AI Article Synopsis
- The paper explores different ways to manage low oxygen levels (hypoxemia) in critically ill COVID-19 patients, focusing on various oxygenation methods like nasal cannulas, noninvasive, and mechanical ventilation.
- It highlights noninvasive ventilation options such as continuous positive airway pressure (CPAP) and high-flow nasal cannula (HFNC), including the role of proning in treatment.
- The discussion also covers when to shift to mechanical ventilation and various techniques for it, along with advanced rescue strategies like extra corporeal membrane oxygenation (ECMO) and the approach of permissive hypoxemia.
Article Abstract
This paper discusses mechanisms of hypoxemia and interventions to oxygenate critically ill patients with COVID-19 which range from nasal cannula to noninvasive and mechanical ventilation. Noninvasive ventilation includes continuous positive airway pressure ventilation (CPAP) and high-flow nasal cannula (HFNC) with or without proning. The evidence for each of these modalities is discussed and thereafter, when to transition to mechanical ventilation (MV). Various techniques of MV, again with and without proning, and rescue strategies which would include extra corporeal membrane oxygenation (ECMO) when it is available and permissive hypoxemia where it is not, are discussed.
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| http://dx.doi.org/10.1055/s-0042-1758836 | DOI Listing |
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