Management of COVID-19 pandemic in the intensive care under scarce of resources with palliative care approach

Coronavirus has been shaking the world since 31 December 2019, with its world-wide pandemic impact since 11 March 2020. Although its impact on mortality rate against the total incidents is relatively small, the fatality rate against critical care admission due to the event of ARDS remains relatively high. The 2019 Coronavirus Disease (COVID-19) has a serious consequence in the Intensive Care Unit care, which leads to a high demand for more ICU staffs, isolation rooms, equipment (mainly ventilators). These limitations along with the recently unavailable definitive treatment require an adapted ICU care system for the provided services. ICU care should therefore more aimed at improving the quality of life (patients, families, and staff). This can be done by providing symptomatic therapy, advance care planning, and end of life / dying care in an unusual circumstances (isolation). All of these services may refer to the application of palliative care principles, which have not been extensively applied in the critical care. This review is aimed to offer application of palliative care in intensive care in during pandemic with scarce of resources. © 2020 Elsevier B.V., All rights reserved.