Non-invasive respiratory support for patients with novel coronavirus pneumonia: clinical efficacy and reduction in risk of infection transmission

COVID-19 Infection

“…The World Health Organization has published a practice guideline on the clinical management of COVID-19 severe respiratory infection, 49 and several other groups have also published practice recommendations for the care of patients with COVID-19-associated ARDS. [50][51][52][53] The treatment of patients with COVID-19-associated ARDS is made more complex due to necessary infection control interventions such as the use of isolation rooms and the need for care providers to wear appropriate personal protective equipment. Transmission of SARS-CoV-2 from patients to healthcare workers has been reported, and infection control is of primary importance to protect healthcare workers and prevent further spread of SARS-CoV-2.…”

“…70 The use of a full noninvasive positive pressure ventilation facemask might also prevent spread of aerosolized droplets in a patient who is sneezing or coughing. 53 Thus, there is a risk that any method of oxygen delivery to a patient with COVID-19-associated respiratory distress can result in spread of virus-containing exhaled air, especially if the mask is poorly fitted or leaking, but the concern that use of noninvasive positive pressure ventilation or high flow nasal cannula specifically leads to worse environmental contamination is not substantiated by the current available evidence. Patients receiving any supplemental oxygen therapy should be cared for in airborne isolation rooms whenever possible, with staff using full contact, droplet, and airborne isolation Copyright © 2020, the American Society of Anesthesiologists, Inc.…”

“…• Do not delay intubation in patients with worsening respiratory failure, avoid emergent situations where personal protective equipment must be applied in haste. 51,53 • For intubations either in the operating room or ICu, wear at least a gown, n95 or higher mask, cap, face shield, and gloves. Some sources suggest powered air-purifying respirators, double gloves, boots, and coveralls.…”

“…49 • Frequently empty condensation from tubing lines. 53 • Consider using medications such as dexmedetomidine, lidocaine, or remifentanil on extubation to minimize coughing. Pre/postoperative care units…”

Breve Cenário Da Covid-19 E Suas Repercussões Na Saúde Pública: Justificando a Obra

“…A pandemia da COVID-19 requer uma análise de risco-benefício mais abrangente ao decidir a modalidade de suporte ventilatório para os pacientes, bem como, os riscos de infecções nosocomiais e dos profissionais de saúde, disseminação, disponibilidade de recursos e aspecto clínico da doença devem ser considerados (WHITTLE, et al, 2020). (ROBBA et al, 2020;XIA et al, 2020), porém ainda há poucas evidências sobre o uso deste suporte ventilatório na COVID-19 (KARAMOUZOS et al, 2020;ROBBA et al, 2020;XIA et al, 2020).…”