Open AccessIntegrated oxygen therapy consisting of non invasive ventilation and nasal cannulae in respiratory failure secondary to COVID-19 pneumonia: Case series
Author(s) -
Anshul Singh,
Suman Choudhary,
Ashok Kumar Saxena
Publication year - 2021
Publication title -
indian journal of clinical anaesthesia
Language(s) - English
Resource type - Journals
eISSN - 2394-4781
pISSN - 2394-4994
DOI - 10.18231/j.ijca.2021.103
Subject(s) - nasal cannula , medicine , oxygen therapy , intubation , intensive care medicine , work of breathing , pneumonia , respiratory failure , respiratory distress , anesthesia , ventilation (architecture) , covid-19 , airway management , cannula , mechanical ventilation , hypoxia (environmental) , surgery , oxygen , disease , infectious disease (medical specialty) , engineering , mechanical engineering , chemistry , organic chemistry
Patients with moderate to severe COVID-19 disease develop hypoxemic respiratory failure demonstrating profound degrees of hypoxia with little or no distress. This has put the conventional management consisting of an early intubation in question. In this case series, we attempted an integrated oxygen strategy utilizing non invasive ventilation with standard oxygen therapy (SO) via nasal cannula. We managed both the patients with successful outcomes, without the need of intubation. Hence, integrated oxygen therapy was successfully utilized for the ventilatory management of moderate to severe COVID-19 patients by improving oxygenation, making patients more comfortable and reducing the work of breathing. By complete avoidance of intubation, this technique might help in preservation of much-needed critical care ventilators and help improve patient outcomes in the areas hit hard by the pandemic.