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: | Killen H Briones-Claudett, Monica H Briones-Claudett, Eduardo A Martinez Armijos, Jorge J Rios-Marcillo, Lourdes A Orozco Holguin, Killen H Briones-Zamora, Diana C Briones-Marquez, Andrea P Icaza-Freire, Michelle Grunauer |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | SAGE Open Medical Case Reports, Vol 11 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2050-313X 2050313X |
| DOI: | 10.1177/2050313X231154064 |
| Popis: | 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. |
| Databáze: | Directory of Open Access Journals |
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