“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...
- 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:expeditiorepositorio.utadeo.edu.co:20.500.12010/12149 |
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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 |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
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 http://purl.org/coar/access_right/c_f1cf |
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 |
bitstream.url.fl_str_mv |
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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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