COVID-19 is a complex and heterogeneous disease. The pathogenesis and the complications of the disease are not fully elucidated, and increasing evidence shows that SARS-CoV-2 causes a systemic inflammatory disease rather than a pulmonary disease. The management of hospitalized patients in COVID-19 dedicated units is advisable for segregation purpose as well as for infection control. In this article we present the standard operating procedures of our COVID-19 high dependency unit of the Policlinico Hospital, in Milan. Our high dependency unit is based on a multidisciplinary approach. We think that the multidisciplinary involvement of several figures can better identify treatable traits of COVID-19 disease, early identify patients who can quickly deteriorate, particularly patients with multiple comorbidities, and better manage complications related to off-label treatments. Although no generalizable to other hospitals and different healthcare settings, we think that our experience and our point of view can be helpful for countries and hospitals that are now starting to face the COVID-19 outbreak.

COVID-19 multidisciplinary high dependency unit: the Milan model / S. Aliberti, F. Amati, M. Pappalettera, M. Di Pasquale, A. D'Adda, M. Mantero, A. Gramegna, E. Simonetta, A.M. Oneta, E. Privitera, A. Gori, G. Bozzi, F. Peyvandi, F. Minoia, G. Filocamo, C. Abbruzzese, M. Vicenzi, P. Tagliabue, S. Alongi, F. Blasi. - In: RESPIRATORY RESEARCH. - ISSN 1465-993X. - 21:1(2020 Oct 09).

COVID-19 multidisciplinary high dependency unit: the Milan model

S. Aliberti
Primo
Supervision
;
M. Mantero
Conceptualization
;
A. Gramegna
Conceptualization
;
E. Simonetta
Conceptualization
;
A. Gori
Conceptualization
;
F. Peyvandi
Conceptualization
;
M. Vicenzi
Conceptualization
;
F. Blasi
Ultimo
Supervision
2020-10-09

Abstract

COVID-19 is a complex and heterogeneous disease. The pathogenesis and the complications of the disease are not fully elucidated, and increasing evidence shows that SARS-CoV-2 causes a systemic inflammatory disease rather than a pulmonary disease. The management of hospitalized patients in COVID-19 dedicated units is advisable for segregation purpose as well as for infection control. In this article we present the standard operating procedures of our COVID-19 high dependency unit of the Policlinico Hospital, in Milan. Our high dependency unit is based on a multidisciplinary approach. We think that the multidisciplinary involvement of several figures can better identify treatable traits of COVID-19 disease, early identify patients who can quickly deteriorate, particularly patients with multiple comorbidities, and better manage complications related to off-label treatments. Although no generalizable to other hospitals and different healthcare settings, we think that our experience and our point of view can be helpful for countries and hospitals that are now starting to face the COVID-19 outbreak.
COVID-19; High dependency unit; Management; Multidisciplinary approach
Settore MED/10 - Malattie dell'Apparato Respiratorio
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/771914
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