An update to the manual was published on October 13. The authors explain that they take into account the new data in the scientific literature and the experience of Polish doctors so far. Recommendations include practical recommendations for the diagnosis and treatment of coronavirus infections. They should be used by both general practitioners and hospital treatment .
The recommendations do not only include detailed rules of conduct in the intensive care unit in the department of mechanical ventilation and oxygen saturation of the extracorporeal membrane. The changes are mainly related to the basic and supportive treatment at certain stages of the disease.
OXYGENATION OF CORRIDE EMBRANE (ECMO) – This method is used in cardiac surgery and intensive care. It is a type of extracorporeal circulation that catheters the main vessels of the patient and performs external oxygenation with the help of ECMO.
Treatment of coronavirus: COVID-19 is asymptomatic or mildly symptomatic
It occurs in the vast majority of cases (80-90%). Patients do not need hospitalization and are under the supervision of a general practitioner. They usually do not need therapy, only clinical supervision. Patients may need antipyretics if symptoms develop. If the patient is in good health, use a remote communication device (telephone, video call), the possibility of self-diagnosis (pulse or respiration measurement) and warn the patient about the alarm symptoms.
- antipyretics (paracetamol, ibuprofen, etc.),
- to rest
- oral hydration
- against glucocorticosteroids, antibiotics, anti-influenza agents (unless there is a bacterial infection or concomitant influenza),
There are no instructions for the use of vitamin D and low molecular weight heparin (unless proven by other diseases), Saturation control – the introduction of a remote alarm system for doctors and / or emergency care (using pulse oximeters). Glucocorticoids are drugs with anti-inflammatory, anti-allergic and immunosuppressive effects.