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Non-invasive respiratory support paths in hospitalized patients with COVID-19: proposal of an algorithm
Author(s) -
João Carlos Winck,
Raffaele Scala
Publication year - 2021
Publication title -
pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.826
H-Index - 22
eISSN - 2531-0437
pISSN - 2531-0429
DOI - 10.1016/j.pulmoe.2020.12.005
Subject(s) - medicine , nasal cannula , covid-19 , continuous positive airway pressure , respiratory system , intensive care medicine , respiratory failure , cannula , acute respiratory failure , mechanical ventilation , positive airway pressure , disease , surgery , virology , infectious disease (medical specialty) , outbreak , obstructive sleep apnea
COVID-19 related Acute Respiratory Failure, may be successfully treated with Conventional Oxygen therapy, High Flow Nasal Cannula, Continuous Positive Airway Pressure or Bi-level Positive-Pressure ventilation. Despite the accumulated data in favor of the use of different Non-invasive Respiratory therapies in COVID-19 related Acute Respiratory Failure, it is not fully understood when start, escalate and de-escalate the best respiratory supportive option for the different timing of the disease. Based on the current published experience with Non-invasive Respiratory therapies in COVID-19 related Acute Respiratory Failure, we propose an algorithm in deciding when to start, when to stop and when to wean different NIRT. This strategy may help clinicians in better choosing NIRT during this second COVID-19 wave and beyond.

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