A clinical case of prolonged CPAP ventilation in a patient with COVID-19-associated pneumonia

Authors

  • A.P. Mazur O.O. Shalimov National Institute of Surgery and Transplantology, National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine
  • O.Yu. Khomenko O.O. Shalimov National Institute of Surgery and Transplantology, National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine
  • A.O. Borysenko O.O. Shalimov National Institute of Surgery and Transplantology, National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine
  • E.I. Novikova O.O. Shalimov National Institute of Surgery and Transplantology, National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.18.3.2022.1492

Keywords:

COVID-19, non-invasive ventilation, ROX-index, acute hypoxic respiratory failure

Abstract

Non-invasive ventilation (NIV) via a mask to maintain a constant positive airway pressure (CPAP mask) is the method of choice for the treatment of pulmonary disorders in severe COVID-19-associated pneumonia. Nowadays, there are no studies which had shown the effectiveness of the ROX-index in predicting the efficacy of NIV in patients with acute hypoxic respiratory failure (AHRF). This clinical case describes our experience of effective use of ROX-index in patients with AHRF because of coronavirus disease, SARS-CoV-2-associated, who underwent non-invasive lung ventilation through CPAP mask.

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References

Colaianni-Alfonso N., Montiel G., Castro-Sayat M. et al. Combined noninvasive respiratory support therapies to treat COVID-19. Respiratory Care. 2021 Dec. 66 (12). 1831-1839.

Пилипенко М.М., Хоменко О.Ю. Показання до інтубації при тяжких пневмоніях: що нового в 2020 році. Медицина невідкладних станів. 2020. Т. 16. № 3.

Roca O., Messika J., Caralt B. et al. Predicting success of high-flow nasal cannula in pneumonia patients with hypoxemic respiratory failure: the utility of the ROX index. J. Crit. Care. 2016. 35. 200-2.

Fazzini B., Page A., Pearse R., Puthucheary Z. Prone positioning for non-intubated spontaneously breathing patients with acute hypoxemic respiratory failure: a systematic review and meta-analysis. British Journal of Anaesthesia. 2021 Oct 16.

Published

2022-06-29

How to Cite

Mazur, A., Khomenko, O., Borysenko, A., & Novikova, E. (2022). A clinical case of prolonged CPAP ventilation in a patient with COVID-19-associated pneumonia. EMERGENCY MEDICINE, 18(3), 55–58. https://doi.org/10.22141/2224-0586.18.3.2022.1492

Issue

Section

Case Study