Journal of Anesthesia, Analgesia and Critical Care (Nov 2021)

Research on SARS-COV-2 pandemic: a narrative review focused on the Italian contribution

  • Alessandro De Cassai,
  • Federico Longhini,
  • Stefano Romagnoli,
  • Fabio Cavaliere,
  • Antonio Caroleo,
  • Lorenzo Foti,
  • Elisa Furlani,
  • Sara Gianoli,
  • Francesco Monteleone,
  • Giuseppe Saraco,
  • Gianluca Villa,
  • Giorgio Conti,
  • Paolo Navalesi

DOI
https://doi.org/10.1186/s44158-021-00017-4
Journal volume & issue
Vol. 1, no. 1
pp. 1 – 13

Abstract

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Abstract Background Since late 2019, a severe acute respiratory syndrome, caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has spread with overwhelming speed causing over 214 million confirmed infections and more than 4.5 million deaths worldwide. In this framework, Italy had the second highest number of SARS-CoV-2 infections worldwide, and the largest number of deaths. A global effort of both the scientific community and governments has been undertaken to stem the pandemic. The aim of this paper is to perform a narrative review of the Italian contribution to the scientific literature regarding intensive care management of patients suffering from COVID-19, being one of the first western countries to face an outbreak of SARS-CoV-2 infection. Main body We performed a narrative review of the literature, dedicating particular attention and a dedicated paragraph to ventilatory support management, chest imaging findings, biomarkers, possible pharmacological interventions, bacterial superinfections, prognosis and non-clinical key aspects such as communication and interaction with relatives. Conclusions Many colleagues, nurses and patients died leaving their families alone. To all of them, we send our thoughts and dedicate these pages.

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