[Noninvasive respiratory support and invasive ventilation in COVID19 : Where do we stand today?] / Nichtinvasive respiratorische Unterstützung und invasive Beatmung bei COVID19 : Wo stehen wir heute?
Anaesthesist
; 71(5): 333-339, 2022 05.
Article
in German
| MEDLINE | ID: covidwho-2035018
ABSTRACT
The controversy surrounding ventilation in coronavirus disease 2019 (COVID-19) continues. Early in the pandemic it was postulated that the high intensive care unit (ICU) mortality may have been due to too early intubation. As the pandemic progressed recommendations changed and the use of noninvasive respiratory support (NIRS) increased; however, this did not result in a clear reduction in ICU mortality. Furthermore, large studies on optimal ventilation in COVID-19 are lacking. This review article summarizes the pathophysiological basis, the current state of the science and the impact of different treatment modalities on the outcome. Potential factors that could undermine the benefits of noninvasive respiratory support are discussed. The authors attempt to provide guidance in answering the difficult question of when is the right time to intubate?
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Respiratory Insufficiency
/
Noninvasive Ventilation
/
COVID-19
Type of study:
Prognostic study
Limits:
Humans
Language:
German
Journal:
Anaesthesist
Year:
2022
Document Type:
Article
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