Helmet continuous positive airway pressure and prone positioning: A proposal for an early management of COVID-19 patients

6533b86ffe1ef96bd12ce937

RESEARCH PRODUCT

Helmet continuous positive airway pressure and prone positioning: A proposal for an early management of COVID-19 patients

Mariachiara Ippolito Andrea Bruni Giuseppe Accurso Giuseppe Foti Andrea Cortegiani Paolo Navalesi Roberto Cosentini Cesare Gregoretti Giacomo Grasselli Alessio Mattei Federico Longhini Eugenio Garofalo Filippo Vitale

subject

Pulmonary and Respiratory Medicine 2019-20 coronavirus outbreak medicine.medical_specialty Coronavirus disease 2019 (COVID-19)medicine.medical_treatment Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Pneumonia Viral coronavirus Article Patient Positioning Positive-Pressure Respiration Betacoronavirus Pandemic medicine Humans Continuous positive airway pressure Positive-Pressure Respiration Hypoxia Lung Compliance Pandemics lcsh:RC705-779 Respiratory Distress Syndrome Continuous Positive Airway Pressure biology SARS-CoV-2 business.industry helmet COVID-19 lcsh:Diseases of the respiratory system biology.organism_classification Prone position Vasoconstriction prone position Emergency medicine Head Protective Devices Coronavirus Infections Respiratory Insufficiency business Betacoronavirus CPCP COVID-19 SARS-CoV-2

description

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 et al. found that the mortality was 26% in ICU. The death rate was higher among those who were older.5. The hypothesis is that in case of a pandemic, selected COVID-19 patients may benefit from the combination of early hCPAP and prone position sessions, in order to reduce the need for intubation and invasive mechanical ventilation, “buying time” for the disease to heal.

year	journal	country	edition	language
2020-07-01

10.1016/j.pulmoe.2020.04.014 http://hdl.handle.net/11577/3341283