A review published recently in the Lancet seeks to provide an overview of not just clinical management of critical care patients, but also recommendations on resource and staffing issues. The review acknowledges and incorporates challenges such as lack of evidence and equipment.
Initial steps in management of acutely unwell patients with possible COVID-19, suggested by the authors:
Management of acute respiratory failure suggested by the authors:
Recommendations for facing challenges in clinical care:
Challenges to human resources, infrastructure and further research:
Phua J et. al. Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendation. Lancet Respir Med. April 2020. [ePub ahead of print] Available from: https://www.thelancet.com/action/showPdf?pii=S2213-2600%2820%2930161-2