Awake pronation with helmet continuous positive airway pressure for COVID-19 acute respiratory distress syndrome patients outside the ICU: A case series.
ARDS
ARF
Acute respiratory failure
COVID-19
CPAP
Casco
Dexmedetomidina
Dexmedetomidine
Insuficiencia respiratoria aguda
NIV
Pandemia
Pandemic
Posición prona
Pronación
Pronation
Prone position
SARS-COV-2
SARS-CoV-2
SDRA
Síndrome de dificultad respiratoria aguda
Journal
Medicina intensiva
ISSN: 2173-5727
Titre abrégé: Med Intensiva (Engl Ed)
Pays: Spain
ID NLM: 101717568
Informations de publication
Date de publication:
06 Sep 2020
06 Sep 2020
Historique:
received:
08
08
2020
accepted:
11
08
2020
pubmed:
18
10
2020
medline:
18
10
2020
entrez:
17
10
2020
Statut:
aheadofprint
Résumé
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. Case series. High dependency unit of San Carlo University Hospital (Potenza, Italy). Eleven consecutive patients with COVID-19 ARDS. Helmet CPAP in prone position after failing a CPAP trial in the supine position. Data collection at baseline and then after 24, 48 and 72h of pronation. We measured PaO 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 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
Identifiants
pubmed: 33067029
pii: S0210-5691(20)30273-4
doi: 10.1016/j.medin.2020.08.008
pmc: PMC7474866
pii:
doi:
Types de publication
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2020 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.
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