Management of patients on ICU
The aim of this programme is to outline some key principles for admitting to, and managing a patient with COVID-19 on the an Intensive Care Unit.
Check out the tutorials on the ICU management of patients with COVID-19, and some useful resources.
Sub-tutorials
Decision making on suitability for ITU care
Strategy for invasive ventilation delivered in ICU
Change in Clinical Status: Escalating from Ward to ITU
A daily checklist for ventilated COVID-19 patients
Principles of Palliative Care on Intensive Care
Decision support aid for patients with COVID-19 who are likely to benefit from critical care
Proning in a ventilated patient
ICNARC Report on COVID-19 in Critical Care
Guidelines
All-Wales COVID-19 Secondary Care Guideline |
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All Wales Pathway for Weaning COVID-19 patients with Tracheostomies |
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Resources
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ICS Guidance on prone position in adult critical care
ICS/FICM Guidance for prone position in adult critical care
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A daily checklist for ventilated COVID-19 patients
A checklist for ventilated COVID-19 patients has been designed to be used as a daily ward round.
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PBW to ventilator tidal volume; a conversion chart
Ventilate at 6-8ml kg-1 of PREDICTED body weight (PBW). Predicted body weight is determined from height.
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ICNARC report on COVID-19 in critical care
This report presents analyses of data on patients critically ill with confirmed COVID-19 reported to ICNARC up to 4pm on 16 April 2020 from critical care units in England, Wales and Northern Ireland.
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Decision Support Aid
The Wales Critical Care and Trauma Network in collaboration with the Welsh Intensive Care Society, alongside senior intensivists across Wales, offer a process for assisting with the assessment of risks and benefits to patients of critical care treatment which, used judiciously, is of benefit to referring clinicians to better understand the rationale behind the decision making of the Intensivist on whether escalation of treatment will likely benefit an individual.
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ICS Guidance for Prone Positioning of the Conscious COVID Patient
The ICS have developed the following guideline to identify when it may be beneficial to trial conscious proning, incorporating indications and contraindications as well as a guide on how patients should position themselves.
