As GiViTI (Italian Group for the Evaluation of Interventions in Intensive Care Medicine) we have chosen to encourage, through the organization of YouTube videoconferences, the communication between different professional figures involved in the management of COVID-19 epidemic, in order to share concrete experiences, needs and errors of those who have been involved in this emergency since the first days.
The goal of these videoconferences is to share experiences. GiViTI doesn’t have among its purposes that of providing diagnostic and therapeutic recommendations or producing guidelines, much less during a historical period of strong uncertainty in which knowledge is evolving day by day.First Videoconference – 10/03/2020
During the first videoconference, colleagues from Lodi, Pavia, Monza and Lecco Intensive Care Units have spoken, recounting their experience both from the ward organizational point of view both from the clinical point of view, with regard to the diagnosis and treatment of COVID-19 positive patients.
In particular, the following intervened:
- Pier Giorgio Villani, ICU, Maggiore Hospital, Lodi
- Andrea Bottazzi, ICU, Fondazione Policlinico San Matteo, Pavia
- Silvia Mongodi, ICU, Fondazione Policlinico San Matteo, Pavia
- Roberto Rona, ICU, San Gerardo Hospital, Monza
- Andrea Forastieri, ICU, Alessandro Manzoni Hospital, Lecco
- Paolo Maniglia, ICU, Alessandro Manzoni Hospital, Lecco
- Giuseppe Nattino, ICU, Alessandro Manzoni Hospital, Lecco
- Clara Ripamonti, ICU, Alessandro Manzoni Hospital, Lecco
- Gina Portella, Emergency
- Stefano Finazzi, Head of GiViTI Coordination Center and organizer
Second Videoconference – 17/03/2020
During the second videoconference we focused instead on the organizational and managerial aspects, on the patient paths, the separation between clean and dirty areas and the protection of staff.
The following intervened:
- Angelo Pan, Infectious disease Specialist, Cremona Hospital
- Mario Tavola, ICU, Alessandro Manzoni Hospital, Lecco
- Clara Ripamonti, ICU, Alessandro Manzoni Hospital, Lecco
- Carlo Olivieri, ICU, Sant’Andrea Hospital, Vercelli
- Gina Portella, Emergency
- Leonardo Radicchi, Emergency, Logistic Coordinator of Structures with Infectious Emergency
- Stefano Finazzi, Head of GiViTI Coordination Center and organizer
Third Videoconference – 24/03/2020
During the third videoconference we focused on the psychological aspects related to staff stress and communication with patients’ relatives.
The following intervened:
- Roberto Rona, ICU, San Gerardo Hospital, Monza
- Alberto Lucchini, ICU, San Gerardo Hospital, Monza
- Mirco Nacoti, ICU, Papa Giovanni XXIII Hospital, Bergamo
- Ivo Lizzola, Philosopher and Professor at University of Bergamo
- Maria Simonetta Spada, Psychologist, Papa Giovanni XXIII Hospital, Bergamo
- Maria Grazie Strepparava, Psychologist and Professor at the University of Milan Bicocca
- Stefano Finazzi, Head of GiViTI Coordination Center and organizer
Fourth Videoconference – 31/03/2020
During the fourth videoconference, organized with SIAARTI (Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva), we focused on airway management, from the decision to intubate to weaning.
In particular, we discussed the experiences of five centers in Italy with regard to:
- start of invasive treatment (criteria and organization)
- weaning and autonomization
The following intervened:
- Roberto Fumagalli, Niguarda Hospital, Milano
- Mario Peta, Cà Foncello Hospital, Treviso
- Massimo Girardis, Policlinico, Modena
- Giuseppe Natalini, Poliambulanza, Brescia
- Mauro Panigada, Policlinico, Milano
- Martin Langer, Moderator
- Stefano Finazzi, Head of GiViTI Coordination Center and organizer
Fifth Videoconference – 07/04/2020
During the fifth videoconference, we focused on pathogenetic mechanisms, starting from pathological anatomy data, and on the cardiovascular changes observed in these patients.
The following intervened:
- Manuela Nebuloni, Sacco Hospital, Milano
- Luca Carsana, Sacco Hospital, Milano
- Guido Tavazzi, San Matteo Hospital, Pavia
- Mauro Panigada, Policlinico, Milano
- Martin Langer, Moderator
- Stefano Finazzi, Head of GiViTI Coordination Center and organizer
Sixth Videoconference – 14/04/2020
During the sixth videoconference we focused on the contamination between professionalism and the creation of multidisciplinary teams to manage the emergency.
The following intervened:
- Maria Giovanna Manenti, Internist, Treviglio Hospital
- Paolo Colombelli, Internist, Treviglio Hospital
- Mariano Marchesi, Intensivist
- Fiorenzo Moraschini, Intansive Care Nurse
- Filippo Leonardi, Gastroenterologist
- Caterina Conti, Pulmonogist
- Luca Lorini, Director of the Intensive Care Unit, Papa Giovanni XXIII Hospital, Bergamo
- Fabrizio Fabretti, Intensivist, Papa Giovanni XXIII Hospital, Bergamo
- Stefano Finazzi, Head of GiViTI Coordination Center and organizer