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
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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Auteurs

G Paternoster (G)

Cardiovascular Anesthesia and ICU, San Carlos Regional Hospital (San Carlo Azienda Ospedaliera Regionale), Potenza, Italy.

C Sartini (C)

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy. Electronic address: sartini.chiara@hsr.it.

E Pennacchio (E)

Emergency Medicine San Carlo Hospital San Carlos Regional Hospital (San Carlo Azienda Ospedaliera Regionale), Potenza, Italy.

F Lisanti (F)

Emergency Medicine San Carlo Hospital San Carlos Regional Hospital (San Carlo Azienda Ospedaliera Regionale), Potenza, Italy.

G Landoni (G)

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.

L Cabrini (L)

Intensive Care and Anesthesia Unit, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

Classifications MeSH