Effectiveness and applicability of Non-Invasive Ventilation (NIV) in the Emergency Department in acute respiratory failure due to Sars-CoV-2 pneumonia
https://doi.org/10.4081/ecj.2020.9127
Accepted: 9 June 2020
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Treatment of de novo acute hypoxic respiratory failure is not recommended by current Non-Invasive Ventilation (NIV) guidelines as it does not seem to improve patients outcome. Many cases of acute hypoxic respiratory failure associated with Sars-Cov2 infection (SARI) have been observed during Sars-Cov2 pandemic. So far, data are missing regarding the use of NIV, but a correct identification of subgroups of patients based on different clinical, patho-physiological and radiological features, might be helpful for stratifying patients and choosing the correct respiratory support (invasive versus non-invasive). In case of NIV appliance, risk of environmental virus dispersion is particularly elevated; therefore, extreme attention by operators is required.
BTS guidelines Non-invasive ventilation in acute respiratory failure. Thorax 2002; 57: 192–211 DOI: https://doi.org/10.1136/thorax.57.3.192
Davidson AC, Banham S, Elliott M, et al. BTS/ICS guideline for the ventilatory management of acute hypercapnic respiratory failure in adults. Thorax 2016; 71: ii1–ii35. DOI: https://doi.org/10.1136/thoraxjnl-2015-208209
Rochwerg B, Brochard L, Elliott M, et al. Official ERS/ATS clinical practice guidelines: non invasive ventilation for acute respiratory failure. European Respiratory Journal 2017; 50: 1-20 DOI: https://doi.org/10.1183/13993003.02426-2016
Keenan SP, Sinuff T, Burns KEA, et al. Clinical practice guidelines for the use of noninvasive positive-pressure ventilation and non invasive continuous positive airway pressure in the acute care setting. CMAJ 2011 183 (3) E195-E214. DOI: https://doi.org/10.1503/cmaj.100071
Navalesi P, Campanini M, Lari F et al. La ventilazione non invasiva in medicina interna. Monografia, Quaderni dell’Italian Journal of Medicine, https://doi.org/10.4081/itjm.q.2015.5 DOI: https://doi.org/10.4081/itjm.q.2015.5
Lari F, Giostra F, Bragagni G, et al. Noninvasive ventilation for acute respiratory failure: state of the art (Part I). Italian Journal of Medicine 2009; 3 (4): 201-211. https://doi.org/10.4081/itjm.2009.201 DOI: https://doi.org/10.4081/itjm.2009.201
Lari F, Giostra F, Bragagni G, et al. Noninvasive ventilation for acute respiratory failure: state of the art (Part II). Italian Journal of Medicine 2010; 4 (1): 6-15. https://doi.org/10.4081/itjm.2010.6 DOI: https://doi.org/10.4081/itjm.2010.6
Confalonieri M, Salton F, Fabiano F. Acute Respiratory Distress Syndrome. Eur Resp Rev 2017; 26. https://doi.org/10.1183/16000617.0116-2016 DOI: https://doi.org/10.1183/16000617.0116-2016
Acute Respiratory Distress Syndrome: The Berlin Definition, The ARDS Definition Task Force. JAMA. 2012; 307 (23): 2526-2533. DOI: https://doi.org/10.1001/jama.2012.5669
Alhazzani W, Hylander Møller M, Arabi YM. Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Med 2020. https://doi.org/10.1007/s00134-020-06022-5. DOI: https://doi.org/10.1007/s00134-020-06022-5
Tobin MJ. Basing Respiratory Management of Coronavirus on Physiological Principles. Am J Respir Crit Care Med. 2020 Apr 13. doi: https://doi.org/10.1164/rccm.202004-1076ED. DOI: https://doi.org/10.1164/rccm.202004-1076ED
Colombi D, Bodini FC, Petrini M et al. Well-aeratedLung on AdmittingChest CT to PredictAdverseOutcome in COVID-19 Pneumonia. Radiology 2020 in press. https://doi.org/10.1148/radiol.2020201433. DOI: https://doi.org/10.1148/radiol.2020201433
Tonelli R, Fantini R. Tabbì L et al. Inspiratory Effort Assessment by Esophageal Manometry Early Predicts Noninvasive Ventilation Outcome in de novo Respiratory Failure: A Pilot Study. American Journal of Respiratory and Critical Care Medicine 2020 in press. DOI: https://doi.org/10.1164/rccm.201912-2512OC
Gattinoni L, Chiumello D, Rossi S. COVID-19 pneumonia: ARDS or not? Critical Care (2020) 24:154 https://doi.org/10.1186/s13054-020-02880-z DOI: https://doi.org/10.1186/s13054-020-02880-z
Gattinoni L. Chiumiello D, Caironi P et al. COVID 19 pneumonia: different respiratory reatments for different phenotypes? Intensive Care Med 2020. https://doi.org/10.1007/s00134-020-06033-2 DOI: https://doi.org/10.1007/s00134-020-06033-2
Marini J, Gattinoni L. Management of COVID-19 respiratory distress. JAMA Insights, Published online April 24, 2020. DOI: https://doi.org/10.1001/jama.2020.6825
Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. WHO 13.3.2020
Gestione pneumologica dei pazienti con infezione respiratoria da COVID-19. ITS/AIPO 8.3.2020 http://www.aiponet.it/news/speciale-covid-19/2419-covid-19-gestione-pneumologica-dei-pazienti-con-infezione-respiratoria-da-coronavirus.html
Roca O et al. An Index Combining Respiratory Rate and Oxygenation to Predict Outcome of Nasal High-Flow Therapy. American Journal of Respiratory and Critical Care Medicine 2019 Jun 1;199(11):1368-1376. doi: https://doi.org/10.1164/rccm.201803-0589OC. DOI: https://doi.org/10.1164/rccm.201803-0589OC
Papazian L, Aubron C, Brochard L et al. Management of acute respiratory distress syndrome. Annals of Intensive Care 2019, 9 (69). https://doi.org/10.1186/s13613-019-0540-9 DOI: https://doi.org/10.1186/s13613-019-0540-9
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