Use of Helmet CPAP in COVID-19 - A practical review.
Pulmonology
; 27(5): 413-422, 2021.
Article
in English
| MEDLINE | ID: covidwho-1057245
ABSTRACT
Helmet CPAP (H-CPAP) has been recommended in many guidelines as a noninvasive respiratory support during COVID-19 pandemic in many countries around the world. It has the least amount of particle dispersion and air contamination among all noninvasive devices and may mitigate the ICU bed shortage during a COVID surge as well as a decreased need for intubation/mechanical ventilation. It can be attached to many oxygen delivery sources. The MaxVenturi setup is preferred as it allows for natural humidification, low noise burden, and easy transition to HFNC during breaks and it is the recommended transport set-up. The patients can safely be proned with the helmet. It can also be used to wean the patients from invasive mechanical ventilation. Our article reviews in depth the pathophysiology of COVID-19 ARDS, provides rationale of using H-CPAP, suggests a respiratory failure algorithm, guides through its setup and discusses the issues and concerns around using it.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Respiratory Insufficiency
/
Ventilator Weaning
/
Continuous Positive Airway Pressure
/
Noninvasive Ventilation
/
COVID-19
Type of study:
Diagnostic study
Limits:
Humans
Language:
English
Journal:
Pulmonology
Year:
2021
Document Type:
Article
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