Articolo Originale - Anaesthesia 2020, 75, 724–732

The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice

 

M. Sorbello,1 K. El-Boghdadly,2 I. Di Giacinto,3 R. Cataldo,4 C. Esposito,5 S. Falcetta,6 G. Merli,7 G. Cortese,8 R. M. Corso,9 F. Bressan,10 S. Pintaudi,11 R. Greif,12 A. Donati,13 F. Petrini14 and On behalf of The Societa Italiana di Anestesia Analgesia Rianimazione e TerapiaIntensiva (SIAARTI) Airway Research Group, and The European Airway Management Society

1 Consultant, Anesthesia and Intensive Care, AOU Policlinico San Marco University Hospital, Catania, Italy
2 Consultant, Department of Anaesthesia, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
3 Consultant, Anesthesia and Intensive Care, Anestesia e Terapia Intensiva Polivalente, Azienda Ospedaliero Universitaria Sant’Orsola-Malpighi - Alma Mater Studiorum, Bologna, Italy
4 Consultant, Anesthesia and Intensive Care, Anestesia, Terapia Intensiva e Terapia del Dolore, Universita Campus, Bio-Medico, Roma, Italy
5 Consultant, Anesthesia and Intensive Care, Dipartimento di Area Critica Ospedale Monaldi, Ospedali dei Colli, Napoli, Italy. 6 Consultant, Anesthesia and Intensive Care, Clinica di Anestesia e Rianimazione Ospedali Riuniti Ancona, Italy
7 Consultant, Anesthesia and Intensive Care. Dipartimento di Anestesia e Terapia Intensiva, Ospedale Maggiore Crema, Milano, Italy
8 Consultant, Anesthesia and Intensive Care, Dipartimento di Anestesia, Rianimazione ed Emergenze AOU Cittadella salute e della scienza Torino, Italy
9 Consultant, Anesthesia and Intensive Care, Dipartimento di Chirurgia, Anestesia e Rianimazione, Ospedale GB Morgagni-L. Pierantoni, Forlı,Italy
10 Consultant, Anesthesia and Intensive Care, Anestesia e Rianimazione, Ospedale Santo Stefano di Prato, Italy
11 Consultant, Anesthesia and Intensive Care; Past Head of Dipartimento di Emergenza, Anesthesia and Intensive Care, ARNAS Garibaldi Catania, Italy. Past Bio-containment coordinator for Sicily; Italian Military Navy scientific consultant.
12 Professor, Department of Anaesthesiology and Pain Therapy, Bern University Hospital, University of Bern, Bern, Switzerland
13 Professor, Università Politecnica delle Marche, Ancona, Italy
14 Professor, SIAARTI President. Anesthesia and Intensive Care Dipartimento di Medicina Perioperatoria, Dolore, Terapia Intensiva e Rapid Response System, Ospedale di Chieti, Università di Chieti Pescara, Italy

Summary
Novel coronavirus 2019 is a single-stranded, ribonucleic acid virus that has led to an international pandemic of coronavirus disease 2019. Clinical data from the Chinese outbreak have been reported, but experiences and recommendations from clinical practice during the Italian outbreak have not. We report the impact of the coronavirus disease 2019 outbreak on regional and national healthcare infrastructure. We also report on recommendations based on clinical experiences of managing patients throughout Italy. In particular, we describe key elements of clinical management, including: safe oxygen therapy; airway management; personal protective equipment; and non-technical aspects of caring for patients diagnosed with coronavirus disease 2019. Only through planning, training and team working will clinicians and healthcare systems be best placed to deal with the many complex implications of this new pandemic.

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