Respiratory care for the critical patients with 2019 novel coronavirus - 21/09/21
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Abstract |
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is transmitted through respiratory droplets, aerosols and close contact. Cross infections occur because viruses spread rapidly among humans. Nineteen percent (19%) of the infected patients developed severe pneumonia and acute respiratory distress syndrome (ARDS). Hypoxemia usually occurs and patients may require oxygen therapy or mechanical ventilation (MV) support. In this article, recently published clinical experience and observational studies were reviewed. Corresponding respiratory therapy regarding different stages of infection is proposed. Infection control principles and respiratory strategies including oxygen therapy, non-invasive respiratory support (NIRS), intubation evaluation, equipment preparation, ventilator settings, special maneuvers comprise of the prone position (PP), recruitment maneuver (RM), extracorporeal membrane oxygenation (ECMO), weaning and extubation are summarized. Respiratory equipment and device disinfection recommendations are worked up. We expect this review article could be used as a reference by healthcare workers in patient care while minimizing the risk of environmental contamination.
Le texte complet de cet article est disponible en PDF.Highlights |
• | COVID19 is transmitted through respiratory droplets, close contact and aerosols. |
• | Avoid aerosol-generating masks or masks with side vents in oxygen therapy. |
• | Adopting HACOR and ROX Index for evaluation in non-invasive respiratory support. |
• | Apply lung-protective ventilation strategy to reduce ventilator-induced lung injury. |
• | Apply ultra-protective ventilation in extracorporeal membrane oxygenation support. |
Keywords : Coronavirus disease 2019 (COVID-19), 2019 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Respiratory care, Oxygen therapy, Mechanical ventilation, Infection control
Plan
Vol 186
Article 106516- septembre 2021 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.