Fernández CR, Catarinella GC, Chacón PL

Language: Spanish
References: 31
Page: 67-72
PDF size: 121.87 Kb.

ABSTRACT

Prior to intubation and initiation of mechanical ventilation in patients with COVID-19 there are other options that have to be considered. Non invasive ventilation is a form of ventilatory support that does not require intubation. It works by delivering positive pressure by an external interface. It has been proved that this method of ventilation is associated to a reduced risk of hospital acquired infections, less antibiotic exposure, and shorter hospital stays. Another option to consider is High Flow Nasal Cannula. This system works by delivering air and oxygen at high flows to a spontaneously breathing patient.The early implementation of sessions of awake prone ventilation is associated with reduced mortality in patients with ARDS. The combination of awake prone ventilation and noninvasive ventilation in ARDS might have better outcomes by improving V/Q missmatch, secretion evacuation, and lung homogeneity.

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