Non-invasive mechanical ventilation in patients admitted to a provisional center for moderate COVID-19 patients
Revista Cubana de Medicina
; 61(3), 2022.
Article
in Spanish
| CAB Abstracts | ID: covidwho-20239038
ABSTRACT
Introduction:
Non-invasive mechanical ventilation is a ventilatory alternative for COVID-19 cases.Background:
To describe the characteristics and evolution of non-invasive mechanical ventilation (NIMV) in patients discharged from Provisional Center for moderate COVID-19 patients in Figali, Panama.Methods:
A descriptive, retrospective, longitudinal stu was carried out in all adult patients discharged from June to July 2021 and who received non-invasive mechanical ventilation. A questionnaire was used using the digital individual medical record as primary source. Descriptive statistics techniques were used.Results:
35.9% of the patients (78/217) who were admitted required non-invasive mechanical ventilation on the ninth day of symptoms and the second day after admission. 62.8% (49/78) were obese and 29.5% (23/78) hypertensive. The respiratory rate 30 and the decrease in the PaO2/FiO2 ratio decided the begining of non-invasive mechanical ventilation in 56.4% (78/217) of those admitted. 62.8% (49/78) had moderate-severe acute respiratory distress syndrome, and the severity was related to ventilation failure out of the total number of ventilated patients. Ventilation was successful in 65.4% (51/78). PaO2/FiO2 <150 (62.9%), respiratory rate 30 (55.6%) and physical exhaustion (51.85%) decided ventilation failure.Conclusions:
Non-invasive mechanical ventilation is an effective procedure in COVID-19 patients and moderate or severe respiratory distress;although its success is related to the less severe forms. Low PaO2/FiO2, together with symptoms, were key indicators to assess the begining, success or failure of NIMV;not so the values of PaO2, PaCO2 and SpO2.
Prion; Viral; Bacterial and Fungal Pathogens of Humans [VV210]; Non-drug Therapy and Prophylaxis of Humans [VV710]; artificial respiration; coronavirus disease 2019; health protection; hospital admission; human diseases; hypertension; lungs; obesity; public health; respiratory diseases; viral diseases; man; Severe acute respiratory syndrome coronavirus 2; Panama; Homo; Hominidae; primates; mammals; vertebrates; Chordata; animals; eukaryotes; Central America; America; Latin America; upper-middle income countries; very high Human Development Index countries; Severe acute respiratory syndrome-related coronavirus; Betacoronavirus; Coronavirinae; Coronaviridae; Nidovirales; positive-sense ssRNA Viruses; ssRNA Viruses; RNA Viruses; viruses; mechanical ventilation; high blood pressure; fatness; lung diseases; SARS-CoV-2; viral infections
Search on Google
Collection:
Databases of international organizations
Database:
CAB Abstracts
Type of study:
Observational study
/
Prognostic study
Language:
Spanish
Journal:
Revista Cubana de Medicina
Year:
2022
Document Type:
Article
Similar
MEDLINE
...
LILACS
LIS