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1. Care of older people and people requiring palliative care with COVID-19: guidance from the Australian National COVID-19 Clinical Evidence Taskforce.

Author

Cheyne S, Lindley RI, Smallwood N, Tendal B, Chapman M, Fraile Navarro D, Good PD, Jenkin P, McDonald S, Morgan D, Murano M, Millard T, Naganathan V, Srikanth V, Tuffin P, Vogel J, White H, Chakraborty SP, Whiting E, William L, Yates PM, Callary M, Elliott J, and Agar MR

Subjects
Aged, Australia, Humans, COVID-19 therapy, Palliative Care standards
Abstract

Introduction: Older people living with frailty and/or cognitive impairment who have coronavirus disease 2019 (COVID-19) experience higher rates of critical illness. There are also people who become critically ill with COVID-19 for whom a decision is made to take a palliative approach to their care. The need for clinical guidance in these two populations resulted in the formation of the Care of Older People and Palliative Care Panel of the National COVID-19 Clinical Evidence Taskforce in June 2020. This specialist panel consists of nursing, medical, pharmacy and allied health experts in geriatrics and palliative care from across Australia., Main Recommendations: The panel was tasked with developing two clinical flow charts for the management of people with COVID-19 who are i) older and living with frailty and/or cognitive impairment, and ii) receiving palliative care for COVID-19 or other underlying illnesses. The flow charts focus on goals of care, communication, medication management, escalation of care, active disease-directed care, and managing symptoms such as delirium, anxiety, agitation, breathlessness or cough. The Taskforce also developed living guideline recommendations for the care of adults with COVID-19, including a commentary to discuss special considerations when caring for older people and those requiring palliative care., Changes in Management as Result of the Guideline: The practice points in the flow charts emphasise quality clinical care, with a focus on addressing the most important challenges when caring for older individuals and people with COVID-19 requiring palliative care. The adult recommendations contain additional considerations for the care of older people and those requiring palliative care., (© 2021 The Authors.Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd.)

Published
2022
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2. Clinical care of pregnant and postpartum women with COVID‐19: Living recommendations from the National COVID‐19 Clinical Evidence Taskforce

Author

Vogel, Joshua P., Tendal, Britta, Giles, Michelle, Whitehead, Clare, Burton, Wendy, Chakraborty, Samantha, Cheyne, Saskia, Downton, Teena, Fraile Navarro, David, Gleeson, Glenda, Gordon, Adrienne, Hunt, Jenny, Kitschke, Jackie, McDonald, Steven, McDonnell, Nolan, Middleton, Philippa, Millard, Tanya, Murano, Melissa, Oats, Jeremy, Tate, Rhiannon, White, Heath, Elliott, Julian, Roach, Vijay, Homer, Caroline S.E., McGowan, Sharon, Ballenden, Nicola, Barrett, Terri‐Lee, Beavis, Vanessa, Saunders, James Beckford, Buchanan, Tanya, Buchanan‐Grey, Marina, Casey, Dawn, Cowie, Marita, Doyle, Joseph, Frydenberg, Mark, Gnjidic, Danijela, Green, Sally, Greenland, Rohan, Griffin, Ken, Groombridge, Stephan, Hardy, Louise, Hodak, Alison, Holley, Anthony, Jovanovska, Vase, Knight, Sabina, Michaels, Kristin, Morley, Peter, Morphet, Julia, Nou, Suzi, Russo, Phillip, Sarson, Megan, Young, Alan, Norris, Sarah, Morris‐Donovan, Bronwyn, Gurry, Sharon, Hudson, Eloise, Hurley, Shauna, Primmer, Declan, Timms, Samantha, Whicker, Susan, Mukherjee, Sutapa, Agostino, Jason, Booth, Karen, Burr, Lucy, Byers, Lyn, Cameron, Peter, Cooper, Megan, Cheng, Allen, Fowler, Peter, Glanville, Alan, Leder, Karin, McGloughlin, Steve, McMullan, Brendan, McPhee, Ewen, Mitchell, Brett, Morgan, Mark, Myles, Paul, O’Donnell, Chris, Parr, Michael, Phillips, Jane, Randall, Rebecca, Varndell, Wayne, Whyte, Ian, William, Leeroy, Brightwell, Richard, Condon, Lynda, Deshpande, Amrita, Ehm, Adam, Ferrie, Monica, Muller, Joanne, Pullin, Lara, Robinson, Elizabeth, Witt, Adele, Larkins, Sarah, Taylor, Georgina, Burgess, Paul, Burns, Penny, Douglas, Kirsty, Ewald, Ben, Ewald, Dan, Fornasier, Dianna, Nelson, Carmel, Peachey, Louis, Peiris, David, Driel, Mieke, Walters, Lucie, Weaver, Ineke, Hendel, Simon, Shekar, Kiran, Avard, Bronwyn, Cairns, Kelly, Glanville, Allan, Gilroy, Nicky, O’Sullivan, Robert, Robinson, Owen, Sharland, Chantal, McCarthy, Sally, Wark, Peter, McGoughlin, Steve, Nair, Priya, Hodgson, Carol, Ankravs, Melissa, French, Craig, Hansen, Kim, Huckson, Sue, Iredell, Jon, Janerka, Carrie, Jaspers, Rose, Litton, Ed, Macdonald, Stephen, Peake, Sandra, Seppelt, Ian, Bowen, Asha, Tingay, David, Vasilunas, Nan, Anderson, Lorraine, Best, James, Craig, Simon, Erickson, Simon, Fancourt, Nick, Goff, Zoy, Kapuya, Vimbai, Keyte, Catherine, Malyon, Lorelle, Wurzel, Danielle, Agar, Meera, Lindley, Richard, Smallwood, Natasha, Callary, Mandy, Chapman, Michael, Good, Philip, Jenkin, Peter, Morgan, Deidre, Naganathan, Vasi, Srikanth, Velandai, Tuffin, Penny, Whiting, Elizabeth, Yates, Patsy, Barber, Bridget, Davies, Jane, Davis, Josh, Gwee, Amanda, Matthews, Gail, McMahon, James, Peel, Trisha, Raftery, Chris, Rees, Megan, Roberts, Jason, Snelling, Tom, Wibrow, Brad, Baker, Ross, Curnow, Jennifer, Cutts, Briony, Enjeti, Anoop, Forbes, Andrew, Ho, Prahlad, Holyoak, Adam, Liley, Helen, McFadyen, James, McQuilten, Zoe, Merriman, Eileen, Savoia, Helen, Tan, Chee Wee, Tran, Huyen, Ward, Chris, Williams, Katrina, Ballard, Neil, Bendall, Samantha, Bhanderi, Neel, Ellis, Dan, Fairley, Craig, Hoggard, Brett, Cong, Minh Le, Pearce, Andrew, Turner, Tari, Callesen, Henriette, Campbell, Sue, Ring, Jenny, Wilson, Agnes, Henry, David, Pearson, Sallie, Boyle, Douglas, Chidwick, Kendal, Chapman, Wendy, Pearce, Chris, Bero, Lisa, Grundy, Quinn, Lexchin, Joel, and Mintzes, Barbara

Subjects
medicine.medical_specialty, Coronavirus disease 2019 (COVID-19), medicine.medical_treatment, Breastfeeding, Psychological intervention, Prenatal care, 03 medical and health sciences, 0302 clinical medicine, COVID‐19, Pregnancy, Obstetrics and Gynaecology, medicine, Extracorporeal membrane oxygenation, Humans, 030212 general & internal medicine, guidelines, Pregnancy Complications, Infectious, Intensive care medicine, 030219 obstetrics & reproductive medicine, business.industry, SARS-CoV-2, Postpartum Period, Australia, Obstetrics and Gynecology, COVID-19, Hydroxychloroquine, perinatal care, Prenatal Care, General Medicine, medicine.disease, Female, Position Paper, business, Position Papers, Postpartum period, medicine.drug
Abstract

To date, 18 living recommendations for the clinical care of pregnant and postpartum women with COVID-19 have been issued by the National COVID-19 Clinical Evidence Taskforce. This includes recommendations on mode of birth, delayed umbilical cord clamping, skin-to-skin contact, breastfeeding, rooming-in, antenatal corticosteroids, angiotensin-converting enzyme inhibitors, disease-modifying treatments (including dexamethasone, remdesivir and hydroxychloroquine), venous thromboembolism prophylaxis and advanced respiratory support interventions (prone positioning and extracorporeal membrane oxygenation). Through continuous evidence surveillance, these living recommendations are updated in near real-time to ensure clinicians in Australia have reliable, evidence-based guidelines for clinical decision-making. Please visit https://covid19evidence.net.au/ for the latest recommendation updates.

Published
2020

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