Helmet CPAP in the emergency department: A narrative review - 20/04/23
, Chan Pei Fong, MBBS, MMed a, Yip Yat Keong, MD, Dr Em Med a, Farah Nuradhwa Apoo, MBChB, Dr Em Med a, Nurul Liana Roslan, MD, Dr Em Med bAbstract |
Background |
The choice of correct interface for the right patient is crucial for the success of non-invasive ventilation (NIV) therapy. Helmet CPAP is a type of interface used to deliver NIV. Helmet CPAP improves oxygenation by keeping the airway open throughout the breathing cycle with positive end-expiratory pressure (PEEP).
Objective |
This narrative review describes the technical aspects and clinical indications of helmet continuous positive airway pressure (CPAP). In addition, we explore the advantages and challenges faced using this device at the Emergency Department (ED).
Discussion |
Helmet CPAP is tolerable than other NIV interfaces, provides a good seal and has good airway stability. During Covid-19 pandemic, there are evidences it reduced the risk of aerosolization. The potential clinical benefit of helmet CPAP is demonstrated in acute cardiogenic pulmonary oedema (ACPO), Covid-19 pneumonia, immunocompromised patient, acute chest trauma and palliative patient. Compare to conventional oxygen therapy, helmet CPAP had been shown to reduce intubation rate and decrease mortality.
Conclusion |
Helmet CPAP is one of the potential NIV interface in patients with acute respiratory failure presenting to the emergency department. It is better tolerated for prolonged usage, reduced intubation rate, improved respiratory parameters, and offers protection against aerosolization in infectious diseases.
Le texte complet de cet article est disponible en PDF.Keywords : Acute respiratory failure, Non-invasive ventilation, NIV, Non-invasive positive pressure ventilation, NIPPV and continuous positive airway pressure, CPAP, Helmet NIV, Helmet CPAP, Oxygen therapy
Plan
Vol 67
P. 112-119 - mai 2023 Retour au numéro
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