● 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) |