Effectiveness and safety of a new helmet CPAP configuration allowing tidal volume monitoring in patients with COVID-19.

COVID-19 CPAP Helmet Tidal volume

Journal

Pulmonology
ISSN: 2531-0437
Titre abrégé: Pulmonology
Pays: Spain
ID NLM: 101723786

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 30 03 2021
revised: 28 06 2021
accepted: 30 06 2021
pubmed: 31 7 2021
medline: 31 7 2021
entrez: 30 7 2021
Statut: ppublish

Résumé

High generated tidal volumes (V This prospective observational study was performed in the respiratory intermediate care unit of University Hospital in Turin, Italy, between March 24th, and June 15th, 2020. Included patients were treated with CPAP via a single-limb intentional leak configuration by a turbine-driven ventilator, provided with a dedicated patch. Effectiveness and safety of the configuration and healthcare workers safety were the outcomes of the study. Thirty-five patients were included in this study. Median age was 67 years (IQR 57-76 years), and 30 patients (85.7%) were men. Median value of overall leaks (intentional plus unintentional) was 68 L/min (IQR 63-75). Reliability of V The use of h-CPAP for treating COVID-19 in this configuration allowed for reliable V

Sections du résumé

BACKGROUND BACKGROUND
High generated tidal volumes (V
METHODS METHODS
This prospective observational study was performed in the respiratory intermediate care unit of University Hospital in Turin, Italy, between March 24th, and June 15th, 2020. Included patients were treated with CPAP via a single-limb intentional leak configuration by a turbine-driven ventilator, provided with a dedicated patch. Effectiveness and safety of the configuration and healthcare workers safety were the outcomes of the study.
MAIN FINDINGS RESULTS
Thirty-five patients were included in this study. Median age was 67 years (IQR 57-76 years), and 30 patients (85.7%) were men. Median value of overall leaks (intentional plus unintentional) was 68 L/min (IQR 63-75). Reliability of V
CONCLUSIONS CONCLUSIONS
The use of h-CPAP for treating COVID-19 in this configuration allowed for reliable V

Identifiants

pubmed: 34326019
pii: S2531-0437(21)00135-5
doi: 10.1016/j.pulmoe.2021.06.012
pmc: PMC8266523
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

S9-S17

Informations de copyright

Copyright © 2021 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest GM, AC and CG declare a patent pending, in association with the University of Palermo - Italy (No. 102019000020532 – Italian Ministry of Economic Development) related to the content of this manuscript. CG received fees for lectures by Philips, and received payments by Philips for consultancies in the developing process of the EVO Ventilator and fees for lectures or consultancies from Resmed, Vivisol and Air Liquide not related to the present work.

Auteurs

C Chiappero (C)

Pneumology, Cardiovascular and Thoracic Department, AOU Città della Salute e della Scienza di Torino - Molinette hospital, Turin, Italy.

G Misseri (G)

Fondazione "Giglio", Cefalù, Italy.

A Mattei (A)

Pneumology, Cardiovascular and Thoracic Department, AOU Città della Salute e della Scienza di Torino - Molinette hospital, Turin, Italy.

M Ippolito (M)

Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.). University of Palermo, Italy.

C Albera (C)

Pneumology, Cardiovascular and Thoracic Department, AOU Città della Salute e della Scienza di Torino - Molinette hospital, Turin, Italy; University of Turin, School of Medicine, Department of Medical Sciences, Italy.

E Pivetta (E)

Division of Emergency Medicine and High Dependency Unit, Department of General and Specialized Medicine, AOU Città della Salute e della Scienza di Torino - Molinette hospital, Turin, Italy.

A Cortegiani (A)

Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.). University of Palermo, Italy; Department of Anaesthesia, Intensive Care and Emergency, Policlinico Paolo Giaccone, Palermo, Italy. Electronic address: andrea.cortegiani@unipa.it.

C Gregoretti (C)

Fondazione "Giglio", Cefalù, Italy; Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.). University of Palermo, Italy.

Classifications MeSH