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Lessons from COVID-19 in the management of acute respiratory failure

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Accumulated evidence supports the efficacy of noninvasive respiratory support therapies in coronavirus disease 2019 (COVID-19)-related acute hypoxaemic respiratory failure, alleviating admissions to intensive care units. Noninvasive respiratory support strategies, including… Click to show full abstract

Accumulated evidence supports the efficacy of noninvasive respiratory support therapies in coronavirus disease 2019 (COVID-19)-related acute hypoxaemic respiratory failure, alleviating admissions to intensive care units. Noninvasive respiratory support strategies, including high-flow oxygen therapy, continuous positive airway pressure via mask or helmet and noninvasive ventilation, can be alternatives that may avoid the need for invasive ventilation. Alternating different noninvasive respiratory support therapies and introducing complementary interventions, like self-proning, may improve outcomes. Proper monitoring is warranted to ensure the efficacy of the techniques and to avoid complications while supporting transfer to the intensive care unit. This article reviews the latest evidence on noninvasive respiratory support therapies in COVID-19-related acute hypoxaemic respiratory failure. In COVID-19-related acute hypoxaemic respiratory failure, noninvasive respiratory support therapies have been shown to reduce the risk of intubation and they should be considered safe and adequate, in the proper setting and with experienced teams https://bit.ly/3GQbgKs

Keywords: respiratory; respiratory failure; noninvasive respiratory; respiratory support

Journal Title: Breathe
Year Published: 2023

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