id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-326989-l8nfd03a	Cammarota, Gianmaria	Critical Care Surge Capacity to Respond to the COVID-19 Pandemic in Italy: A Rapid and Affordable Solution in the Novara Hospital	2020-05-19		.txt	text/plain	1308	58	43	The rapid insurgence and spread of coronavirus disease 2019 (COVID-19) exceeded the limit of the intensive care unit (ICU) contingency plan of the Maggiore della Carità University Hospital (Novara, Italy) generating a crisis management condition. In a short time and at a relatively low cost, a structural modification of a hospital aisle allowed to convert the general ICU into a COVID-19 unit, increasing the number of COVID-19 critical care beds by 107%. While the general ICU were progressively converted to COVID-19 unit and the contingency plan was implemented, anesthesiologists, nurses, and other health care professionals, recruited from surgical teams, underwent a specific just-in-time training to improve technical skills in the application of PPE and in the clinical management of mechanically ventilated ARF patients. By addressing the key elements of health care system surge capacity from contingency to crisis, a prompt response to the sudden request of IMV was provided, converting the general ICU into a COVID-19 unit and increasing the number of COVID-19 ICU beds by 107%.	./cache/cord-326989-l8nfd03a.txt	./txt/cord-326989-l8nfd03a.txt