Desafios e recomendações para o cuidado intensivo de adultos críticos com doença de coronavírus 2019 (COVID-19)

Abstract

A pandemic for coronavirus disease 2019 (COVID-19) represents a huge challenge for the healthcare system worldwide. Our objective was to review and summarize the main challenges associated with the intensive care of adult crit ical pat ients with COVID-19 and presented the use of recommendations. It is an integrative literature review, experience from other countries, which has the potential to equip intensive care professionals in Brazil for a care practice for critical pat ients with COVID-19. Among the main challenges faced by the teams of intensive care units (ICU), evidenced by the literature, synthesized in this work: a clinical manifestation and diagnosis for rapid isolations; the management of acute respiratory failure; the role of reused drug therapies, experiments and adjuvants; the prevention of infections by patients and professionals; managing patient mortality and the management of the ICU team. The current state of knowledge about COVID-19 is considered insufficient and full of gaps, or represents another challenge and leads to the need to conduct different types of clinical research.