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Updated guidance on the management of COVID-19: from an American Thoracic Society/European Respiratory Society coordinated International Task Force (29 July 2020)

Chunxue Bai, Sanjay H. Chotirmall, Jordi Rello, George A. Alba, Leo C. Ginns, Jerry A. Krishnan, Robert Rogers, Elisabeth Bendstrup, Pierre-Regis Burgel, James D. Chalmers, Abigail Chua, Kristina A. Crothers, Abhijit Duggal, Yeon Wook Kim, John G. Laffey, Carlos M. Luna, Michael S. Niederman, Ganesh Raghu, Julio A. Ramirez, Jordi Riera, Oriol Roca, Maximiliano Tamae-Kakazu, Antoni Torres, Richard R. Watkins, Miriam Barrecheguren, Mirko Belliato, Hassan A. Chami, Rongchang Chen, Gustavo A. Cortes-Puentes, Charles Delacruz, Margaret M. Hayes, Leo M.A. Heunks, Steven R. Holets, Catherine L. Hough, Sugeet Jagpal, Kyeongman Jeon, Takeshi Johkoh, May M. Lee, Janice Liebler, Gerry N. McElvaney, Ari Moskowitz, Richard A. Oeckler, Iñigo Ojanguren, Anthony O'Regan, Mathias W. Pletz, Chin Kook Rhee, Marcus J. Schultz, Enrico Storti, Charlie Strange, Carey C. Thomson, Francesca J. Torriani, Xun Wang, Wim Wuyts, Tao Xu, Dawei Yang, Ziqiang Zhang, Kevin C. Wilson
European Respiratory Review 2020 29: 200287; DOI: 10.1183/16000617.0287-2020
Chunxue Bai
1Dept of Pulmonary and Critical Care Medicine, Zhongshan Hospital Fudan University, Shanghai, China
2Shanghai Respiratory Research Institution, Shanghai, China
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Sanjay H. Chotirmall
3Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
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  • ORCID record for Sanjay H. Chotirmall
Jordi Rello
4Vall d'Hebron Research Institute, Barcelona, Spain
5Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
6CHU Nîmes, Nîmes, France
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George A. Alba
7Division of Pulmonary and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
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Leo C. Ginns
7Division of Pulmonary and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
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Jerry A. Krishnan
8Dept of Medicine, University of Illinois at Chicago, Chicago, IL, USA
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Robert Rogers
7Division of Pulmonary and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
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Elisabeth Bendstrup
9Center for Rare Lung Diseases, Dept of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark
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  • ORCID record for Elisabeth Bendstrup
Pierre-Regis Burgel
10Dept of Respiratory Medicine, Cochin Hospital, Assistance Publique Hopîtaux de Paris, Université de Paris and Institut Cochin, Inserm U1016, Paris, France
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James D. Chalmers
11Scottish Centre for Respiratory Research, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
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Abigail Chua
12Division of Pulmonary, Critical Care and Sleep Medicine, Dept of Internal Medicine, Stony Brook University, Stony Brook, NY, USA
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Kristina A. Crothers
13Dept of Medicine, Veterans Affairs Puget Sound Health Care System and University of Washington, Seattle WA, USA
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Abhijit Duggal
14Dept of Critical Care, Cleveland Clinic, Cleveland OH, USA
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Yeon Wook Kim
15Division of Pulmonary and Critical Care Medicine, Dept of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
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John G. Laffey
16Dept of Anesthesia and Intensive Care Medicine, Galway University Hospitals, National University of Ireland, Galway, Ireland
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Carlos M. Luna
17Dept of Medicine, Pulmonary Diseases Division, Hospital de Clínicas, Universidad de Buenos Aires, Buenos Aires, Argentina
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Michael S. Niederman
18Division of Pulmonary and Critical Care, Dept of Medicine, Weill Cornell Medicine, New York NY, USA
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Ganesh Raghu
19Dept of Medicine, University of Washington, Seattle WA, USA
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Julio A. Ramirez
20Division of Infectious Diseases, Dept of Medicine, University of Louisville, Louisville KY, USA
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Jordi Riera
4Vall d'Hebron Research Institute, Barcelona, Spain
5Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
21Critical Care Dept, Vall d'Hebron University Hospital Barcelona, Barcelona, Spain
22Dept de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
23CIBERESUCICOVID: Centro de Investigación en red de Enfermedades Respiratorias, Madrid, Spain
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Oriol Roca
4Vall d'Hebron Research Institute, Barcelona, Spain
5Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
21Critical Care Dept, Vall d'Hebron University Hospital Barcelona, Barcelona, Spain
22Dept de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
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Maximiliano Tamae-Kakazu
24Division of Pulmonary, Critical Care, and Sleep Medicine, Spectrum Health-Michigan State University, Grand Rapids MI, USA
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Antoni Torres
5Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
23CIBERESUCICOVID: Centro de Investigación en red de Enfermedades Respiratorias, Madrid, Spain
25Pulmonology Dept, University of Barcelona Hospital Clinic of Barcelona, IDIBAPS, Barcelona, Spain
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Richard R. Watkins
26Dept of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA
27Division of Infectious Diseases, Cleveland Clinic Akron General, Akron, OH, USA
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Miriam Barrecheguren
28Respiratory Dept, Vall d'Hebron University Hospital, Barcelona, Spain
29Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (Ciberes), Madrid, Spain
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Mirko Belliato
30UOC Anestesia e Rianimazione 1, IRCCS Policlinico San Matteo, Pavia, Italy
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Hassan A. Chami
31Dept of Medicine, American University of Beirut, Beirut, Lebanon
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Rongchang Chen
32Dept of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Disease, Shenzhen People's Hospital, First Affiliated Hospital of South University of Science and Technology of China, Shenzhen, China
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Gustavo A. Cortes-Puentes
33Dept of Pulmonary Medicine, Mayo Clinic, Rochester MN, USA
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Charles Delacruz
34Dept of Medicine, Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven CT, USA
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Margaret M. Hayes
35Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston MA, USA
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Leo M.A. Heunks
36Dept of Intensive Care, Amsterdam University Medical Center, Amsterdam, The Netherlands
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Steven R. Holets
33Dept of Pulmonary Medicine, Mayo Clinic, Rochester MN, USA
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Catherine L. Hough
37Division of Pulmonary and Critical Care, Dept of Medicine, Oregon Health Sciences University, Portland, OR, USA
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Sugeet Jagpal
38Dept of Medicine, Robert Wood Johnson University Hospital, New Brunswick NJ, USA
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Kyeongman Jeon
39Division of Pulmonary and Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
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Takeshi Johkoh
40Dept of Radiology, Kansai Rosai Hospital, Amagaski, Japan
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May M. Lee
41Division of Pulmonary, Critical Care and Sleep Medicine, Dept of Internal Medicine, University of Southern California, Los Angeles CA, USA
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Janice Liebler
41Division of Pulmonary, Critical Care and Sleep Medicine, Dept of Internal Medicine, University of Southern California, Los Angeles CA, USA
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Gerry N. McElvaney
42Department of Respiratory Medicine, Beaumont Hospital, Royal College of Surgeons in Ireland, Dublin, Ireland
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Ari Moskowitz
35Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston MA, USA
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Richard A. Oeckler
33Dept of Pulmonary Medicine, Mayo Clinic, Rochester MN, USA
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Iñigo Ojanguren
28Respiratory Dept, Vall d'Hebron University Hospital, Barcelona, Spain
29Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (Ciberes), Madrid, Spain
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Anthony O'Regan
43Dept of Respiratory Medicine, Galway University Hospitals, National University of Ireland, Galway, Ireland
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Mathias W. Pletz
44Institute of Infectious Diseases and Infection Control, Jena University Hospital/Friedrich-Schiller-University, Jena, Germany
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Chin Kook Rhee
45Division of Pulmonary, Allergy and Critical Care Medicine, Dept of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
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Marcus J. Schultz
36Dept of Intensive Care, Amsterdam University Medical Center, Amsterdam, The Netherlands
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Enrico Storti
46Dept of Anesthesia and Critical Care, Ospedale Maggiore di Lodi, Lodi, Italy
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Charlie Strange
47Dept of Medicine, Medical University of South Carolina, Charleston SC, USA
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Carey C. Thomson
48Division of Pulmonary and Critical Care Medicine, Mount Auburn Hospital, Cambridge MA, Harvard Medical School, Boston MA, USA
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Francesca J. Torriani
49Infection Prevention and Clinical Epidemiology Unit at UC San Diego Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, UC San Diego, San Diego CA, USA
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Xun Wang
50Dept of Pulmonary and Critical Care Medicine, The Affiliated Wuxi No.2 People's Hospital of Nanjing Medical University, Wuxi, China
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Wim Wuyts
51Dept of Respiratory Medicine, University Hospitals Leuven, Leuven, Belgium
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Tao Xu
52Dept of Pulmonary and Critical Care Medicine, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China
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Dawei Yang
1Dept of Pulmonary and Critical Care Medicine, Zhongshan Hospital Fudan University, Shanghai, China
2Shanghai Respiratory Research Institution, Shanghai, China
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Ziqiang Zhang
53Dept of Pulmonary and Critical Care Medicine, Tongji Hospital Tongji University, Shanghai, China
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Kevin C. Wilson
54Dept of Medicine, Boston University School of Medicine, Boston, MA, USA
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  • For correspondence: kwilson@thoracic.org
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Article Information

vol. 29 no. 157
DOI 
https://doi.org/10.1183/16000617.0287-2020
PubMed 
33020069

Published By 
European Respiratory Society
Print ISSN 
0905-9180
Online ISSN 
1600-0617
History 
  • Received September 11, 2020
  • Accepted September 12, 2020
  • Published online October 5, 2020.

Copyright & Usage 
Copyright ©ERS 2020. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

Author Information

  1. Chunxue Bai1,2,
  2. Sanjay H. Chotirmall3,
  3. Jordi Rello4,5,6,
  4. George A. Alba7,
  5. Leo C. Ginns7,
  6. Jerry A. Krishnan8,
  7. Robert Rogers7,
  8. Elisabeth Bendstrup9,
  9. Pierre-Regis Burgel10,
  10. James D. Chalmers11,
  11. Abigail Chua12,
  12. Kristina A. Crothers13,
  13. Abhijit Duggal14,
  14. Yeon Wook Kim15,
  15. John G. Laffey16,
  16. Carlos M. Luna17,
  17. Michael S. Niederman18,
  18. Ganesh Raghu19,
  19. Julio A. Ramirez20,
  20. Jordi Riera4,5,21,22,23,
  21. Oriol Roca4,5,21,22,
  22. Maximiliano Tamae-Kakazu24,
  23. Antoni Torres5,23,25,
  24. Richard R. Watkins26,27,
  25. Miriam Barrecheguren28,29,
  26. Mirko Belliato30,
  27. Hassan A. Chami31,
  28. Rongchang Chen32,
  29. Gustavo A. Cortes-Puentes33,
  30. Charles Delacruz34,
  31. Margaret M. Hayes35,
  32. Leo M.A. Heunks36,
  33. Steven R. Holets33,
  34. Catherine L. Hough37,
  35. Sugeet Jagpal38,
  36. Kyeongman Jeon39,
  37. Takeshi Johkoh40,
  38. May M. Lee41,
  39. Janice Liebler41,
  40. Gerry N. McElvaney42,
  41. Ari Moskowitz35,
  42. Richard A. Oeckler33,
  43. Iñigo Ojanguren28,29,
  44. Anthony O'Regan43,
  45. Mathias W. Pletz44,
  46. Chin Kook Rhee45,
  47. Marcus J. Schultz36,
  48. Enrico Storti46,
  49. Charlie Strange47,
  50. Carey C. Thomson48,
  51. Francesca J. Torriani49,
  52. Xun Wang50,
  53. Wim Wuyts51,
  54. Tao Xu52,
  55. Dawei Yang1,2,
  56. Ziqiang Zhang53 and
  57. Kevin C. Wilson54⇑
  1. 1Dept of Pulmonary and Critical Care Medicine, Zhongshan Hospital Fudan University, Shanghai, China
  2. 2Shanghai Respiratory Research Institution, Shanghai, China
  3. 3Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
  4. 4Vall d'Hebron Research Institute, Barcelona, Spain
  5. 5Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain
  6. 6CHU Nîmes, Nîmes, France
  7. 7Division of Pulmonary and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
  8. 8Dept of Medicine, University of Illinois at Chicago, Chicago, IL, USA
  9. 9Center for Rare Lung Diseases, Dept of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark
  10. 10Dept of Respiratory Medicine, Cochin Hospital, Assistance Publique Hopîtaux de Paris, Université de Paris and Institut Cochin, Inserm U1016, Paris, France
  11. 11Scottish Centre for Respiratory Research, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK
  12. 12Division of Pulmonary, Critical Care and Sleep Medicine, Dept of Internal Medicine, Stony Brook University, Stony Brook, NY, USA
  13. 13Dept of Medicine, Veterans Affairs Puget Sound Health Care System and University of Washington, Seattle WA, USA
  14. 14Dept of Critical Care, Cleveland Clinic, Cleveland OH, USA
  15. 15Division of Pulmonary and Critical Care Medicine, Dept of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
  16. 16Dept of Anesthesia and Intensive Care Medicine, Galway University Hospitals, National University of Ireland, Galway, Ireland
  17. 17Dept of Medicine, Pulmonary Diseases Division, Hospital de Clínicas, Universidad de Buenos Aires, Buenos Aires, Argentina
  18. 18Division of Pulmonary and Critical Care, Dept of Medicine, Weill Cornell Medicine, New York NY, USA
  19. 19Dept of Medicine, University of Washington, Seattle WA, USA
  20. 20Division of Infectious Diseases, Dept of Medicine, University of Louisville, Louisville KY, USA
  21. 21Critical Care Dept, Vall d'Hebron University Hospital Barcelona, Barcelona, Spain
  22. 22Dept de Medicina, Universitat Autònoma de Barcelona, Bellaterra, Spain
  23. 23CIBERESUCICOVID: Centro de Investigación en red de Enfermedades Respiratorias, Madrid, Spain
  24. 24Division of Pulmonary, Critical Care, and Sleep Medicine, Spectrum Health-Michigan State University, Grand Rapids MI, USA
  25. 25Pulmonology Dept, University of Barcelona Hospital Clinic of Barcelona, IDIBAPS, Barcelona, Spain
  26. 26Dept of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA
  27. 27Division of Infectious Diseases, Cleveland Clinic Akron General, Akron, OH, USA
  28. 28Respiratory Dept, Vall d'Hebron University Hospital, Barcelona, Spain
  29. 29Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (Ciberes), Madrid, Spain
  30. 30UOC Anestesia e Rianimazione 1, IRCCS Policlinico San Matteo, Pavia, Italy
  31. 31Dept of Medicine, American University of Beirut, Beirut, Lebanon
  32. 32Dept of Pulmonary and Critical Care Medicine, Shenzhen Institute of Respiratory Disease, Shenzhen People's Hospital, First Affiliated Hospital of South University of Science and Technology of China, Shenzhen, China
  33. 33Dept of Pulmonary Medicine, Mayo Clinic, Rochester MN, USA
  34. 34Dept of Medicine, Pulmonary, Critical Care, and Sleep Medicine, Yale University School of Medicine, New Haven CT, USA
  35. 35Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston MA, USA
  36. 36Dept of Intensive Care, Amsterdam University Medical Center, Amsterdam, The Netherlands
  37. 37Division of Pulmonary and Critical Care, Dept of Medicine, Oregon Health Sciences University, Portland, OR, USA
  38. 38Dept of Medicine, Robert Wood Johnson University Hospital, New Brunswick NJ, USA
  39. 39Division of Pulmonary and Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
  40. 40Dept of Radiology, Kansai Rosai Hospital, Amagaski, Japan
  41. 41Division of Pulmonary, Critical Care and Sleep Medicine, Dept of Internal Medicine, University of Southern California, Los Angeles CA, USA
  42. 42Department of Respiratory Medicine, Beaumont Hospital, Royal College of Surgeons in Ireland, Dublin, Ireland
  43. 43Dept of Respiratory Medicine, Galway University Hospitals, National University of Ireland, Galway, Ireland
  44. 44Institute of Infectious Diseases and Infection Control, Jena University Hospital/Friedrich-Schiller-University, Jena, Germany
  45. 45Division of Pulmonary, Allergy and Critical Care Medicine, Dept of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea
  46. 46Dept of Anesthesia and Critical Care, Ospedale Maggiore di Lodi, Lodi, Italy
  47. 47Dept of Medicine, Medical University of South Carolina, Charleston SC, USA
  48. 48Division of Pulmonary and Critical Care Medicine, Mount Auburn Hospital, Cambridge MA, Harvard Medical School, Boston MA, USA
  49. 49Infection Prevention and Clinical Epidemiology Unit at UC San Diego Health, Division of Infectious Diseases and Global Public Health, Department of Medicine, UC San Diego, San Diego CA, USA
  50. 50Dept of Pulmonary and Critical Care Medicine, The Affiliated Wuxi No.2 People's Hospital of Nanjing Medical University, Wuxi, China
  51. 51Dept of Respiratory Medicine, University Hospitals Leuven, Leuven, Belgium
  52. 52Dept of Pulmonary and Critical Care Medicine, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China
  53. 53Dept of Pulmonary and Critical Care Medicine, Tongji Hospital Tongji University, Shanghai, China
  54. 54Dept of Medicine, Boston University School of Medicine, Boston, MA, USA
  1. Kevin C. Wilson, Dept of Medicine, Boston University School of Medicine, 72 E. Concord Steet, Boston, 02118 MA, USA. E-mail: kwilson{at}thoracic.org
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Updated guidance on the management of COVID-19: from an American Thoracic Society/European Respiratory Society coordinated International Task Force (29 July 2020)
Chunxue Bai, Sanjay H. Chotirmall, Jordi Rello, George A. Alba, Leo C. Ginns, Jerry A. Krishnan, Robert Rogers, Elisabeth Bendstrup, Pierre-Regis Burgel, James D. Chalmers, Abigail Chua, Kristina A. Crothers, Abhijit Duggal, Yeon Wook Kim, John G. Laffey, Carlos M. Luna, Michael S. Niederman, Ganesh Raghu, Julio A. Ramirez, Jordi Riera, Oriol Roca, Maximiliano Tamae-Kakazu, Antoni Torres, Richard R. Watkins, Miriam Barrecheguren, Mirko Belliato, Hassan A. Chami, Rongchang Chen, Gustavo A. Cortes-Puentes, Charles Delacruz, Margaret M. Hayes, Leo M.A. Heunks, Steven R. Holets, Catherine L. Hough, Sugeet Jagpal, Kyeongman Jeon, Takeshi Johkoh, May M. Lee, Janice Liebler, Gerry N. McElvaney, Ari Moskowitz, Richard A. Oeckler, Iñigo Ojanguren, Anthony O'Regan, Mathias W. Pletz, Chin Kook Rhee, Marcus J. Schultz, Enrico Storti, Charlie Strange, Carey C. Thomson, Francesca J. Torriani, Xun Wang, Wim Wuyts, Tao Xu, Dawei Yang, Ziqiang Zhang, Kevin C. Wilson
European Respiratory Review Sep 2020, 29 (157) 200287; DOI: 10.1183/16000617.0287-2020

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Updated guidance on the management of COVID-19: from an American Thoracic Society/European Respiratory Society coordinated International Task Force (29 July 2020)
Chunxue Bai, Sanjay H. Chotirmall, Jordi Rello, George A. Alba, Leo C. Ginns, Jerry A. Krishnan, Robert Rogers, Elisabeth Bendstrup, Pierre-Regis Burgel, James D. Chalmers, Abigail Chua, Kristina A. Crothers, Abhijit Duggal, Yeon Wook Kim, John G. Laffey, Carlos M. Luna, Michael S. Niederman, Ganesh Raghu, Julio A. Ramirez, Jordi Riera, Oriol Roca, Maximiliano Tamae-Kakazu, Antoni Torres, Richard R. Watkins, Miriam Barrecheguren, Mirko Belliato, Hassan A. Chami, Rongchang Chen, Gustavo A. Cortes-Puentes, Charles Delacruz, Margaret M. Hayes, Leo M.A. Heunks, Steven R. Holets, Catherine L. Hough, Sugeet Jagpal, Kyeongman Jeon, Takeshi Johkoh, May M. Lee, Janice Liebler, Gerry N. McElvaney, Ari Moskowitz, Richard A. Oeckler, Iñigo Ojanguren, Anthony O'Regan, Mathias W. Pletz, Chin Kook Rhee, Marcus J. Schultz, Enrico Storti, Charlie Strange, Carey C. Thomson, Francesca J. Torriani, Xun Wang, Wim Wuyts, Tao Xu, Dawei Yang, Ziqiang Zhang, Kevin C. Wilson
European Respiratory Review Sep 2020, 29 (157) 200287; DOI: 10.1183/16000617.0287-2020
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