Open AccessEffectiveness and applicability of Non-Invasive Ventilation (NIV) in the Emergency Department in acute respiratory failure due to Sars-CoV-2 pneumonia
Author(s) -
Federico Lari,
Fabrizio Giostra,
Stefania Guerrini
Publication year - 2020
Publication title -
emergency care journal
Language(s) - English
Resource type - Journals
eISSN - 2282-2054
pISSN - 1826-9826
DOI - 10.4081/ecj.2020.9127
Subject(s) - medicine , emergency department , intensive care medicine , pneumonia , ventilation (architecture) , acute respiratory failure , covid-19 , non invasive ventilation , respiratory failure , respiratory system , radiological weapon , pandemic , mechanical ventilation , severe acute respiratory syndrome , emergency medicine , surgery , veterinary medicine , infectious disease (medical specialty) , disease , mechanical engineering , forensic science , psychiatry , engineering
Treatment of de novo acute hypoxic respiratory failure is not recommended by current Non-Invasive Ventilation (NIV) guidelines as it does not seem to improve patients outcome. Many cases of acute hypoxic respiratory failure associated with Sars-Cov2 infection (SARI) have been observed during Sars-Cov2 pandemic. So far, data are missing regarding the use of NIV, but a correct identification of subgroups of patients based on different clinical, patho-physiological and radiological features, might be helpful for stratifying patients and choosing the correct respiratory support (invasive versus non-invasive). In case of NIV appliance, risk of environmental virus dispersion is particularly elevated; therefore, extreme attention by operators is required.