Clinical Consensus Recommendations Regarding Non-Invasive Respiratory Support in the Adult Patient with Acute Respiratory Failure Secondary to SARS-CoV-2 infection

被引：46

作者：

Cinesi Gomez, C. ^{[1
,2
]}

Penuelas Rodriguez, O. ^{[3
]}

Lujan Torne, M. L. ^{[4
]}

Egea Santaolalla, C. ^{[5
]}

Masa Jimenez, J. F. ^{[6
]}

Garcia Fernandez, J. ^{[7
]}

Carratala Perales, J. M. ^{[8
]}

Heili-Frades, S. B. ^{[9
]}

Ferrer Monreal, M. ^{[10
]}

de Andres Nilsson, J. M. ^{[11
]}

Lista Arias, E. ^{[12
]}

Sanchez Rocamora, J. L. ^{[13
]}

Garrote, J., I ^{[14
]}

Zamorano Serrano, M. J. ^{[15
]}

Gonzalez Martinez, M. ^{[16
]}

Farrero Munoz, E. ^{[17
]}

Mediano San Andres, O. ^{[18
]}

Rialp Cervera, G. ^{[19
]}

Mas Serra, A. ^{[20
]}

Hernandez Martinez, G. ^{[21
]}

de Haro Lopez, C. ^{[22
]}

Roca Gas, O. ^{[23
]}

Ferrer Roca, R. ^{[24
]}

Romero Berrocal, A. ^{[25
]}

Ferrando Ortola, C. ^{[26
]}

机构：

[1] Serv Murciano Salud, Direcc Gen Asistencia Sanitaria, Murcia, Spain

[2] Master Oficial Med Urgencias & Emergencias, Murcia, Spain

[3] Hosp Univ Getafe, Serv Med Intens & Grandes Quemados, CIBERES, CIBER Enfermedades Resp, Madrid, Spain

[4] Univ Autonoma Barcelona, Ctr Invest Biomed Red CIBERES, Serv Neumol, Corp Parc Tauli,Hosp Sabadell, Barcelona, Spain

[5] Hosp Univ ARaba, OSI Araba, Unidad Func Sueno, Vitoria, Spain

[6] Hosp San Pedro de Alcantara, Serv Neumol, CIBER Enfermedades Resp CIBERES, Inst Univ Invest Biosanitaria Extremadura INUBE, Caceres, Spain

[7] Hosp Univ Puerta Hierro, Serv Anestesia, Cuidados Crit Quirurg & Dolor, Madrid, Spain

[8] Hosp Gen Alicante, Unidad Corta Estancia & Hosp Domicilio, Inst Invest Sanitaria & Biomed Alicante ISABIAL, Serv Urgencias,Fdn FISABIO, Alicante, Spain

[9] Hosp Univ Fdn Jimenez Diaz, Jefe Asociado Neumol, UCIR, CIBERES,REVA,EMDOS, Madrid, Spain

[10] Univ Barcelona, Hosp Clin Barcelona, Inst Clin Resp, Serv Pneumol,IDIBAPS,CibeRes CB06 06 0028, Barcelona, Spain

[11] Hosp Royo Villanova, Serv Urgencias, Zaragoza, Spain

[12] Parc Tauli Hosp Univ, Serv Urgencias, Barcelona, Spain

[13] Hosp Gen Villarrobledo, Serv Urgencias, Albacete, Spain

[14] SESCAM, Med Emergencias GUETS, Toledo, Spain

[15] Hosp Ramon & Cajal, Med Adjunto Urgencias, Madrid, Spain

[16] Univ Cantabria, Hosp Univ Marques Valdecilla, IDIVAL, Unidad Sueno & Ventilac Neumol, Santander, Spain

[17] Hosp Univ Bellvitge, Serv Pneumol, Barcelona, Spain

[18] Hosp Univ Guadalajara, Unidad Sueno Neumol, Guadalajara, Spain

[19] Hosp Univ Son Llatzer, Serv Med Intens, Palma De Mallorca, Spain

[20] Hosp St Joan Despi Moises Broggi, Hosp Gen Hosp, Serv Med Intens, Barcelona, Spain

[21] Hosp Univ Virgen de la Salud, Serv Med Intens, Toledo, Spain

[22] Inst Salud Carlos III, Area Crit, Corp Sanitaria & Univ Parc Tauli, CIBER Enfermedades Resp CIBERES, Barcelona, Spain

[23] Univ Autonoma Barcelona, Serv Med Intens, Hosp Univ Vall dHebron,Inst Salud Carlos III, Inst Recerca Vall dHebron,Ciber Enfermedades Resp, Barcelona, Spain

[24] Hosp Univ Vall dHebron, Shock Organ Dysfunct & Resuscitat Res Grp, Serv Med Intens,CIBERES, Vall dHebron Inst Recerca,CIBER Enfermedades Resp, Barcelona, Spain

[25] Hosp Univ Puerta Hierro, Serv Anestesia & Reanimac, Madrid, Spain

[26] Hosp Clin Barcelona, Serv Anestesia & Cuidados Intens, Jefe Secc Area Cuidados Intens Quirurg, Barcelona, Spain

来源：

REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION | 2020年 / 67卷 / 05期

关键词：

Non-invasive mechanical ventilation; High-flow nasal therapy; Aerosol-generating procedures; Infection control; POSITIVE-PRESSURE VENTILATION; NASAL CANNULA; OXYGEN; AIR;

D O I：

10.1016/j.redar.2020.03.006

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly emergent coronavirus, that was first recognized in Wuhan, China, in December 2019. Currently, the World Health Organization (WHO) has defined the infection as a global pandemic and there is a health and social emergency for the management of this new infection. While most people with COVID-19 develop only mild or uncomplicated illness, approximately 14% develop severe disease that requires hospitalization and oxygen support, and 5% require admission to an intensive care unit. In severe cases, COVID-19 can be complicated by the acute respiratory distress syndrome (ARDS), sepsis and septic shock, and multiorgan failure. This consensus document has been prepared on evidence-informed guidelines developed by a multidisciplinary panel of health care providers from four Spanish scientific societies (Spanish Society of Intensive Care Medicine [SEMICYUC], Spanish Society of Put monologists [SEPAR], Spanish Society of Emergency [SEMES], Spanish Society of Anesthesiology, Reanimation, and Pain [SEDAR]) with experience in the clinical management of patients with COVID-19 and other viral infections, including SARS, as well as sepsis and ARDS. The document provides clinical recommendations for the noninvasive respiratory support (noninvasive ventilation, high flow oxygen therapy with nasal cannula) in any patient with suspected or confirmed presentation of COVID-19 with acute respiratory failure. This consensus guidance should serve as a foundation for optimized supportive care to ensure the best possible chance for survival and to allow for reliable comparison of investigational therapeutic interventions as part of randomized controlled trials. (C) 2020 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.

引用

页码：261 / 270

页数：10

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