COVID-19: Hemodynamic management in Intensive Care

Dear Colleagues,

Little is known about the cardiovascular consequences of COVID-19 and the hemodynamic management of patients requiring ICU admission.

Indeed, most articles published so far on COVID critically ill patients focused on lung injury and mechanical ventilation strategies.

Only very few studies reported cardiovascular data. On March 25, a JAMA study https://www.ncbi.nlm.nih.gov/pubmed/32211816 suggested that myocardial injury (defined by a significant increase in Troponin) is observed in around 20% of the cases, and a case series https://www.ncbi.nlm.nih.gov/pubmed/32302081 of ST segment elevation was published on April 17.

The same day, a New England Journal of Medicine article reported the need for vasopressor support in 95% of mechanically ventilated patients https://www.ncbi.nlm.nih.gov/pubmed/32302078.

The WHO, the Surviving Sepsis Campaign and the NIH quickly released recommendations for the hemodynamic management of COVID patients.

We designed an international electronic survey to better understand current practice and alignment with these guidelines. Intensivists and anesthetists are invited to answer 14 questions (link below) about hemodynamic monitoring and management of COVID patients in the ICU.

The survey was sent on April 25-26 to 3,000+ LinkedIn, Tweeter and/or WhatsApp contacts of the principal and co-investigators in Europe, Asia, South America, North America, and Africa. Since then, the link has been shared many times by individuals (e.g. Greg Martin, the President Elect of SCCM) and scientific societies (e.g. SFAR, the French Society of Anesthesia and Intensive Care) on social networks.

Any clinician or scientific organization interested in participating or providing logistic support (e.g. email blast) is more than welcome and should contact the principal investigator directly.

We expect >500 responses (hopefully >100 responses by geographical area) in order to obtain compelling data to share.

Survey results will be submitted for publication by end of May in a peer- reviewed international journal.

Active link to the online survey: https://lnkd.in/e-AhJqv

Thank You!
Frédéric Michard


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Guidelines