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코로나19 중환자의 치료

Treatment of Critically Ill Patients with Coronavirus Disease 2019

대한내과학회지 2021년 96권 1호 p.22 ~ 29
위승범, 서지영,
소속 상세정보
위승범 ( Wi Seung-Bum ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Internal Medicine Division of Pulmonary and Critical Care Medicine
서지영 ( Suh Gee-Young ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Internal Medicine Division of Pulmonary and Critical Care Medicine

Abstract


Clinical manifestations of coronavirus disease 2019 (COVID-19) is diverse ranging from asymptomatic or mild respiratory symptoms to severe acute respiratory distress syndrome (ARDS) and respiratory failure. As the pandemic progresses, the number of critically ill COVID-19 patients continues to increase. Whether or not COVID-19 ARDS patients are distinct from conventional ARDS is not settled, and there is no definite evidence that they should be treated differently from ARDS of other origins. The use of oxygen treatment with high flow nasal cannula has been increased. Invasive mechanical ventilation should be applied with lung protective strategy in mind. Prone positioning should be actively considered. Since the primary cause of death of COVID-19 patients is respiratory failure, understanding the characteristics of COVID-19 ARDS and its treatment is necessary for optimal outcome.

키워드

코로나19; 급성호흡곤란증후군; 중환자 치료; 중환자실; 기계환기
COVID-19; ARDS; Critical care; ICU; Mechanical ventilation

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