COVID-19 multidisciplinary high dependency unit: The Milan model

Research output: Contribution to journalReview articlepeer-review


COVID-19 is a complex and heterogeneous disease. The pathogenesis and the complications of the disease are not fully elucidated, and increasing evidence shows that SARS-CoV-2 causes a systemic inflammatory disease rather than a pulmonary disease. The management of hospitalized patients in COVID-19 dedicated units is advisable for segregation purpose as well as for infection control. In this article we present the standard operating procedures of our COVID-19 high dependency unit of the Policlinico Hospital, in Milan. Our high dependency unit is based on a multidisciplinary approach. We think that the multidisciplinary involvement of several figures can better identify treatable traits of COVID-19 disease, early identify patients who can quickly deteriorate, particularly patients with multiple comorbidities, and better manage complications related to off-label treatments. Although no generalizable to other hospitals and different healthcare settings, we think that our experience and our point of view can be helpful for countries and hospitals that are now starting to face the COVID-19 outbreak.

Original languageEnglish
Article number260
JournalRespiratory Research
Issue number1
Publication statusPublished - Oct 9 2020


  • COVID-19
  • High dependency unit
  • Management
  • Multidisciplinary approach

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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