Non-invasive respiratory support in the treatment of acute hypoxemic respiratory failure secondary to CoViD-19 related pneumonia

•Evidence is lacking on which is the best respiratory support technique in respiratory failure secondary to Covid-19 pneumonia•Available data indicate that non-invasive CPAP/NIV and HFNC may be effective in up to two thirds of patients•Patient selection and a dedicated environment are key to success...

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Veröffentlicht in:European journal of internal medicine 2021-04, Vol.86, p.17-21
Hauptverfasser: Groff, Paolo, Ferrari, Rodolfo
Format: Artikel
Sprache:eng
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Zusammenfassung:•Evidence is lacking on which is the best respiratory support technique in respiratory failure secondary to Covid-19 pneumonia•Available data indicate that non-invasive CPAP/NIV and HFNC may be effective in up to two thirds of patients•Patient selection and a dedicated environment are key to success•Awake prone-positioning seems a promising tool to optimize non-invasive support•Attention must be paid to the possible dispersion of droplets with these techniques In the last 11 months, the SARS-CoV-2 pandemic has overwhelmed and disrupted the whole world in health, social and economic terms. We are progressively learning more and more about the epidemiological and clinical features that distinguish CoViD-19 from any previous experience in the emergency and critical care setting. Experiences are multiplying with regard to the use of non-invasive respiratory support techniques in the context of acute hypoxemic respiratory failure secondary to CoViD-19-related pneumonia. Doubts still far outweigh certainties, but a growing series of mostly monocentric and retrospective studies are becoming available as concrete decision-making and operational support for healthcare workers. In this review the available studies and experiences about non-invasive respiratory support in the treatment of Covid-19 related respiratory failure, mainly coming from outside the ICU setting, will be discussed.
ISSN:0953-6205
1879-0828
1879-0828
DOI:10.1016/j.ejim.2021.02.015