Non-invasive respiratory support paths in hospitalized patients with COVID-19: proposal of an algorithm

被引:35
作者
Winck, J. C. [1 ]
Scala, R. [2 ]
机构
[1] Univ Porto, Fac Med, Porto, Portugal
[2] S Donato Hosp, Pulmonol & Resp Intens Care Unit, Arezzo, Italy
来源
PULMONOLOGY | 2021年 / 27卷 / 04期
关键词
COVID-19; High-flow nasal cannula; CPAP; Bilevel-PAP; Awake proning; MANAGEMENT; FAILURE; OXYGEN; FLOW;
D O I
10.1016/j.pulmoe.2020.12.005
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
COVID-19 related Acute Respiratory Failure, may be successfully treated with Conventional Oxygen therapy, High Flow Nasal Cannula, Continuous Positive Airway Pressure or Bi-level Positive-Pressure ventilation. Despite the accumulated data in favor of the use of different Non-invasive Respiratory therapies in COVID-19 related Acute Respiratory Failure, it is not fully understood when start, escalate and de-escalate the best respiratory supportive option for the different timing of the disease. Based on the current published experience with Non-invasive Respiratory therapies in COVID-19 related Acute Respiratory Failure, we propose an algorithm in deciding when to start, when to stop and when to wean different NIRT. This strategy may help clinicians in better choosing NIRT during this second COVID-19 wave and beyond. (c) 2021 Sociedade Portuguesa de Pneumologia. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).
引用
收藏
页码:305 / 312
页数:8
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