdate>20201217</creationdate><title>Severe Covid-19</title><author>Berlin, David A ; Gulick, Roy M ; Martinez, Fernando J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-eeef31a2d2ba1727a155072e9d162c482d888ac826bff89b400c42bdb9503fee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adenosine Monophosphate - analogs & derivatives</topic><topic>Adenosine Monophosphate - therapeutic use</topic><topic>Alanine - analogs & derivatives</topic><topic>Alanine - therapeutic use</topic><topic>Anti-Inflammatory Agents - therapeutic use</topic><topic>Antiviral Agents - therapeutic use</topic><topic>Antiviral drugs</topic><topic>Brain - diagnostic imaging</topic><topic>Clinical trials</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - complications</topic><topic>COVID-19 - diagnosis</topic><topic>COVID-19 - therapy</topic><topic>COVID-19 Testing</topic><topic>Dexamethasone</topic><topic>Dexamethasone - therapeutic use</topic><topic>Dyspnea</topic><topic>Dyspnea - etiology</topic><topic>Edema</topic><topic>Failure</topic><topic>General & Internal Medicine</topic><topic>Humans</topic><topic>Hypoxemia</topic><topic>Illnesses</topic><topic>Infections</topic><topic>Intubation</topic><topic>Life Sciences & Biomedicine</topic><topic>Lung - diagnostic imaging</topic><topic>Lung - pathology</topic><topic>Male</topic><topic>Masks</topic><topic>Mechanical ventilation</topic><topic>Medical supplies</topic><topic>Medicine, General & Internal</topic><topic>Middle Aged</topic><topic>Oxygen saturation</topic><topic>Pandemics</topic><topic>Patient Acuity</topic><topic>Patients</topic><topic>Personal protective equipment</topic><topic>Radiography, Thoracic</topic><topic>Renal failure</topic><topic>Respiration, Artificial</topic><topic>Respiratory distress syndrome</topic><topic>Respiratory Distress Syndrome - 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Data from randomized, controlled trials support a reduction in mortality with the use of dexamethasone and a reduction in time to clinical recovery with the use of remdesivir.</abstract><cop>WALTHAM</cop><pub>Massachusetts Medical Society</pub><pmid>32412710</pmid><doi>10.1056/NEJMcp2009575</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-1431-8912</orcidid><orcidid>https://orcid.org/0000-0002-7397-8945</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adenosine Monophosphate - analogs & derivatives Adenosine Monophosphate - therapeutic use Alanine - analogs & derivatives Alanine - therapeutic use Anti-Inflammatory Agents - therapeutic use Antiviral Agents - therapeutic use Antiviral drugs Brain - diagnostic imaging Clinical trials Coronaviruses COVID-19 COVID-19 - complications COVID-19 - diagnosis COVID-19 - therapy COVID-19 Testing Dexamethasone Dexamethasone - therapeutic use Dyspnea Dyspnea - etiology Edema Failure General & Internal Medicine Humans Hypoxemia Illnesses Infections Intubation Life Sciences & Biomedicine Lung - diagnostic imaging Lung - pathology Male Masks Mechanical ventilation Medical supplies Medicine, General & Internal Middle Aged Oxygen saturation Pandemics Patient Acuity Patients Personal protective equipment Radiography, Thoracic Renal failure Respiration, Artificial Respiratory distress syndrome Respiratory Distress Syndrome - etiology Respiratory Distress Syndrome - therapy SARS-CoV-2 - genetics SARS-CoV-2 - isolation & purification Science & Technology Severe acute respiratory syndrome coronavirus 2 Thrombosis Tomography, X-Ray Computed Ventilators |
title | Severe Covid-19 |
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