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Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19()
INTRODUCTION: The use of devices that provide continuous positive pressure in the airway has shown improvement in various pathologies that cause respiratory failure. In the COVID 19 pandemic episode the use of these devices has become widespread, but, due to the shortage of conventional CPAP devices...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Published by Elsevier España, S.L.U.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7832656/ https://www.ncbi.nlm.nih.gov/pubmed/33521312 http://dx.doi.org/10.1016/j.medcle.2020.09.003 |
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author | Mateos-Rodríguez, Alonso Ortega-Anselmi, Justo Candel-González, Francisco Javier Canora-Lebrato, Jesús Fragiel-Saavedra, Marcos Hernández-Píriz, Alba Behzadi-Koocahni, Navid González-del Castillo, Juan Pérez-Alonso, Antonio de la Cruz-Conty, María Luisa García-de Casasola, Gonzalo Marco-Martínez, Javier Zapatero-Gaviria, Antonio |
author_facet | Mateos-Rodríguez, Alonso Ortega-Anselmi, Justo Candel-González, Francisco Javier Canora-Lebrato, Jesús Fragiel-Saavedra, Marcos Hernández-Píriz, Alba Behzadi-Koocahni, Navid González-del Castillo, Juan Pérez-Alonso, Antonio de la Cruz-Conty, María Luisa García-de Casasola, Gonzalo Marco-Martínez, Javier Zapatero-Gaviria, Antonio |
author_sort | Mateos-Rodríguez, Alonso |
collection | PubMed |
description | INTRODUCTION: The use of devices that provide continuous positive pressure in the airway has shown improvement in various pathologies that cause respiratory failure. In the COVID 19 pandemic episode the use of these devices has become widespread, but, due to the shortage of conventional CPAP devices, alternative devices have been manufactured. The objective of this study is to describe the use of these devices, as well as their efficacy. MATERIAL AND METHODS: Data are collected from patients admitted for Pneumonia due to COVID 19 at the IFEMA Field Hospital. Data are collected from 23 patients with respiratory failure and need for ventilatory support. RESULTS: Study carried out on a total of 23 patients, dated admission to IFEMA. Alternative CPAP was used in five patients (21.7%), while ventilatory support with a reservoir mask or Ventimask Venturi effect was used in the remaining 18 patients (78.3%). A progressive increase in saturation is observed in those patients in whom alternative CPAP was used (from 94% on average to 98% and 99% on average after 30 and 60 min with the mask, respectively), although this change was not significant (p = 0.058 and p = 0.122 respectively). No significant change in RF was observed at the beginning and end of the measurement in patients who used alternative CPAP (p = 0.423), but among those who did not use alternative CPAP (p = 0.001). A statistically significant improvement in the variable oxygen saturation / fraction inspired by oxygen is observed in patients who used alternative CPAP (p = 0.040) CONCLUSION: The use of these devices has helped the ventilatory work of several patients by improving their oxygenation parameters. To better observe the evolution of patients undergoing this therapy and compare them with patients with other types of ventilatory support, further studies are necessary. |
format | Online Article Text |
id | pubmed-7832656 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Published by Elsevier España, S.L.U. |
record_format | MEDLINE/PubMed |
spelling | pubmed-78326562021-01-26 Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19() Mateos-Rodríguez, Alonso Ortega-Anselmi, Justo Candel-González, Francisco Javier Canora-Lebrato, Jesús Fragiel-Saavedra, Marcos Hernández-Píriz, Alba Behzadi-Koocahni, Navid González-del Castillo, Juan Pérez-Alonso, Antonio de la Cruz-Conty, María Luisa García-de Casasola, Gonzalo Marco-Martínez, Javier Zapatero-Gaviria, Antonio Med Clin (Engl Ed) Original Article INTRODUCTION: The use of devices that provide continuous positive pressure in the airway has shown improvement in various pathologies that cause respiratory failure. In the COVID 19 pandemic episode the use of these devices has become widespread, but, due to the shortage of conventional CPAP devices, alternative devices have been manufactured. The objective of this study is to describe the use of these devices, as well as their efficacy. MATERIAL AND METHODS: Data are collected from patients admitted for Pneumonia due to COVID 19 at the IFEMA Field Hospital. Data are collected from 23 patients with respiratory failure and need for ventilatory support. RESULTS: Study carried out on a total of 23 patients, dated admission to IFEMA. Alternative CPAP was used in five patients (21.7%), while ventilatory support with a reservoir mask or Ventimask Venturi effect was used in the remaining 18 patients (78.3%). A progressive increase in saturation is observed in those patients in whom alternative CPAP was used (from 94% on average to 98% and 99% on average after 30 and 60 min with the mask, respectively), although this change was not significant (p = 0.058 and p = 0.122 respectively). No significant change in RF was observed at the beginning and end of the measurement in patients who used alternative CPAP (p = 0.423), but among those who did not use alternative CPAP (p = 0.001). A statistically significant improvement in the variable oxygen saturation / fraction inspired by oxygen is observed in patients who used alternative CPAP (p = 0.040) CONCLUSION: The use of these devices has helped the ventilatory work of several patients by improving their oxygenation parameters. To better observe the evolution of patients undergoing this therapy and compare them with patients with other types of ventilatory support, further studies are necessary. Published by Elsevier España, S.L.U. 2021-01-22 2020-12-17 /pmc/articles/PMC7832656/ /pubmed/33521312 http://dx.doi.org/10.1016/j.medcle.2020.09.003 Text en © 2020 Published by Elsevier España, S.L.U. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Original Article Mateos-Rodríguez, Alonso Ortega-Anselmi, Justo Candel-González, Francisco Javier Canora-Lebrato, Jesús Fragiel-Saavedra, Marcos Hernández-Píriz, Alba Behzadi-Koocahni, Navid González-del Castillo, Juan Pérez-Alonso, Antonio de la Cruz-Conty, María Luisa García-de Casasola, Gonzalo Marco-Martínez, Javier Zapatero-Gaviria, Antonio Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19() |
title | Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19() |
title_full | Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19() |
title_fullStr | Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19() |
title_full_unstemmed | Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19() |
title_short | Alternative CPAP methods for the treatment of secondary serious respiratory failure due to pneumonia by COVID-19() |
title_sort | alternative cpap methods for the treatment of secondary serious respiratory failure due to pneumonia by covid-19() |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7832656/ https://www.ncbi.nlm.nih.gov/pubmed/33521312 http://dx.doi.org/10.1016/j.medcle.2020.09.003 |
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