Noninvasive Ventilation in the Management of Respiratory Failure Due to COVID-19 Infection: Experience From a Resource-Limited Setting
| Autor: | Ronald Ab Carey, Vignesh Kumar Chandiraseharan, Ashwin Oliver Arul, Roshni Sharma, John Victor Peter, Lakshmanan Jeyaseelan, Jonathan Aj. Jayakaran, Bijesh Yadav, Lovely Thomas, Rajiv K. Krishnaswami, Punitha Victor, Binila Chacko, Audrin Lenin |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male ARDS medicine.medical_specialty Coronavirus disease 2019 (COVID-19) medicine.medical_treatment Critical Illness invasive ventilation C-ARDS medicine Intubation Non-invasive ventilation Humans Respiratory Distress Syndrome Noninvasive Ventilation business.industry SARS-CoV-2 non-invasive ventilation respiratory failure COVID-19 General Medicine Odds ratio Middle Aged medicine.disease mortality Respiration Artificial Confidence interval Intensive Care Units Treatment Outcome Respiratory failure Emergency medicine Original Article Female business Limited resources |
| Zdroj: | Mayo Clinic Proceedings |
| ISSN: | 1942-5546 |
| Popis: | Introduction The role of NIV in SARS-CoV2 (COVID-19) related acute respiratory failure (C-ARF) is unclear. Methods C-ARF patients managed on NIV were categorised as NIV success or failure (death or intubation). Factors associated with failure were explored using regression analysis and expressed as Odds ratio (OR) with 95% Confidence Interval (CI). Results Between 1st April 2020 and 15th September 2020, 286 patients, age (Mean, SD) 53.1±11.6 years and APACHE-II score 11.1±5.5 were initiated on NIV. Of the 182 patients (63.6%) successfully managed on NIV alone, 118 had moderate or severe Acute Respiratory Distress Syndrome (ARDS). When compared with NIV success, NIV failure was associated with lower admission PaO2/FiO2 ratio (p |
| Databáze: | OpenAIRE |
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