Article ; Online: Awake pronation with helmet continuous positive airway pressure for COVID-19 acute respiratory distress syndrome patients outside the ICU: A case series.
Medicina intensiva
2022 Volume 46, Issue 2, Page(s) 65–71
Abstract: Objective: Continuous positive airway pressure (CPAP) is an important therapeutic tool in COVID-19 acute respiratory distress syndrome (ARDS) since it improves oxygenation, reduces respiratory rate and can prevent intubation and intensive care unit (ICU) ...
Abstract | Objective: Continuous positive airway pressure (CPAP) is an important therapeutic tool in COVID-19 acute respiratory distress syndrome (ARDS) since it improves oxygenation, reduces respiratory rate and can prevent intubation and intensive care unit (ICU) admission. CPAP during pronation has seldom been described and never during sedation. Design: Case series. Setting: High dependency unit of San Carlo University Hospital (Potenza, Italy). Patients: Eleven consecutive patients with COVID-19 ARDS. Intervention: Helmet CPAP in prone position after failing a CPAP trial in the supine position. Main variable of interest: Data collection at baseline and then after 24, 48 and 72h of pronation. We measured PaO Results: Patients were treated with helmet CPAP for a mean±SD of 7±2.7 days. Prone positioning was feasible in all patients, but in 7 of them dexmedetomidine improved comfort. PaO Conclusions: Helmet CPAP during pronation was feasible and safe in COVID-19 ARDS managed outside the ICU and sedation with dexmedetomidine safely improved comfort. We recorded an increase in PaO |
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MeSH term(s) | COVID-19 ; Continuous Positive Airway Pressure ; Humans ; Intensive Care Units ; Pronation ; Respiratory Distress Syndrome/therapy ; SARS-CoV-2 ; Wakefulness |
Language | English |
Publishing date | 2022-01-31 |
Publishing country | Spain |
Document type | Journal Article |
ISSN | 2173-5727 |
ISSN (online) | 2173-5727 |
DOI | 10.1016/j.medine.2020.08.009 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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