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COVID-19 and respiratory support devices.
Pons-Òdena, Marti; Valls, Arnau; Grifols, Jordi; Farré, Ramon; Cambra Lasosa, Francisco José; Rubin, Bruce K.
  • Pons-Òdena M; Pediatric Intensive Care and Intermediate Care Department, Sant Joan de Déu University Hospital, Universitat de Barcelona, Esplugues de Llobregat, Spain; Immune and Respiratory Dysfunction Research Group, Institut de Recerca Sant Joan de Déu, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain. El
  • Valls A; Innovation Department. Sant Joan de Déu University Hospital, Universitat de Barcelona, Esplugues de Llobregat, Spain.
  • Grifols J; Comparative Medicine and Bioimage Centre of Catalonia (CMCIB), Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol (IGTP). Carretera de Can Ruti, Camí del Tanatori, s/n 08916 Badalona, Barcelona, Spain.
  • Farré R; Unitat de Biofísica i Bioenginyeria, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain; CIBER de Enfermedades Respiratorias, Madrid, Spain; Institut d'Investigacions Biomediques August Pi Sunyer, Barcelona, Spain.
  • Cambra Lasosa FJ; Pediatric Intensive Care and Intermediate Care Department, Sant Joan de Déu University Hospital, Universitat de Barcelona, Esplugues de Llobregat, Spain; Immune and Respiratory Dysfunction Research Group, Institut de Recerca Sant Joan de Déu, Santa Rosa 39-57, 08950 Esplugues de Llobregat, Spain.
  • Rubin BK; Virginia Commonwealth University School of Medicine. Physician in Chief, Children's Hospital of Richmond at VCU. Virginia Eminent Scholar, 1000 East Broad St., Richmond, VA, 23298, USA.
Paediatr Respir Rev ; 35: 61-63, 2020 Sep.
Article in English | MEDLINE | ID: covidwho-608739
ABSTRACT
There are significant logistical challenges to providing respiratory support devices, beyond simple oxygen flow, when centres run out of supplies or do not have these devices at all, such as in low resource settings. At the peak of the COVID-19 crisis, it was extremely difficult to import medical equipment and supplies, because most countries prohibited the medical industry from selling outside of their own countries. As a consequence, engineering teams worldwide volunteered to develop emergency devices, and medical experts in mechanical ventilation helped to guide the design and evaluation of prototypes. Although regulations vary among countries, given the emergency situation, some Regulatory Agencies facilitated expedited procedures. However, laboratory and animal model testing are crucial to minimize the potential risk for patients when treated with a device that may worsen clinical outcome if poorly designed or misused.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Distress Syndrome / Respiratory Insufficiency / Ventilators, Mechanical / Coronavirus Infections / Continuous Positive Airway Pressure / Medical Device Legislation Type of study: Experimental Studies / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Paediatr Respir Rev Journal subject: Pediatrics Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Distress Syndrome / Respiratory Insufficiency / Ventilators, Mechanical / Coronavirus Infections / Continuous Positive Airway Pressure / Medical Device Legislation Type of study: Experimental Studies / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Paediatr Respir Rev Journal subject: Pediatrics Year: 2020 Document Type: Article