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Akoumianaki E, Ischaki E, Karagiannis K, et al. The Role of Noninvasive Respiratory Management in Patients with Severe COVID-19 Pneumonia. J Pers Med. 2021;11(9)doi: 10.3390/jpm11090884.
Akoumianaki, E., Ischaki, E., Karagiannis, K., Sigala, I., & Zakyn-Thinos, S. (2021). The Role of Noninvasive Respiratory Management in Patients with Severe COVID-19 Pneumonia. Journal of personalized medicine, 11(9), . https://doi.org/10.3390/jpm11090884
Akoumianaki, Evangelia, et al. "The Role of Noninvasive Respiratory Management in Patients with Severe COVID-19 Pneumonia." Journal of personalized medicine vol. 11,9 (2021). doi: https://doi.org/10.3390/jpm11090884
Akoumianaki E, Ischaki E, Karagiannis K, Sigala I, Zakyn-Thinos S. The Role of Noninvasive Respiratory Management in Patients with Severe COVID-19 Pneumonia. J Pers Med. 2021 Sep 03;11(9). doi: 10.3390/jpm11090884. PMID: 34575661; PMCID: PMC8469068.
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J Pers Med. 2021 Sep 03;11(9). doi: 10.3390/jpm11090884.

The Role of Noninvasive Respiratory Management in Patients with Severe COVID-19 Pneumonia.

Journal of personalized medicine

Evangelia Akoumianaki, Eleni Ischaki, Konstantinos Karagiannis, Ioanna Sigala, Spyros Zakyn-Thinos

Affiliations

  1. Department of Intensive Care Unit, University Hospital of Heraklion, 71500 Crete, Greece.
  2. First Department of Intensive Care Medicine, National and Kapodistrian University of Athens Medical School, Evaggelismos General Hospital, 10676 Athens, Greece.
  3. Department of Respiratory Medicine, University Hospital of Heraklion, 71500 Crete, Greece.
  4. School of Medicine, National and Kapodistrian University of Athens, 10676 Athens, Greece.

PMID: 34575661 PMCID: PMC8469068 DOI: 10.3390/jpm11090884

Abstract

Acute hypoxemic respiratory failure is the principal cause of hospitalization, invasive mechanical ventilation and death in severe COVID-19 infection. Nearly half of intubated patients with COVID-19 eventually die. High-Flow Nasal Oxygen (HFNO) and Noninvasive Ventilation (NIV) constitute valuable tools to avert endotracheal intubation in patients with severe COVID-19 pneumonia who do not respond to conventional oxygen treatment. Sparing Intensive Care Unit beds and reducing intubation-related complications may save lives in the pandemic era. The main drawback of HFNO and/or NIV is intubation delay. Cautious selection of patients with severe hypoxemia due to COVID-19 disease, close monitoring and appropriate employment and titration of HFNO and/or NIV can increase the rate of success and eliminate the risk of intubation delay. At the same time, all precautions to protect the healthcare personnel from viral transmission should be taken. In this review, we summarize the evidence supporting the application of HFNO and NIV in severe COVID-19 hypoxemic respiratory failure, analyse the risks associated with their use and provide a path for their proper implementation.

Keywords: COVID-19; High Flow Nasal Oxygen; Noninvasive Ventilation; SARS-COV-2; noninvasive respiratory treatment

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