Challenges in the delivery of critical care in India during the COVID-19 pandemic.
Bharath Kumar Tirupakuzhi Vijayaraghavan MdSheila Nainan MyatraMeghena MathewNirmalyo LodhJigeeshu Vasishtha DivatiaNaomi HammondVivekanand JhaBalasubramanian VenkateshPublished in: Journal of the Intensive Care Society (2020)
Coronavirus disease 2019 cases in India continue to increase and are expected to peak over the next few weeks. Based on some projection models, India is expected to have more than 10 million cases by September 2020. The spectrum of disease can vary from mild upper respiratory tract symptoms to life-threatening acute respiratory distress syndrome and multi-organ failure requiring intensive care. Even if less than 5% of patients require critical care services, this will still rapidly overwhelm the healthcare system in a country, where intensive care services and resources are scarce and unevenly distributed. In this perspective article, we highlight the critical care preparedness of India for the pandemic and the associated challenges.
Keyphrases
- coronavirus disease
- acute respiratory distress syndrome
- respiratory tract
- end stage renal disease
- healthcare
- primary care
- extracorporeal membrane oxygenation
- chronic kidney disease
- ejection fraction
- mental health
- newly diagnosed
- sars cov
- public health
- mechanical ventilation
- magnetic resonance imaging
- peritoneal dialysis
- computed tomography
- health insurance
- depressive symptoms