Effectiveness and applicability of Non-Invasive Ventilation (NIV) in the Emergency Department in acute respiratory failure due to Sars-CoV-2 pneumonia

  • Federico Lari Internal Medicine, AUSL Bologna, Italy.
  • Fabrizio Giostra | fast20@libero.it Emergency Department, S.Orsola Malpighi Hospital, Bologna, Italy.
  • Stefania Guerrini Emergency Department, S.Orsola Malpighi Hospital, Bologna, Italy.

Abstract

Treatment of de novo acute hypoxic respiratory failure is not recommended by current Non-Invasive Ventilation (NIV) guidelines as it does not seem to improve patients outcome. Many cases of acute hypoxic respiratory failure associated with Sars-Cov2 infection (SARI) have been observed during Sars-Cov2 pandemic. So far, data are missing regarding the use of NIV, but a correct identification of subgroups of patients based on different clinical, patho-physiological and radiological features, might be helpful for stratifying patients and choosing the correct respiratory support (invasive versus non-invasive). In case of NIV appliance, risk of environmental virus dispersion is particularly elevated; therefore, extreme attention by operators is required.

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Published
2020-07-14
Info
Issue
Section
Reviews
Keywords:
acute respiratory failure, non-invasive ventilation, Sars- CoV-2
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  • PDF: 51
How to Cite
Lari, F., Giostra, F., & Guerrini, S. (2020). Effectiveness and applicability of Non-Invasive Ventilation (NIV) in the Emergency Department in acute respiratory failure due to Sars-CoV-2 pneumonia. Emergency Care Journal, 16(2). https://doi.org/10.4081/ecj.2020.9127