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GUIDELINE
Year : 2020  |  Volume : 4  |  Issue : 2  |  Page : 27-44

The saudi critical care society clinical practice guidelines on the management of COVID-19 patients in the intensive care unit


1 Department of Medicine; Department of Health Research Methods, McMaster University, Hamilton, Canada
2 Clinical Excellence Administration, Second Health Cluster in Central Region, Ministry of Health, Saudi Arabia, King Fahad Medical City, Second Health Cluster in Central Region, Ministry of Health, Riyadh, Saudi Arabia
3 Departments of Emergency Medicine and Critical Care, College of Medicine, King Saud University, Riyadh; Adult Critical Care Services, Ministry of Health, Saudi Arabia
4 Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia, Wollongong University, Australia
5 Departments of Medicine, and Intensive Care, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
6 Molecular Diagnostics Laboratory, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia
7 Critical Care Services Administration and Pulmonary Section, Department of Medicine, King Fahad Medical City, Dammam, Saudi Arabia
8 Critical Care Services Administration, King Fahad Medical City, Riyadh, Saudi Arabia
9 Prince Mohammed Bin Abdulaziz Hospital, 2nd Central Health Cluster, Riyadh, Saudi Arabia
10 Department of Emergency and Critical Care Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
11 Department of Pharmacology, Alfaisal University; Department of Infectious Diseases and Pharmacology, Dr. Sulaiman Alhabib Medical Group, Riyadh, Saudi Arabia
12 Pediatric Intensive Care, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
13 Pediatric Intensive Care, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
14 Al Hammadi Hospital, Riyadh, Saudi Arabia
15 Respiratory Care Services, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
16 King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, Riyadh, Saudi Arabia
17 Pediatric Respiratory Care Services, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
18 Saudi Patient Safety Centre, Riyadh, Saudi Arabia
19 Department of Health Research Methods, McMaster University, Hamilton, Canada; Department of Critical Care Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
20 Dr. Sulaiman Al Habib Medical Group, Riyadh, Saudi Arabia, Wollongong University, Australia; Department of Medicine, Alfaisal University, Riyadh, Saudi Arabia

Correspondence Address:
Waleed Alhazzani
Departments of Medicine, and Health Research Methods, Evidence, and Impact, McMaster University
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/sccj.sccj_15_20

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Background: Although recent international guidelines have been published on the management of critically ill patients with the novel coronavirus disease 2019 (COVID-19), there is a vital need to develop clinical practice guidelines tailored to the context of Saudi Arabia. Methods: The Saudi Critical Care Society (SCCS) is the sponsor for this guideline. The expert panel consisted of 19 members. All members completed the World Health Organization Conflict of Interest Form. The expert panel formulated questions on the management of critically ill patients in the intensive care unit with COVID-19. Panel members identified relevant studies. The panel used the categories of Grading Recommendations, Assessment, Development, and Evaluation (GRADE) to assess the confidence in the evidence. Results: The SCCS expert panel issued 53 statements; of which 7 were strong recommendations, 9 were best practice statements, 32 were weak recommendations, and we were not able to issue recommendations in 5 instances. The statements covered different aspects of the critical illness in COVID-19 patients, including: infection control; therapeutic interventions; supportive care; and crisis management. Conclusion: The SCCS guidelines on the management of critically ill COVID-19 patients have been based on the best available evidence and tailored to the context of Saudi Arabia. These guidelines will be updated periodically to incorporate new evidence.


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