“How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”

The Covid 19 pandemic will be remembered for the rapidity with which it spread, the morbidity and mortality associated with it and the paucity of evidence-based management guidelines. One of the major concerns of hospitals was to limit spread of infection to health care workers. Since the virus is s...

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Autores:
Tipo de recurso:
Article of investigation
Fecha de publicación:
2020
Institución:
Universidad de Bogotá Jorge Tadeo Lozano
Repositorio:
Expeditio: repositorio UTadeo
Idioma:
eng
OAI Identifier:
oai:expeditiorepositorio.utadeo.edu.co:20.500.12010/12149
Acceso en línea:
https://doi.org/10.1016/j.chest.2020.07.013
http://hdl.handle.net/20.500.12010/12149
Palabra clave:
Respiratory failure
Covid-19
Patients
Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
Rights
License
Acceso restringido
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oai_identifier_str oai:expeditiorepositorio.utadeo.edu.co:20.500.12010/12149
network_acronym_str UTADEO2
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dc.title.spa.fl_str_mv “How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”
title “How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”
spellingShingle “How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”
Respiratory failure
Covid-19
Patients
Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
title_short “How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”
title_full “How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”
title_fullStr “How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”
title_full_unstemmed “How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”
title_sort “How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”
dc.subject.spa.fl_str_mv Respiratory failure
Covid-19
Patients
topic Respiratory failure
Covid-19
Patients
Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
dc.subject.lemb.spa.fl_str_mv Síndrome respiratorio agudo grave
COVID-19
SARS-CoV-2
Coronavirus
description The Covid 19 pandemic will be remembered for the rapidity with which it spread, the morbidity and mortality associated with it and the paucity of evidence-based management guidelines. One of the major concerns of hospitals was to limit spread of infection to health care workers. Since the virus is spread mainly by respiratory droplets and aerosolized particles, procedures which may potentially disperse viral particles, the so called “aerosol-generating procedures” or AGPs were avoided whenever possible. Included in this category were non-invasive ventilation (NIV), high flow nasal cannula (HFNC) and awake (non-intubated) proning. Accordingly, at many health care facilities, patients who had increasing oxygen requirements were emergently intubated and mechanically ventilated to avoid exposure to AGPs. With experience, clinicians realized that mortality of invasively ventilated patients was high and it was not easy to extubate many of these patients. This raised the concern that HFNC and NIV were being underutilized to avoid intubation and to facilitate extubation. In this article, we attempt to separate fact from fiction and perception from reality pertaining to the aerosol dispersion with NIV, HFNC and AP. We describe precautions that hospitals and health care providers must take to mitigate risks with these devices. Finally, we take a practical approach in describing how we use the three techniques, including the common indications, contraindications and practical aspects of application.
publishDate 2020
dc.date.accessioned.none.fl_str_mv 2020-08-24T15:55:57Z
dc.date.available.none.fl_str_mv 2020-08-24T15:55:57Z
dc.date.created.none.fl_str_mv 2020
dc.type.local.spa.fl_str_mv Artículo
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format http://purl.org/coar/resource_type/c_2df8fbb1
dc.identifier.issn.spa.fl_str_mv 0012-3692
dc.identifier.other.spa.fl_str_mv https://doi.org/10.1016/j.chest.2020.07.013
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12010/12149
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.1016/j.chest.2020.07.013
identifier_str_mv 0012-3692
url https://doi.org/10.1016/j.chest.2020.07.013
http://hdl.handle.net/20.500.12010/12149
dc.language.iso.spa.fl_str_mv eng
language eng
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_f1cf
dc.rights.local.spa.fl_str_mv Acceso restringido
rights_invalid_str_mv Acceso restringido
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dc.format.extent.spa.fl_str_mv 26 páginas
dc.format.mimetype.spa.fl_str_mv image/jepg
dc.publisher.spa.fl_str_mv CHEST
dc.source.spa.fl_str_mv reponame:Expeditio Repositorio Institucional UJTL
instname:Universidad de Bogotá Jorge Tadeo Lozano
instname_str Universidad de Bogotá Jorge Tadeo Lozano
institution Universidad de Bogotá Jorge Tadeo Lozano
reponame_str Expeditio Repositorio Institucional UJTL
collection Expeditio Repositorio Institucional UJTL
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spelling 2020-08-24T15:55:57Z2020-08-24T15:55:57Z20200012-3692https://doi.org/10.1016/j.chest.2020.07.013http://hdl.handle.net/20.500.12010/12149https://doi.org/10.1016/j.chest.2020.07.013The Covid 19 pandemic will be remembered for the rapidity with which it spread, the morbidity and mortality associated with it and the paucity of evidence-based management guidelines. One of the major concerns of hospitals was to limit spread of infection to health care workers. Since the virus is spread mainly by respiratory droplets and aerosolized particles, procedures which may potentially disperse viral particles, the so called “aerosol-generating procedures” or AGPs were avoided whenever possible. Included in this category were non-invasive ventilation (NIV), high flow nasal cannula (HFNC) and awake (non-intubated) proning. Accordingly, at many health care facilities, patients who had increasing oxygen requirements were emergently intubated and mechanically ventilated to avoid exposure to AGPs. With experience, clinicians realized that mortality of invasively ventilated patients was high and it was not easy to extubate many of these patients. This raised the concern that HFNC and NIV were being underutilized to avoid intubation and to facilitate extubation. In this article, we attempt to separate fact from fiction and perception from reality pertaining to the aerosol dispersion with NIV, HFNC and AP. We describe precautions that hospitals and health care providers must take to mitigate risks with these devices. Finally, we take a practical approach in describing how we use the three techniques, including the common indications, contraindications and practical aspects of application.26 páginasimage/jepgengCHESTreponame:Expeditio Repositorio Institucional UJTLinstname:Universidad de Bogotá Jorge Tadeo LozanoRespiratory failureCovid-19PatientsSíndrome respiratorio agudo graveCOVID-19SARS-CoV-2Coronavirus“How I Do It: High Flow, Non-invasive ventilation and Awake (non-intubation) Proning in Covid-19 Patients with Respiratory Failure”Artículohttp://purl.org/coar/resource_type/c_2df8fbb1Acceso restringidohttp://purl.org/coar/access_right/c_f1cfRaoof, SuhailNava, StefanoCarpati, CharlesHill, Nicholas S.ORIGINALCaptura.PNGCaptura.PNGVer portadaimage/png94646https://expeditiorepositorio.utadeo.edu.co/bitstream/20.500.12010/12149/1/Captura.PNG560b74d757886e4f2f5ca0cd793766f9MD51open access-How-I-Do-It--High-Flow--Non-invasive-ventilation-and-Awake--non-int_2020_Ch.pdf-How-I-Do-It--High-Flow--Non-invasive-ventilation-and-Awake--non-int_2020_Ch.pdfArtículo reservadoapplication/pdf545662https://expeditiorepositorio.utadeo.edu.co/bitstream/20.500.12010/12149/3/-How-I-Do-It--High-Flow--Non-invasive-ventilation-and-Awake--non-int_2020_Ch.pdfb9d2e67424bde0c94316b6887c08819aMD53embargoed access|||2200-08-24LICENSElicense.txtlicense.txttext/plain; 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