Review article
https://doi.org/10.20471/acc.2023.62.s1.16
Noninvasive Mechanical Ventilation in COVID-19 Related Acute Respiratory Failure
Gordana Pavliša
; Jordanovac Department of Respiratory Diseases, Zagreb University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Kristina Gašparović
; Department of Cardiovascular Diseases, Zagreb University Hospital Center, Zagreb, Croatia
Hrvoje Puretić
; Jordanovac Department of Respiratory Diseases, Zagreb University Hospital Center, Zagreb, Croatia
Lidija Ljubičić
; Jordanovac Department of Respiratory Diseases, Zagreb University Hospital Center, Zagreb, Croatia
Andrija Nekić
; School of Medicine, University of Zagreb, Zagreb, Croatia
Vlasta Vuković
; School of Medicine, University of Zagreb, Zagreb, Croatia
Katarina Vukančić
; School of Medicine, University of Zagreb, Zagreb, Croatia
Andrea Vukić Dugac
; Jordanovac Department of Respiratory Diseases, Zagreb University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Abstract
Coronavirus disease 2019 (COVID-19) is presented with a wide range of symptoms,
from asymptomatic disease to severe and progressive interstitial pneumonia. As part of interstitial
pneumonia, respiratory failure is typically presented as hypoxia and is the most common cause of hospitalization.
When oxygen therapy fails, continuous positive airway pressure (CPAP) or noninvasive
mechanical ventilation (NIV) are used as respiratory support measures of first choice. Noninvasive respiratory
support (NIRS) is applied in order to save intensive care unit resources and to avoid complications
related to invasive mechanical ventilation. Emerging evidence has shown that the use of CPAP or NIV
in the management of acute hypoxemic respiratory failure in COVID-19 reduces the need for intubation
and mortality. The advantage of NIRS is the feasibility of its application on wards. NIV could be
administered via a face mask or helmet interface. Helmet adheres better than mask and therefore leakage
is reduced, a delivery of positive end-expiratory pressure is more accurate, and the risk of nosocomial
transmission of infections is lowered. Patients on NIRS must be carefully monitored so that further
respiratory deterioration is not overlooked and additional measures of care including timely intubation
and invasive mechanical ventilation could be performed if needed.
Keywords
Coronavirus disease 2019; Respiratory failure; Continuous positive airway pressure; Noninvasive mechanical ventilation; Noninvasive respiratory support
Hrčak ID:
307516
URI
Publication date:
1.4.2023.
Visits: 300 *