Responsibilities of Weaning Centers during the COVID-19 Pandemic Outbreak - Recommendations for the Assignment of ICU Capacities in COVID-19 Patients as shown by the Berlin-Brandenburg POST-SAVE-Model

The enormous increase in patients with severe respiratory distress due to the COVID-19 pandemic outbreak requires a systematic approach to optimize ventilated patient at risk flow. A standardised algorithm called "SAVE" was developed to distribute patients with COVID-19 respiratory distres...

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Bibliographic Details
Published in:	Pneumologie (Stuttgart, Germany) Vol. 74; no. 6; p. 358
Main Authors:	Wiesner, B, Bachmann, M, Blum, T-G, Forchheim, S, Geiseler, J, Kassin, A, Kretzschmar, E, Weber-Carstens, S, Westhoff, M, Witzenrath, M, Grohé, C
Format:	Journal Article
Language:	German
Published:	Germany 01-06-2020
Subjects:	Berlin Betacoronavirus Coronavirus Coronavirus Infections - epidemiology Coronavirus Infections - therapy COVID-19 Disease Outbreaks - prevention & control Humans Intensive Care Units - organization & administration Pandemics Pneumonia, Viral - epidemiology Pneumonia, Viral - therapy Practice Guidelines as Topic Prospective Studies SARS-CoV-2 Ventilator Weaning Berlin
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Summary:	The enormous increase in patients with severe respiratory distress due to the COVID-19 pandemic outbreak requires a systematic approach to optimize ventilated patient at risk flow. A standardised algorithm called "SAVE" was developed to distribute patients with COVID-19 respiratory distress syndrome requiring invasive ventilation. This program is established by now in Berlin. An instrumental bottleneck of this approach is the vacant slot assignment in the intensive care unit to guarantee constant patient flow. The transfer of the patients after acute care treatment is needed urgently to facilitate the weaning process. In a next step we developed a triage algorithm to identify patients at SAVE intensive care units with potential to wean and transfer to weaning institutions - we called POST SAVE. This manuscript highlights the algorithms including the use of a standardised digital evaluation tool, the use of trained navigators to facilitate the communication between SAVE intensive care units and weaning institutions and the establishment of a prospective data registry for patient assignment and reevaluation of the weaning potential in the future.
ISSN:	1438-8790
DOI:	10.1055/a-1153-9710