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

نویسندگان

چکیده

Abstract Background Respiratory failure due to COVID-19 pneumonia is associated with high mortality and may overwhelm health care systems, the surge of patients requiring advanced respiratory support. Shortage intensive unit (ICU) beds required many be treated outside ICU despite severe gas exchange impairment. Helmet an effective interface provide continuous positive airway pressure (CPAP) noninvasively. We report data about usefulness helmet CPAP during pandemic, either as treatment, a bridge intubation or rescue therapy for limitations (DNI). Methods In this observational study we collected regarding failing standard oxygen (i.e., non-rebreathing mask) free flow system. Patients’ were recorded before, at initiation treatment once day, thereafter. was defined composite outcome death. Results A total 306 included; 42% deemed DNI. successful in 69% full 28% DNI ( P < 0.001). With CPAP, PaO 2 /FiO ratio doubled from 100 200 mmHg 0.001); rate decreased 28 [22–32] 24 [20–29] breaths per minute, C-reactive protein, time mask failure, age, number comorbidities independently failure. maintained 6 [3–9] days, almost continuously first two days. None died before wards. Conclusions feasible several days ICU, persistent impairment exchange. It used, without escalating intubation, majority after failed. could benefit improve survival. Trial Registration : NCT04424992

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

“Letter to Editor” Challenges of Home Care during the COVID-19 Outbreak

The emerging phenomenon of COVID-19 has affected all aspects of life across the world as the disease is spreading rapidly worldwide. The widespread COVID-19 pandemic and its consequences are of great concern to the human community)1(. The pandemic has posed particular challenges to healthcare services(2). Healthcare services in a community consist of various sectors, one of the most important o...

متن کامل

Assessment of the Mental Health Status of Social Media Users during the Outbreak of COVID-19

Background and Objectives: The sudden outbreak of coronavirus disease 2019 (COVID-19) as a shock to the international community, especially global health policymakers, has affected millions of individuals. The current study aimed to investigate the mental health status of social media users during the outbreak of COVID-19 in Iran.   Methods: The present descriptive study was carried out on a t...

متن کامل

Assessing the status of behavioral-psychological tendencies of people related to child services during the outbreak of Covid-19 virus

1.Introduction Today, customers are the most important assets of any organization and organizations that strive to have committed and loyal customers have taken a big step towards success (3). In the meantime, paying attention to important aspects of customer orientation can have positive and desirable effects on their decisions and behaviors and also subject customerschr(chr('39')39chr('39'))...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Critical Care

سال: 2021

ISSN: ['1364-8535', '1466-609X']

DOI: https://doi.org/10.1186/s13054-021-03502-y