Cargando…
Possible solutions for oxygenation support in critically ill patients with COVID-19
PURPOSE: Due to the large number of patients with respiratory deficiency during the COVID-19 pandemic, several governments and their respective health care services have been studying ways to complement the care provided by offering immediate solutions. In view of this, the aim of this study was to...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778687/ http://dx.doi.org/10.1007/s42600-020-00124-1 |
_version_ | 1783631173563449344 |
---|---|
author | de Souza, Daniel Baldoino de Oliveira Andrade, Adriano Milagre, Selma Terezinha Pereira, Adriano Alves |
author_facet | de Souza, Daniel Baldoino de Oliveira Andrade, Adriano Milagre, Selma Terezinha Pereira, Adriano Alves |
author_sort | de Souza, Daniel Baldoino |
collection | PubMed |
description | PURPOSE: Due to the large number of patients with respiratory deficiency during the COVID-19 pandemic, several governments and their respective health care services have been studying ways to complement the care provided by offering immediate solutions. In view of this, the aim of this study was to carry out a systematic review of the advantages and disadvantages of possible solutions in oxygenation support. METHODS: This systematic review used the PRISMA-P methodology and sought to list alternatives in oxygenation support that are being applied and studied worldwide. A bibliographic search was conducted in the MEDLINE and Cochrane Central databases, using the keywords SARS-CoV-2, COVID19, or coronavirus; combined with extracorporeal membrane oxygenation (ECMO), mechanical ventilation, mechanical ventilation support, low-cost, anesthesia, anesthesia machine, and ventilation therapy. The records were also found in the gray literature. RESULTS: The search found 85 publications of which 41 articles were considered after excluding duplicate articles, reading the title and summary, and reading the articles in full. The oxygenation supports identified in these publications were the following: ECMO, shared mechanical ventilator, fast or low-cost production equipment, high-flow nasal cannula (HFNC), non-invasive ventilation, and use of anesthesia equipment as a mechanical ventilator. CONCLUSION: This study demonstrated the importance of a trained clinical team in the application of technologies. The alternatives found for support oxygenation require a more robust clinical evaluation to demonstrate their efficacy and safety for the COVID-19 patient. |
format | Online Article Text |
id | pubmed-7778687 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-77786872021-01-04 Possible solutions for oxygenation support in critically ill patients with COVID-19 de Souza, Daniel Baldoino de Oliveira Andrade, Adriano Milagre, Selma Terezinha Pereira, Adriano Alves Res. Biomed. Eng. Review PURPOSE: Due to the large number of patients with respiratory deficiency during the COVID-19 pandemic, several governments and their respective health care services have been studying ways to complement the care provided by offering immediate solutions. In view of this, the aim of this study was to carry out a systematic review of the advantages and disadvantages of possible solutions in oxygenation support. METHODS: This systematic review used the PRISMA-P methodology and sought to list alternatives in oxygenation support that are being applied and studied worldwide. A bibliographic search was conducted in the MEDLINE and Cochrane Central databases, using the keywords SARS-CoV-2, COVID19, or coronavirus; combined with extracorporeal membrane oxygenation (ECMO), mechanical ventilation, mechanical ventilation support, low-cost, anesthesia, anesthesia machine, and ventilation therapy. The records were also found in the gray literature. RESULTS: The search found 85 publications of which 41 articles were considered after excluding duplicate articles, reading the title and summary, and reading the articles in full. The oxygenation supports identified in these publications were the following: ECMO, shared mechanical ventilator, fast or low-cost production equipment, high-flow nasal cannula (HFNC), non-invasive ventilation, and use of anesthesia equipment as a mechanical ventilator. CONCLUSION: This study demonstrated the importance of a trained clinical team in the application of technologies. The alternatives found for support oxygenation require a more robust clinical evaluation to demonstrate their efficacy and safety for the COVID-19 patient. Springer International Publishing 2021-01-03 2021 /pmc/articles/PMC7778687/ http://dx.doi.org/10.1007/s42600-020-00124-1 Text en © Sociedade Brasileira de Engenharia Biomedica 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Review de Souza, Daniel Baldoino de Oliveira Andrade, Adriano Milagre, Selma Terezinha Pereira, Adriano Alves Possible solutions for oxygenation support in critically ill patients with COVID-19 |
title | Possible solutions for oxygenation support in critically ill patients with COVID-19 |
title_full | Possible solutions for oxygenation support in critically ill patients with COVID-19 |
title_fullStr | Possible solutions for oxygenation support in critically ill patients with COVID-19 |
title_full_unstemmed | Possible solutions for oxygenation support in critically ill patients with COVID-19 |
title_short | Possible solutions for oxygenation support in critically ill patients with COVID-19 |
title_sort | possible solutions for oxygenation support in critically ill patients with covid-19 |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778687/ http://dx.doi.org/10.1007/s42600-020-00124-1 |
work_keys_str_mv | AT desouzadanielbaldoino possiblesolutionsforoxygenationsupportincriticallyillpatientswithcovid19 AT deoliveiraandradeadriano possiblesolutionsforoxygenationsupportincriticallyillpatientswithcovid19 AT milagreselmaterezinha possiblesolutionsforoxygenationsupportincriticallyillpatientswithcovid19 AT pereiraadrianoalves possiblesolutionsforoxygenationsupportincriticallyillpatientswithcovid19 |