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Table 1 Therapeutic Strategy for critical COVID-19

From: Temporal change in Syndecan-1 as a therapeutic target and a biomarker for the severity classification of COVID-19

Therapeutic strategy for critical COVID-19 [16]

1) Mechanical ventilator (primary setting)

mode

pressure control

PEEP

10-15 cmH2O

Driving Pressure

6-8/BW (kg) cmH2O

Respiratory Rate

12-16/min.

2) Antiviral therapy

Loponavir/Ritonavir, Fapiviravir, Remdesivir [17]

10 days

3) Systemic steroid therapy

Dexamethasone [18]

10 days

4) Anticoagulant therapy

UFH with therapeutic dose according to APTT (1.5-2 times as normal)

5) Protection for DVT

Intermittent air compression and elastic stocking

6) Antibiotics

for CAP or secondary bacterial or fungus infection

 

7) Rehabilitation

early intervention by NS, PT and OT

 

8) Nutrition

early intervention via tube feeding or TPN

 

9) Supportive therapy

sedation,catecholamine support etc. via central venous catheter

Extracorporeal membrane oxygenation (ECMO)

  1. BW Body Weight, PEEP positive end-expiratory pressure, UFH unfractionated heparin, APTT activated partial thromboplastin time, CAP community associated pneumonia, NS nurse, PT physical therapist, OT occupational therapist, TPN total parenteral nutrition