Changes in multiprofessional performance in patients with COVID-19 in intensive care units

Abstract

In December 2019, the outbreak of the new coronavirus (SARS-CoV-2) in China spread across the world becoming an emergency of major international concern. SARS-CoV-2 pandemic resulted in many modifications of health professionals routine care, especially intensivists. This work aims to evaluate and compare the multiprofessional performance in hospitalized patients with COVID-19 in intensive care units, before and after the pandemic scenario. A literature review was carried out on the basis of PubCovid-19, PUBMED, EMBASE, MEDLINE, LILACS and Scielo, with articles published from 2015 to date, with all articles found evaluated initially, by means of the title and abstract and read in its full only those that dealt with the topic. There was a change in medication reconciliation and medication validation remotely, through electronic medical records and telephone contact, as well as the beggining of psychological support, also remote, to patients, family members and staff, with face-to-face interventions being restricted to exceptional cases. In addition, it was observed that patients who remain in the ICU for more than 48 hours should be considered at risk of malnutrition. In addition, elective dental care was suspended and the use of hydrogen peroxide and povidone-iodine was introduced for mouthwash. Thus, COVID-19 pandemic changed ICU professionals performance due to the new protocols that guide these health professionals in the new context.

Keywords: Coronavirus; Dentistry; Pharmacy; Nutrition; Psychology