Table 1 Healthcare professionals involved in the multidisciplinary team
From: COVID-19 multidisciplinary high dependency unit: the Milan model
Respiratory physician | • Initial evaluation of patient • Choice of respiratory support • Evaluation and placement of central venous catheter and/or arterial catheter • Identify signs of sepsis or multi-organ failure • Setting of sedative therapy, nutritional therapy, anti-thrombotic prophylaxis, hydration, antiviral and antibiotic therapy |
Fellow | • Initial evaluation of patient • Placement of arterial catheter • Blood and microbiological tests request • Arterial blood gas test • Pneumonia follow-up with lung ultrasound |
Nurse | • Preparation of medical devices to support respiratory insufficiency • EKG • Placement of peripheral venous catheter • Placement of bladder catheter • Collection of vital parameters • Therapies administration |
Respiratory physiotherapist | • Evaluation with respiratory physician of ventilator/oxygen support • Early mobilization |
Cardiologist | • Evaluation and placement of central venous catheter and/or arterial catheter • Identification and management of cardiac complications • Anti-hypertensive therapy • Inotropic support |
Infectious disease specialist | • Identification of patients candidate to anti-viral or anti-inflammatory therapy • Choice of antiviral drugs • Choice of antibiotic therapy • Identification and treatment of sepsis • Super-infection identification and management |
Rheumatologist | • Identification of patients candidate to the anti-inflammatory and specific anti-cytokine treatment • Definition of a tailored anti-inflammatory strategy according to the patient characteristics |
Intensivist | • Multidisciplinary discussion to early identify patients candidate to intensive care management • DNI/DNR status |