Surgical mask on top of high-flow nasal cannula improves oxygenation in critically ill COVID-19 patients with hypoxemic respiratory failure
| العنوان: | Surgical mask on top of high-flow nasal cannula improves oxygenation in critically ill COVID-19 patients with hypoxemic respiratory failure |
|---|---|
| المؤلفون: | Annie Robert, Virginie Montiel, Maerckx Guillaume, Anas Nabaoui, Pierre-François Laterre, Xavier Wittebole, Tourneux Marie, Natalia Morales Mestre, Arnaud Robert |
| المساهمون: | UCL - SSS/IREC/EPID - Pôle d'épidémiologie et biostatistique, UCL - SSS/IREC/FATH - Pôle de Pharmacologie et thérapeutique, UCL - SSS/IREC/MEDA - Pôle de médecine aiguë, UCL - SSS/IREC/PNEU - Pôle de Pneumologie, ORL et Dermatologie, UCL - (SLuc) Service de soins intensifs, UCL - (SLuc) Service de médecine physique et de réadaptation motrice |
| المصدر: | Annals of intensive care, Vol. 10, no. 1, p. 125 [1-7] (2020) Annals of Intensive Care, Vol 10, Iss 1, Pp 1-7 (2020) Annals of Intensive Care |
| بيانات النشر: | Springer-Verlag, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Surviving Sepsis Campaign, medicine.medical_treatment, Critical Care and Intensive Care Medicine, medicine.disease_cause, law.invention, 03 medical and health sciences, 0302 clinical medicine, law, Anesthesiology, medicine, Intubation, 030212 general & internal medicine, COVID-19 patient, Hypoxemic failure, business.industry, Research, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Oxygenation, lcsh:RC86-88.9, Intensive care unit, Surgical mask, 030228 respiratory system, Anesthesia, High-flow nasal cannula, Breathing, business, Nasal cannula |
| الوصف: | Objective Critically ill patients admitted in ICU because of COVID-19 infection display severe hypoxemic respiratory failure. The Surviving Sepsis Campaign recommends oxygenation through high-flow nasal cannula over non-invasive ventilation. The primary outcome of our study was to evaluate the effect of the addition of a surgical mask on a high-flow nasal cannula system on oxygenation parameters in hypoxemic COVID-19 patients admitted in ICU who do not require urgent intubation. The secondary outcomes were relevant changes in PaCO2 associated with clinical modifications and patient’s feelings. Design We prospectively assessed 21 patients admitted in our mixed Intensive Care Unit of the Cliniques Universitaires Saint Luc. Main results While FiO2 was unchanged, we demonstrate a significant increase of PaO2 (from 59 (± 6), to 79 mmHg (± 16), p 2/FiO2 from 83 (± 22), to 111 (± 38), p 2 (from 91% (± 1.5), to 94% (± 1.6), p 2 returned to pre-treatment values when the surgical mask was removed confirming the effect of the device rather than a spontaneous positive evolution. Conclusion A surgical mask placed on patient’s face already treated by a High-flow nasal cannula device improves COVID-19 patient’s oxygenation admitted in Intensive Care Unit for severe hypoxemic respiratory failure without any clinically relevant side. |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a79e87e38d2c88d923abe520f7f456dbTest https://hdl.handle.net/2078.1/236329Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a79e87e38d2c88d923abe520f7f456db |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |