| Title: |
The use of continuous positive airway pressure during the second and third waves of the COVID-19 pandemic |
| Authors: |
Claudia Brusasco, Francesco Corradi, Federico Dazzi, Alessandro Isirdi, Chiara Romei, Andrea Parisini, Silvia Boni, Gregorio Santori, Vito Brusasco, the Galliera CPAP-COVID-19 study group, C. Brusasco |
| Source: |
ERJ Open Research, Vol 9, Iss 2 (2023) |
| Publisher Information: |
European Respiratory Society, 2023. |
| Publication Year: |
2023 |
| Collection: |
LCC:Medicine |
| Subject Terms: |
Medicine |
| More Details: |
Background In a preliminary study during the first COVID-19 pandemic wave, we reported a high rate of success with continuous positive airway pressure (CPAP) in preventing death and invasive mechanical ventilation (IMV). That study, however, was too small to identify risk factors for mortality, barotrauma and impact on subsequent IMV. Thus, we re-evaluated the efficacy of the same CPAP protocol in a larger series of patients during second and third pandemic waves. Methods 281 COVID-19 patients with moderate-to-severe acute hypoxaemic respiratory failure (158 full-code and 123 do-not-intubate (DNI)), were managed with high-flow CPAP early in their hospitalisation. IMV was considered after 4 days of unsuccessful CPAP. Results The overall recovery rate from respiratory failure was 50% in the DNI and 89% in the full-code group. Among the latter, 71% recovered with CPAP-only, 3% died under CPAP and 26% were intubated after a median CPAP time of 7 days (IQR: 5–12 days). Of the patients who were intubated, 68% recovered and were discharged from the hospital within 28 days. Barotrauma occurred during CPAP in |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2312-0541
23120541 |
| Relation: |
http://openres.ersjournals.com/content/9/2/00365-2022.full; https://doaj.org/toc/2312-0541 |
| DOI: |
10.1183/23120541.00365-2022 |
| Access URL: |
https://doaj.org/article/9f4a44328cfc4e438d997f1065d9804a |
| Accession Number: |
edsdoj.9f4a44328cfc4e438d997f1065d9804a |
| Database: |
Directory of Open Access Journals |
