Cargando…

Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses

COVID-19 has placed a significant strain upon healthcare resources at a global level and refractory hypoxemia is the leading cause of death among COVID-19 patients. The management of limited resources such as mechanical ventilators has remained a contentious issue both at an individual and instituti...

Descripción completa

Detalles Bibliográficos
Autores principales: Harrison, Michael F., Villar, Dolores, Yarrarapu, Siva Naga S., Guru, Pramod, Mallea, Jorge, Torp, Klaus, Bechtle, Perry, Lee, Augustine, Franco, Pablo Moreno, Sanghavi, Devang K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899918/
https://www.ncbi.nlm.nih.gov/pubmed/33643838
http://dx.doi.org/10.1016/j.rmcr.2021.101369
_version_ 1783654110826856448
author Harrison, Michael F.
Villar, Dolores
Yarrarapu, Siva Naga S.
Guru, Pramod
Mallea, Jorge
Torp, Klaus
Bechtle, Perry
Lee, Augustine
Franco, Pablo Moreno
Sanghavi, Devang K.
author_facet Harrison, Michael F.
Villar, Dolores
Yarrarapu, Siva Naga S.
Guru, Pramod
Mallea, Jorge
Torp, Klaus
Bechtle, Perry
Lee, Augustine
Franco, Pablo Moreno
Sanghavi, Devang K.
author_sort Harrison, Michael F.
collection PubMed
description COVID-19 has placed a significant strain upon healthcare resources at a global level and refractory hypoxemia is the leading cause of death among COVID-19 patients. The management of limited resources such as mechanical ventilators has remained a contentious issue both at an individual and institutional level since the beginning of the pandemic. As a result, the COVID-19 pandemic has presented challenges to critical care practitioners to find innovative ways to provide supplemental oxygen therapy to their patients. We present a single-center experience: a case series of five COVID-19 infected patients managed with a novel approach to provide supplemental oxygen and positive end-expiration pressure (PEEP) via the helmet. Three of the five patients responded to therapy, did not require intubation, and survived to discharge. The other two patients continued to deteriorate clinically, required endotracheal intubation, and subsequently expired during their hospitalization. We extrapolated our accumulated experience with non-invasive oxygen support by helmet in COVID-19 patients to a non-COVID-19 postoperative patient who underwent sinus surgery and developed hypoxemic respiratory failure also resulting in avoidance of endotracheal intubation. We conclude that oxygen therapy via a helmet is a safe, cost-effective technique to prevent intubation in carefully selected patients with infectious and non-infectious causes of hypoxic respiratory failure. Our positive experience with the system warrants further large-scale study and possible technique refinement.
format Online
Article
Text
id pubmed-7899918
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-78999182021-02-23 Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses Harrison, Michael F. Villar, Dolores Yarrarapu, Siva Naga S. Guru, Pramod Mallea, Jorge Torp, Klaus Bechtle, Perry Lee, Augustine Franco, Pablo Moreno Sanghavi, Devang K. Respir Med Case Rep Case Report COVID-19 has placed a significant strain upon healthcare resources at a global level and refractory hypoxemia is the leading cause of death among COVID-19 patients. The management of limited resources such as mechanical ventilators has remained a contentious issue both at an individual and institutional level since the beginning of the pandemic. As a result, the COVID-19 pandemic has presented challenges to critical care practitioners to find innovative ways to provide supplemental oxygen therapy to their patients. We present a single-center experience: a case series of five COVID-19 infected patients managed with a novel approach to provide supplemental oxygen and positive end-expiration pressure (PEEP) via the helmet. Three of the five patients responded to therapy, did not require intubation, and survived to discharge. The other two patients continued to deteriorate clinically, required endotracheal intubation, and subsequently expired during their hospitalization. We extrapolated our accumulated experience with non-invasive oxygen support by helmet in COVID-19 patients to a non-COVID-19 postoperative patient who underwent sinus surgery and developed hypoxemic respiratory failure also resulting in avoidance of endotracheal intubation. We conclude that oxygen therapy via a helmet is a safe, cost-effective technique to prevent intubation in carefully selected patients with infectious and non-infectious causes of hypoxic respiratory failure. Our positive experience with the system warrants further large-scale study and possible technique refinement. Elsevier 2021-02-23 /pmc/articles/PMC7899918/ /pubmed/33643838 http://dx.doi.org/10.1016/j.rmcr.2021.101369 Text en © 2021 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Harrison, Michael F.
Villar, Dolores
Yarrarapu, Siva Naga S.
Guru, Pramod
Mallea, Jorge
Torp, Klaus
Bechtle, Perry
Lee, Augustine
Franco, Pablo Moreno
Sanghavi, Devang K.
Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses
title Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses
title_full Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses
title_fullStr Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses
title_full_unstemmed Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses
title_short Oxygen therapy via a noninvasive helmet: A COVID-19 novelty with potential post-pandemic uses
title_sort oxygen therapy via a noninvasive helmet: a covid-19 novelty with potential post-pandemic uses
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7899918/
https://www.ncbi.nlm.nih.gov/pubmed/33643838
http://dx.doi.org/10.1016/j.rmcr.2021.101369
work_keys_str_mv AT harrisonmichaelf oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses
AT villardolores oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses
AT yarrarapusivanagas oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses
AT gurupramod oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses
AT malleajorge oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses
AT torpklaus oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses
AT bechtleperry oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses
AT leeaugustine oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses
AT francopablomoreno oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses
AT sanghavidevangk oxygentherapyviaanoninvasivehelmetacovid19noveltywithpotentialpostpandemicuses