Table 2.
Summary of approaches for managing sepsis conditions that could be explored for COVID-19 management.
Condition | Proposed approaches | Remark on whether approved by sepsis campaign alliance paper |
---|---|---|
Immunosuppression | Blocking of immune checkpoints, particularly, PD-1/PDL-1, to restore immune competence in COVID-19 patients | # |
Hyperinflammatory response | Assessing parameters like, erythrocyte sedimentation rate, C-reactive protein, plasma viscosity, IL-6, IL-8, procalcitonin, plasma ferritin, soluble urokinase plasminogen activator receptor and neutrophil gelatinase-associated lipocalin could provide insight on the patient’s hyperinflammatory status | # |
Use of immune-boosting approaches such as vitamins, antioxidants, and other food supplements that are likely to boost immune response should also be considered for managing immunosuppressed COVID-19 patients | # | |
Hypovolemia leading to hypotension, low tissue perfusion and multiple organ dysfunction | Fluid resuscitation, with the aim of restoring intravascular volume, adequate tissue perfusion, and organ homeostasis | Weakly recommended |
Vasopressors and inodilators | Weakly recommended |
#Surviving Sepsis Campaign document has not made express recommendations about the approaches proposed. Detailed research still required.