Use of threshold PEP with an adult non-rebreather oxygen mask plus prone positioning in acute hypoxemic respiratory failure due to SARS-CoV-2 infection during the collapse of the health system in a low-income country.

Autor:	Briones-Claudett KH; Facultad de Medicina, Universidad de Las Americas, Quito, Ecuador.; Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador., Briones-Claudett MH; Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador., Martinez Armijos EA; Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador., Rios-Marcillo JJ; Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador., Orozco Holguin LA; Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador., Briones-Zamora KH; Universidad Espíritu Santo, Samborondón, Ecuador., Briones-Marquez DC; Facultad de Ciencias Medicas, Universidad de Guayaquil, Guayaquil, Ecuador., Icaza-Freire AP; School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador., Grunauer M; School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2023 Feb 15; Vol. 11, pp. 2050313X231154064. Date of Electronic Publication: 2023 Feb 15 (Print Publication: 2023).
DOI:	10.1177/2050313X231154064
Abstrakt:	During the coronavirus disease 2019 pandemic, Ecuador reported a collapse of the healthcare system, in which intensive care unit beds were lacking. Therefore, we sought to determine whether the use of threshold expiratory positive pressure with an adult non-rebreather oxygen mask plus prone positioning is useful for improving oxygenation. Twelve patients were included. Eight patients (66.7%) survived, while four patients (33.3%) died. Baseline arterial oxygen saturation (%) prior placement median (interquartile range) 85.5% (80%-89%) and arterial oxygen saturation (%) post placement of the device was median (interquartile range) (93%-96%) (P = 0.0001). Respiratory rate before placement was median (interquartile range) 38 (36-42) and post placement of the device was median (interquartile range) 24 (22-30) (P = 0.0005). The use of an adapted device might be useful for the management of acute hypoxemic respiratory failure due to severe acute respiratory syndrome coronavirus 2 pneumonia, particularly when mechanical ventilators and high-flow oxygen systems are unavailable. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2023.)
Databáze:	MEDLINE
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