Você está aqui: Início » Projetos » Biblioteca » Helmet CPAP to Treat Acute Hypoxemic Respiratory Failure in Patients with COVID-19: A Management Strategy Proposal

Helmet CPAP to Treat Acute Hypoxemic Respiratory Failure in Patients with COVID-19: A Management Strategy Proposal

Autores

Dejan Radovanovic, Maurizio Rizzi, Stefano Pini, Marina Saad, Davide Alberto Chiumello, Pierachille Santus


Publicação: Journal of Clinical Medicine 2020, 9(4), 1191
Ano: 23 de abril de 2020
DOI: https://doi.org/10.3390/jcm9041191


Download

https://www.mdpi.com/2077-0383/9/4/1191/pdf

Abstract:

Since the beginning of March 2020, the coronavirus disease 2019 (COVID-19) pandemic has caused more than 13,000 deaths in Europe, almost 54% of which has occurred in Italy. The Italian healthcare system is experiencing a stressful burden, especially in terms of intensive care assistance. In fact, the main clinical manifestation of COVID-19 patients is represented by an acute hypoxic respiratory failure secondary to bilateral pulmonary infiltrates, that in many cases, results in an acute respiratory distress syndrome and requires an invasive ventilator support. A precocious respiratory support with non-invasive ventilation or high flow oxygen should be avoided to limit the droplets’ air-dispersion and the healthcare workers’ contamination. The application of a continuous positive airway pressure (CPAP) by means of a helmet can represent an effective alternative to recruit diseased alveolar units and improve hypoxemia. It can also limit the room contamination, improve comfort for the patients, and allow for better clinical assistance with long-term tolerability. However, the initiation of a CPAP is not free from pitfalls. It requires a careful titration and monitoring to avoid a delayed intubation. Here, we discuss the rationale and some important considerations about timing, criteria, and monitoring requirements for patients with COVID-19 respiratory failure requiring a CPAP treatment.

Outros artigos

Use of Helmet CPAP in COVID-19 – A practical review

Use of Helmet CPAP in COVID-19 – A practical review

Efficiency of cold passover and heated humidification under continuous positive airway pressure

Efficiency of cold passover and heated humidification under continuous positive airway pressure

Effect of a heated humidifier during continuous positive airway pressure delivered by a helmet

Effect of a heated humidifier during continuous positive airway pressure delivered by a helmet

Nota Técnica sobre reprocessamento do capacete de respiração assistida Elmo

Nota Técnica sobre reprocessamento do capacete de respiração assistida Elmo

Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses

Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses

Helmet CPAP to treat hypoxic pneumonia outside the ICU: an observational study during the COVID-19 outbreak

Helmet CPAP to treat hypoxic pneumonia outside the ICU: an observational study during the COVID-19 outbreak

Desenvolvimento de um capacete para oferta de CPAP e oxigenoterapia com alto fluxo: ELMO 1.0

Desenvolvimento de um capacete para oferta de CPAP e oxigenoterapia com alto fluxo: ELMO 1.0

Nota Técnica sobre uso do capacete Elmo

Nota Técnica sobre uso do capacete Elmo

Effect of Noninvasive Ventilation Delivered by Helmet vs Face Mask on the Rate of Endotracheal Intubation in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial

Effect of Noninvasive Ventilation Delivered by Helmet vs Face Mask on the Rate of Endotracheal Intubation in Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial

Helmet CPAP: how an unfamiliar respiratory tool is moving into treatment options during COVID-19 in the US

Helmet CPAP: how an unfamiliar respiratory tool is moving into treatment options during COVID-19 in the US

Helmet continuous positive airway pressure and prone positioning: A proposal for an early management of COVID-19 patients

Helmet continuous positive airway pressure and prone positioning: A proposal for an early management of COVID-19 patients

Helmet CPAP to Treat Acute Hypoxemic Respiratory Failure in Patients with COVID-19: A Management Strategy Proposal

Helmet CPAP to Treat Acute Hypoxemic Respiratory Failure in Patients with COVID-19: A Management Strategy Proposal

Helmet CPAP revisited in COVID-19 pneumonia: A case series

Helmet CPAP revisited in COVID-19 pneumonia: A case series

Early Clinical Experience in Using Helmet Continuous Positive Airway Pressure and High-Flow Nasal Cannula in Overweight and Obese Patients With Acute Hypoxemic Respiratory Failure From Coronavirus Disease 2019

Early Clinical Experience in Using Helmet Continuous Positive Airway Pressure and High-Flow Nasal Cannula in Overweight and Obese Patients With Acute Hypoxemic Respiratory Failure From Coronavirus Disease 2019

Reliable Delivery of Pressure Within the Clinically Relevant Range Via a Helmet Interface for Non-Invasive Ventilation

Reliable Delivery of Pressure Within the Clinically Relevant Range Via a Helmet Interface for Non-Invasive Ventilation

Physiological Comparison of High-Flow Nasal Cannula and Helmet Noninvasive Ventilation in Acute Hypoxemic Respiratory Failure

Physiological Comparison of High-Flow Nasal Cannula and Helmet Noninvasive Ventilation in Acute Hypoxemic Respiratory Failure

Nasal High Flow Delivered within the Helmet: A New Noninvasive Respiratory Support

Nasal High Flow Delivered within the Helmet: A New Noninvasive Respiratory Support

A New Configuration for Helmet Continuous Positive Airway Pressure Allowing Tidal Volume Monitoring

A New Configuration for Helmet Continuous Positive Airway Pressure Allowing Tidal Volume Monitoring