Is continuous positive airway pressure (CPAP) a new standard of care for type 1 respiratory failure in COVID-19 patients? A retrospective observational study of a dedicated COVID-19 CPAP service

被引：55

作者：

Nightingale, Rebecca ^{[1
,2
]}

Nwosu, Nneka ^{[2
]}

Kutubudin, Farheen ^{[2
]}

Fletcher, Tom ^{[1
,2
]}

Lewis, Joe ^{[1
,2
]}

Frost, Frederick ^{[2
]}

Haigh, Kathryn ^{[2
]}

Robinson, Ryan ^{[1
,2
]}

Kumar, Ayesha ^{[2
]}

Jones, Gareth ^{[2
]}

Brown, Deborah ^{[2
]}

Abouyannis, Michael ^{[1
,2
,3
]}

Beadsworth, Mike ^{[1
,2
]}

Hampshire, Peter ^{[2
]}

Aston, Stephen ^{[2
,3
]}

Gautam, Manish ^{[2
]}

Burhan, Hassan ^{[2
]}

机构：

[1] Univ Liverpool Liverpool Sch Trop Med, Dept Clin Sci, Liverpool, Merseyside, England

[2] Liverpool Univ Hosp NHS Fdn Trust, Dept Resp Med, Trop & Infect Dis Unit, Intens Care Unit, Liverpool, Merseyside, England

[3] Univ Liverpool, Inst Infect & Global Hlth, Liverpool, Merseyside, England

来源：

BMJ OPEN RESPIRATORY RESEARCH | 2020年 / 7卷 / 01期

关键词：

respiratory Infection; non invasive ventilation;

D O I：

10.1136/bmjresp-2020-000639

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

The aim of this case series is to describe and evaluate our experience of continuous positive airway pressure (CPAP) to treat type 1 respiratory failure in patients with COVID-19. CPAP was delivered in negative pressure rooms in the newly repurposed infectious disease unit. We report a cohort of 24 patients with type 1 respiratory failure and COVID-19 admitted to the Royal Liverpool Hospital between 1 April and 30 April 2020. Overall, our results were positive; we were able to safely administer CPAP outside the walls of a critical care or high dependency unit environment and over half of patients (58%) avoided mechanical ventilation and a total of 19 out of 24 (79%) have survived and been discharged from our care.

引用

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