ISSN (print) 1726-9806     ISSN (online) 1818-474X
No. 1-S (2021), CLINICAL GUIDELINES
No. 1-S (2021)
CLINICAL GUIDELINES

Anesthesia and intensive care for patients with COVID-19. Russian Federation of anesthesiologists and reanimatologists guidelines

Published 26.02.2021
Igor B. Zabolotskikh
Kuban State Medical University, Krasnodar, Russia
https://orcid.org/0000-0002-3623-2546
M.Yu. Kirov
Northen State Medical University, Arkhangelsk, Russia
https://orcid.org/0000-0002-4375-3374
K.M. Lebedinskii
North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia; Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
https://orcid.org/0000-0002-5752-4812
D.N. Protsenko
Municipal Clinical Hospital No. 40, Moscow, Russia; Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia
https://orcid.org/0000-0002-5166-3280
S.N. Avdeev
Sechenov First Moscow State Medical University, Moscow, Russia
https://orcid.org/0000-0002-5999-2150
A.A. Andreenko
Military Medical Academy, Saint Petersburg, Russia
https://orcid.org/0000-0002-5542-9280
L.V. Arsentyev
Military Medical Academy, Saint Petersburg, Russia
https://orcid.org/0000-0002-5886-9900
V.S. Afonchikov
Saint-Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine, Saint Petersburg, Russia
https://orcid.org/0000-0003-4851-0619
I.I. Afukov
Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia
https://orcid.org/0000-0001-9850-6779
A.A. Belkin
Ural State Medical University, Yekaterinburg, Russia
https://orcid.org/0000-0002-0544-1492
E.A. Boeva
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
https://orcid.org/0000-0002-0422-5018
A.Yu. Bulanov
N.V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow, Russia
https://orcid.org/0000-0001-6999-8145
Ya.I. Vasiliev
North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia
https://orcid.org/0000-0001-9758-2390
A.V. Vlasenko
Russian Medical Academy of Continuous Professional Education, Moscow, Russia
V.I. Gorbachev
ISMAPgE — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Irkutsk, Russia
https://orcid.org/0000-0001-6278-9332
E.V. Grigor’ev
Kemerovo State Medical University, Kemerovo, Russia
https://orcid.org/0000-0002-3898-0740
S.V. Grigor’ev
Kuban State Medical University, Krasnodar, Russia
https://orcid.org/0000-0002-9753-7351
A.I. Gritsan
Voino-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia
https://orcid.org/0000-0002-0500-2887
A.A. Eremenko
Petrovsky National Research Centre of Surgery, Moscow, Russia
E.N. Ershov
Military Medical Academy, Saint Petersburg, Russia
https://orcid.org/0000-0002-9572-6802
M.N. Zamyatin
Pirogov National Medical and Surgical Center, Moscow, Russia
https://orcid.org/0000-0002-2072-7798
G.E. Ivanova
Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia
A.N. Kuzovlev
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia
https://orcid.org/0000-0002-5930-0118
A.V. Kulikov
Ural State Medical University, Yekaterinburg, Russia
https://orcid.org/0000-0002-7768-4514
R.E. Lakhin
Military Medical Academy, Saint Petersburg, Russia
https://orcid.org/0000-0001-6819-9691
I.N. Leiderman
Almazov National Medical Research Centre, Saint Petersburg, Russia
https://orcid.org/0000-0001-8519-7145
A.I. Lenkin
North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia
https://orcid.org/0000-0003-3099-9276
V.A. Mazurok
Almazov National Medical Research Centre, Saint Petersburg, Russia
https://orcid.org/0000-0003-3917-0771
T.S. Musaeva
Kuban State Medical University, Krasnodar, Russia
https://orcid.org/0000-0001-9285-852X
E.M. Nikolaenko
Scientific Clinical Center RZD, Moscow, Russia
https://orcid.org/0000-0002-0246-7574
Yu.P. Orlov
Omsk State Medical University, Omsk, Russia
https://orcid.org/0000-0002-6747-998X
S.S. Petrikov
N.V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow, Russia
https://orcid.org/0000-0003-1141-2919
E.V. Roitman
Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia
https://orcid.org/0000-0002-3015-9317
A.M. Ronenson
E.M. Bakunina Regional Clinical Perinatal Centre, Tver, Russia
https://orcid.org/0000-0002-2468-297X
A.A. Smetkin
Northen State Medical University, Arkhangelsk, Russia
https://orcid.org/0000-0003-4133-4173
A.A. Sokolov
Military Medical Academy, Saint Petersburg, Russia
https://orcid.org/0000-0001-7004-0903
S.M. Stepanenko
Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia
https://orcid.org/0000-0001-5985-4869
V.V. Subbotin
Moscow clinical scientific center n.a. A.S. Loginov, Moscow, Russia
https://orcid.org/0000-0002-0921-7199
N.D. Ushakova
Rostov State Research Institute of Oncology, Rostov-on-Don, Russia
https://orcid.org/0000-0002-0068-0881
V.E. Khoronenko
P.A. Hertsen Moscow Oncology Research Center, Moscow, Russia
https://orcid.org/0000-0001-8845-9913
S.V. Tsarenko
Municipal Clinical Hospital No. 52, Moscow, Russia
https://orcid.org/0000-0002-7065-5331
E.M. Shifman
Moscow Regional Research and Clinical Institute, Moscow, Russia
https://orcid.org/0000-0002-6113-8498
D.L. Shukevich
Kuzbass Cardiology Center SB RAS, Kemerovo, Russia
https://orcid.org/0000-0001-5708-2463
A.V. Shchegolev
Military Medical Academy, Saint Petersburg, Russia
https://orcid.org/0000-0001-6431-439X
A.I. Yaroshetskiy
Sechenov First Moscow State Medical University, Moscow, Russia; Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia
https://orcid.org/0000-0002-1484-092X
M.B. Yarustovsky
Bakoulev Scientific Center for Cardiovascular Surgery, Moscow, Russia
https://orcid.org/0000-0002-1849-4745
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Keywords

new coronavirus infection
COVID-19
monitoring
endotracheal intubation
respiratory support
anesthesia
intensive care
extracorporeal detoxication
xtracorporeal membrane oxygenation
management of co-existing diseases
thrombosis prevention
personal protective equipment
patient transportation

How to Cite

1.
Zabolotskikh I.B., Kirov M.Y., Lebedinskii K.M., Protsenko D.N., Avdeev S.N., Andreenko A.A., Arsentyev L.V., Afonchikov V.S., Afukov I.I., Belkin A.A., Boeva E.A., Bulanov A.Y., Vasiliev Y.I., Vlasenko A.V., Gorbachev V.I., Grigor’ev E.V., Grigor’ev S.V., Gritsan A.I., Eremenko A.A., Ershov E.N., Zamyatin M.N., Ivanova G.E., Kuzovlev A.N., Kulikov A.V., Lakhin R.E., Leiderman I.N., Lenkin A.I., Mazurok V.A., Musaeva T.S., Nikolaenko E.M., Orlov Y.P., Petrikov S.S., Roitman E.V., Ronenson A.M., Smetkin A.A., Sokolov A.A., Stepanenko S.M., Subbotin V.V., Ushakova N.D., Khoronenko V.E., Tsarenko S.V., Shifman E.M., Shukevich D.L., Shchegolev A.V., Yaroshetskiy A.I., Yarustovsky M.B. Anesthesia and intensive care for patients with COVID-19. Russian Federation of anesthesiologists and reanimatologists guidelines. Annals of Critical Care. 2021;(1-S):9-143. doi:10.21320/1818-474X-2021-S1-9-143
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Abstract

The article provides the main statements of the guidelines for the anesthesia and intensive care of patients with the coronavirus disease (COVID-19), developed by the Federation of Anesthesiologists and Reanimatologists of Russia. In the process of developing the recommendations, the publications of the official websites of the Russian Federation, the electronic databases of the RSCI, PubMed, MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were analyzed by the developers independently of each other. The date of the last search query was February 01, 2021. To develop the recommendations for the Guidelines, were used documents directly describing the features of the management of patients with NCI COVID-19 (guidelines — 34; randomized clinical trials and Cochrane Reviews — 13; observational and comparative studies — 107; other documents, notes and comments — 64), and documents describing anesthesia and intensive care in the general population of patients. Compared to the previous 4th version of the guidelines, the recommendations in 8 sections have been corrected; new subsections “Chronic kidney disease”, “Rehabilitation treatment of patients with COVID-19 in the intensive care unit”, “Routing of patients with COVID-19 to the stages of rehabilitation” were created; revised 1 Appendix, additionally developed 7 Appendices; the section “Quality criteria” has been supplemented. The provisions of the current version of the guidelines highlight the specifics of anesthesia, intensive care, rehabilitation, resuscitation measures, manipulation, transportation, prevention of the spread of COVID-19 in the implementation of these activities. Methods of protecting personnel from infection with COVID-19 during manipulations, anesthesia and intensive care are considered. The features of respiratory support, extracorporeal detoxification, extracorporeal membrane oxygenation, thromboprophylaxis, drug interactions are described. The features of management of pregnant women, children of different age groups, patients with concomitant diseases, the principles of the formation of stocks of drugs and consumables are considered.
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