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Helmet CPAP bundle: A narrative review of practical aspects and nursing interventions to improve patient's comfort.
Lucchini, Alberto; Giani, Marco; Minotti, Dario; Elli, Stefano; Bambi, Stefano.
  • Lucchini A; Department of Emergency and Intensive Care, San Gerardo University Hospital, University of Milano-Bicocca, Monza, Italy. Electronic address: alberto.lucchini@unimib.it.
  • Giani M; Department of Emergency and Intensive Care, San Gerardo University Hospital, University of Milano-Bicocca, Monza, Italy. Electronic address: marco.giani@unimib.it.
  • Minotti D; Department of Emergency and Intensive Care, San Gerardo University Hospital, University of Milano-Bicocca, Monza, Italy.
  • Elli S; Department of Emergency and Intensive Care, San Gerardo University Hospital, University of Milano-Bicocca, Monza, Italy. Electronic address: stefano.elli@unimib.it.
  • Bambi S; Department of Health Sciences, University of Florence, Italy. Electronic address: stefano.bambi@unifi.it.
Intensive Crit Care Nurs ; 74: 103335, 2023 Feb.
Article in English | MEDLINE | ID: covidwho-2232755
ABSTRACT

BACKGROUND:

The application of Continuous Positive Airway Pressure (CPAP) with a helmet is increasing around the world, both inside and outside of the intensive care unit. Current published literature focus's on indications, contraindications and efficiency of Helmet CPAP in differing clinical scenarios. Few reports, summarising the available knowledge concerning technical characteristics and nursing interventions to improve patient's comfort, are available.

AIM:

To identify the crucial technical aspects in managing patients undergoing Helmet-CPAP, and what nursing interventions may increase comfort.

METHODS:

A narrative literature review of primary research published 2002 onwards. The search strategy comprised an electronic search of three bibliographic databases (Pubmed, Embase, CINAHL).

RESULTS:

Twenty-three studies met the inclusion criteria and were included in the review. Research primarily originated from Italy. Nine key themes emerged from the review gas flow management, noise reduction, impact of gas flow and HME filters on delivered FiO2, filtration of exhaled gas / environmental protection, PEEP monitoring, airway pressure monitoring, active humidification of gas flow, helmet fixation and tips to implement awake prone position during Helmet-CPAP.

CONCLUSIONS:

A Helmet-CPAP check-list has been made of nine key interventions based on the available evidence regarding system set up, monitoring and management. Implementation of this check-list may help nurses and physicians to increase the comfort of patients treated with Helmet CPAP and enhance their compliance with long-term treatment.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Continuous Positive Airway Pressure / Intensive Care Units Type of study: Experimental Studies / Prognostic study / Reviews Limits: Humans Country/Region as subject: Europa Language: English Journal: Intensive Crit Care Nurs Journal subject: Nursing / Critical Care Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Continuous Positive Airway Pressure / Intensive Care Units Type of study: Experimental Studies / Prognostic study / Reviews Limits: Humans Country/Region as subject: Europa Language: English Journal: Intensive Crit Care Nurs Journal subject: Nursing / Critical Care Year: 2023 Document Type: Article