0000000000423054

AUTHOR

Alessio Mattei

showing 3 related works from this author

Effectiveness and safety of a new helmet CPAP configuration allowing tidal volume monitoring in patients with COVID-19.

2021

Abstract Background High generated tidal volumes (Vt) have been correlated with higher risk of self-induced lung injury and worse clinical outcome. This study aimed to evaluate the effectiveness and safety of a new helmet continuous positive airway pressure delivered (h-CPAP) configuration allowing Vt monitoring in patients affected by COVID-19. Methods This prospective observational study was performed in the respiratory intermediate care unit of University Hospital in Turin, Italy, between March 24th, and June 15th, 2020. Included patients were treated with CPAP via a single-limb intentional leak configuration by a turbine-driven ventilator, provided with a dedicated patch. Effectiveness …

Pulmonary and Respiratory MedicineLeakTidal volume monitoringmedicine.medical_specialtyCoronavirus disease 2019 (COVID-19)List of abbreviations: ARF Acute respiratory failuremedicine.medical_treatmentLung injuryTidal volumeVt Tidal volumeCPAPMedicineIn patientContinuous positive airway pressureTidal volumeHelmetCPAP Continuous positive airway pressureRICU Respiratory intermediate care unitbusiness.industryCOVID-19ICU Intensive care unitEmergency medicineHFNT High flow nasal therapyObservational studyOriginal ArticleTDVs turbine-driven ventilatorsbusinessPulmonology
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Ventilator Settings to Avoid Nuisance Alarms During Mouthpiece Ventilation

2016

BACKGROUND: A recent study found that activation of disconnection and low-pressure alarms is common during mouthpiece ventilation and may represent a major limitation to its use. The aim of this bench study was: (1) to investigate the technical aspects that can influence the setting of the ventilator during mouthpiece ventilation and (2) to provide a practical setting strategy to avoid the alarm activation. METHODS: Eight life-support ventilators able to deliver volume controlled ventilation were tested in a bench study using a single-limb non-vented circuit configuration connected to a standard mouthpiece. Disconnection and apnea alarm were turned off or set at the least sensitive setting.…

Pulmonary and Respiratory Medicinemedicine.medical_treatmentCritical Care and Intensive Care Medicine03 medical and health sciencesALARMMechanical ventilation0302 clinical medicineTidal VolumemedicineVentilator settingsHumansChronic respiratory failureChronic respiratory failure; Mechanical ventilation; Mechanical ventilators; Neuromuscular disease; Noninvasive ventilation; Pulmonary ventilation030212 general & internal medicineMouthpieceTidal volumeSimulationMechanical ventilationVentilators Mechanicalbusiness.industryApnea alarmMechanical ventilatorEquipment DesignGeneral MedicineNeuromuscular diseaseEquipment Failure AnalysisEquipment Failure Analysi030228 respiratory systemTurn offClinical AlarmsAnesthesiaPulmonary ventilationBreathingMechanical ventilatorsClinical AlarmbusinessNoninvasive ventilationHumanRespiratory Care
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Helmet continuous positive airway pressure and prone positioning: A proposal for an early management of COVID-19 patients

2020

In late December 2019, clusters of patients with interstitial pneumonia of unknown cause were reported by some local health facilities in Wuhan (China). The Chinese Centre for Disease Control conducted an epidemiologic and etiologic investigation, leading to the identification of a novel coronavirus (SARS-CoV-2).1, 2 On March 11th, the World Health Organization (WHO) declared the novel coronavirus disease (COVID-19) a pandemic. In the area of Wuhan, COVID-19 mainly affected male patients (around 60%), with a median age of about 50 years; 40% of patients developed Acute Respiratory Distress Syndrome (ARDS) 5% requiring intensive care. The mortality rate was around 2%.3, 4 However, Grasselli …

Pulmonary and Respiratory Medicine2019-20 coronavirus outbreakmedicine.medical_specialtyCoronavirus disease 2019 (COVID-19)medicine.medical_treatmentSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Pneumonia ViralcoronavirusArticlePatient PositioningPositive-Pressure RespirationBetacoronavirusPandemicmedicineHumansContinuous positive airway pressurePositive-Pressure RespirationHypoxiaLung CompliancePandemicslcsh:RC705-779Respiratory Distress SyndromeContinuous Positive Airway PressurebiologySARS-CoV-2business.industryhelmetCOVID-19lcsh:Diseases of the respiratory systembiology.organism_classificationProne positionVasoconstrictionprone positionEmergency medicineHead Protective DevicesCoronavirus InfectionsRespiratory InsufficiencybusinessBetacoronavirusCPCP COVID-19 SARS-CoV-2
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