Effects of non-invasive respiratory support on gas exchange and outcomes in COVID-19 outside the ICU - 18/08/21
Doi : 10.1016/j.rmed.2021.106481
Ciara Gough a, b, ⁎, 1 
, Michelle Casey a, b, 1, Thomas A. McCartan a, Alessandro N. Franciosi a, Derek Nash d, Dominic Doyle d, Neil Hyland d, Grace Kavanagh e, Sile Toland f, Caleb Powell f, Rhea O'Regan g, Ruán Ó. Conluain h, Garrett Greene i, Grace Murray a, Israa Fathi Hussein a, Eoin Hunt c, Fatma Gargoum d, David Curran e, Tidi Hassan f, Liam Cormican g, Richard W. Costello a, b, 1, Tom McEnery c, 1
, Michelle Casey a, b, 1, Thomas A. McCartan a, Alessandro N. Franciosi a, Derek Nash d, Dominic Doyle d, Neil Hyland d, Grace Kavanagh e, Sile Toland f, Caleb Powell f, Rhea O'Regan g, Ruán Ó. Conluain h, Garrett Greene i, Grace Murray a, Israa Fathi Hussein a, Eoin Hunt c, Fatma Gargoum d, David Curran e, Tidi Hassan f, Liam Cormican g, Richard W. Costello a, b, 1, Tom McEnery c, 1 a Royal College of Surgeons in Ireland, Dublin, Ireland
b Department of Respiratory Medicine, Beaumont Hospital, Dublin, Ireland
c Department of Respiratory Medicine, Mater Misericordiae University Hospital, Dublin, Ireland
d Department of Respiratory Medicine, University Hospital Galway, Ireland
e Department of Respiratory Medicine, Mercy Hospital, Cork, Galway, Ireland
f Department of Respiratory Medicine, Our Lady of Lourdes Hospital, Drogheda, Ireland
g Department of Respiratory and Sleep Medicine, James Connolly Memorial Hospital, Dublin, Ireland
h Trinity College Dublin, Ireland
i Department of Mathematics and Statistics, Royal College of Surgeons, Ireland
∗Corresponding author. 31 St Joseph's Square, Dublin, Ireland.31 St Joseph's SquareDublinIreland
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Abstract |
Non-invasive respiratory support (NRS) outside of the ICU has played an important role in the management of COVID-19 pneumonia. There is little data to guide selection of NRS modality. We present outcomes of NRS outside the ICU and discuss the effects of NRS on gas exchange with implications for management.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Use of CPAP and HFNC may avoid intubation and allow time for recovery in COVID-19. |
• | SpO2:FiO2 correlates well with P:F and can risk stratify without invasive testing. |
• | Bedside assessment of respiratory rate and work of breathing outside ICU is important. |
Plan
© 2021
The Authors. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 185
Article 106481- août 2021 Retour au numéro
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