Oxygen therapy using Bain’s Circuit as an alternate option for moderate COVID-19 patients in resource-limited set-ups
https://doi.org/10.4081/hls.2022.9829
Accepted: 10 March 2022
HTML: 35
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Dear Editor,
Coronavirus disease of 2019 (COVID- 19) has been slowly engulfing society since December 2019. Many parts of the world are facing the second and third waves of the pandemic. The virus is rapidly getting mutated, posing a significant challenge. Oxygen therapy is required in most symptomatic patients, and most mild-to-moderate cases are managed by supportive therapy using a face mask. Non-Rebreathing Facemask (NRBM) is frequently used as it can provide a higher fraction of inspired Oxygen (FiO2). However, it cannot deliver a Positive End- Expiratory Pressure (PEEP). Even the positive pressure generated inside the mask is nearly zero.
Grasselli G, Tonetti T, Protti A, et al. Pathophysiology of COVID-19-associated acute respiratory distress syndrome: a multicentre prospective observational study. Lancet Respir Med 2020;8:1201-8.
Anitha GF, Velmurugan L, Sangareddi S, et al. Effectiveness of flow inflating device in providing Continuous Positive Airway Pressure critically ill children in limited-resource settings: A prospective observational study. Indian J Crit Care Med 2016;20:441-7.
Scheller MS, Varvel JR. CPAP oxygenation during one-lung ventilation using a Bain circuit. Anesthesiology 1987;66:708-9.
Conway CM. Anaesthetic breathing systems. Br J Anaesth 1985;57:649-57.
Kaul TK, Mittal G. Mapleson's Breathing Systems. Indian J Anaesth 2013;57:507-15.
Kumari S, Karim HMR, Arora P, Nadirsha A. Bain’s circuit as continuous positive airway pressure device in a postoperative COVID-19 associated mucormycosis patient with type-1 respiratory failure: a case report. Discoveries Reports 2021;4:e22.
Downloads
Citations
