Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report

Detalhes bibliográficos
Autor(a) principal: Wagner, Litiele Evelin
Data de Publicação: 2020
Outros Autores: Basegio, Kemberly Godoy, Dornelles, Carlos Fernando Drumond, Foernges, Rafael, Gaedke, Mari Ângela, da Silva, Andréa Lúcia Gonçalves, Paiva, Dulciane Nunes
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Epidemiologia e Controle de Infecção
Texto Completo: https://online.unisc.br/seer/index.php/epidemiologia/article/view/15402
Resumo: Justification and objectives: In the search of strategies to treat acute respiratory failure caused by COVID-19, non-invasive ventilation (NIV) and the use of prone position in spontaneous breathing appear. The objective is to present the case of a patient with severe COVID-19 admitted to an intensive care unit (ICU) who used an adapted diving mask, which is configured as an innovative interface for NIV, and the prone position. Methods: Case report of a hospitalized patient diagnosed with COVID-19 who underwent early NIV by means of an adapted diving mask and the prone position during spontaneous breathing for 8 hours at night and 6 hours in the day. Results: Female patient, 56 years old, systemic arterial hypertension and obesity, with dry cough, odynophagia, fatigue and severe dyspnea on admission. Chest tomography with bilateral ground-glass opacities. Non-invasive ventilation was instituted 1-2.75 times/day, for 40-60 minutes, with positive pressure at the end of expiration of 8 (7.25-8.00) cmH2O and support pressure of 5.5 (4.00 -6.00) cmH2O. Air leaks of 6 to 30%, with good tolerance. The prone position during spontaneous breathing resulted in increased peripheral oxygen saturation and reduced respiratory discomfort 30 minutes later. Conclusion: The association of the use of NIV with an adapted diving mask and prone position during spontaneous breathing proved to be effective in preventing the orotracheal intubation of a patient with severe COVID-19, emphasizing the importance of the proposed intervention.
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spelling Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case reportCoronavirus infectionsrespiratory insufficiencynoninvasive ventilationpronationAnticoagulantsJustification and objectives: In the search of strategies to treat acute respiratory failure caused by COVID-19, non-invasive ventilation (NIV) and the use of prone position in spontaneous breathing appear. The objective is to present the case of a patient with severe COVID-19 admitted to an intensive care unit (ICU) who used an adapted diving mask, which is configured as an innovative interface for NIV, and the prone position. Methods: Case report of a hospitalized patient diagnosed with COVID-19 who underwent early NIV by means of an adapted diving mask and the prone position during spontaneous breathing for 8 hours at night and 6 hours in the day. Results: Female patient, 56 years old, systemic arterial hypertension and obesity, with dry cough, odynophagia, fatigue and severe dyspnea on admission. Chest tomography with bilateral ground-glass opacities. Non-invasive ventilation was instituted 1-2.75 times/day, for 40-60 minutes, with positive pressure at the end of expiration of 8 (7.25-8.00) cmH2O and support pressure of 5.5 (4.00 -6.00) cmH2O. Air leaks of 6 to 30%, with good tolerance. The prone position during spontaneous breathing resulted in increased peripheral oxygen saturation and reduced respiratory discomfort 30 minutes later. Conclusion: The association of the use of NIV with an adapted diving mask and prone position during spontaneous breathing proved to be effective in preventing the orotracheal intubation of a patient with severe COVID-19, emphasizing the importance of the proposed intervention.Unisc2020-07-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/1540210.17058/reci.v10i3.15402Revista de Epidemiologia e Controle de Infecção; Vol. 10 No. 3 (2020)Revista de Epidemiologia e Controle de Infecção; v. 10 n. 3 (2020)2238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCengporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/15402/9513https://online.unisc.br/seer/index.php/epidemiologia/article/view/15402/9512Copyright (c) 2020 Litiele Evelin Wagner, Kemberly Godoy Basegio, Carlos Fernando Drumond Dornelles, Rafael Foernges, Mari Ângela Gaedke, Andréa Lúcia Gonçalves da Silva, Dulciane Nunes Paivainfo:eu-repo/semantics/openAccessWagner, Litiele EvelinBasegio, Kemberly GodoyDornelles, Carlos Fernando DrumondFoernges, RafaelGaedke, Mari Ângelada Silva, Andréa Lúcia GonçalvesPaiva, Dulciane Nunes2022-08-08T12:58:04Zoai:ojs.online.unisc.br:article/15402Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2022-08-08T12:58:04Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false
dc.title.none.fl_str_mv Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report
title Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report
spellingShingle Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report
Wagner, Litiele Evelin
Coronavirus infections
respiratory insufficiency
noninvasive ventilation
pronation
Anticoagulants
title_short Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report
title_full Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report
title_fullStr Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report
title_full_unstemmed Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report
title_sort Diving mask adapted for non-invasive ventilation and prone position in a patient with severe covid-19: case report
author Wagner, Litiele Evelin
author_facet Wagner, Litiele Evelin
Basegio, Kemberly Godoy
Dornelles, Carlos Fernando Drumond
Foernges, Rafael
Gaedke, Mari Ângela
da Silva, Andréa Lúcia Gonçalves
Paiva, Dulciane Nunes
author_role author
author2 Basegio, Kemberly Godoy
Dornelles, Carlos Fernando Drumond
Foernges, Rafael
Gaedke, Mari Ângela
da Silva, Andréa Lúcia Gonçalves
Paiva, Dulciane Nunes
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Wagner, Litiele Evelin
Basegio, Kemberly Godoy
Dornelles, Carlos Fernando Drumond
Foernges, Rafael
Gaedke, Mari Ângela
da Silva, Andréa Lúcia Gonçalves
Paiva, Dulciane Nunes
dc.subject.por.fl_str_mv Coronavirus infections
respiratory insufficiency
noninvasive ventilation
pronation
Anticoagulants
topic Coronavirus infections
respiratory insufficiency
noninvasive ventilation
pronation
Anticoagulants
description Justification and objectives: In the search of strategies to treat acute respiratory failure caused by COVID-19, non-invasive ventilation (NIV) and the use of prone position in spontaneous breathing appear. The objective is to present the case of a patient with severe COVID-19 admitted to an intensive care unit (ICU) who used an adapted diving mask, which is configured as an innovative interface for NIV, and the prone position. Methods: Case report of a hospitalized patient diagnosed with COVID-19 who underwent early NIV by means of an adapted diving mask and the prone position during spontaneous breathing for 8 hours at night and 6 hours in the day. Results: Female patient, 56 years old, systemic arterial hypertension and obesity, with dry cough, odynophagia, fatigue and severe dyspnea on admission. Chest tomography with bilateral ground-glass opacities. Non-invasive ventilation was instituted 1-2.75 times/day, for 40-60 minutes, with positive pressure at the end of expiration of 8 (7.25-8.00) cmH2O and support pressure of 5.5 (4.00 -6.00) cmH2O. Air leaks of 6 to 30%, with good tolerance. The prone position during spontaneous breathing resulted in increased peripheral oxygen saturation and reduced respiratory discomfort 30 minutes later. Conclusion: The association of the use of NIV with an adapted diving mask and prone position during spontaneous breathing proved to be effective in preventing the orotracheal intubation of a patient with severe COVID-19, emphasizing the importance of the proposed intervention.
publishDate 2020
dc.date.none.fl_str_mv 2020-07-07
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/15402
10.17058/reci.v10i3.15402
url https://online.unisc.br/seer/index.php/epidemiologia/article/view/15402
identifier_str_mv 10.17058/reci.v10i3.15402
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://online.unisc.br/seer/index.php/epidemiologia/article/view/15402/9513
https://online.unisc.br/seer/index.php/epidemiologia/article/view/15402/9512
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Unisc
publisher.none.fl_str_mv Unisc
dc.source.none.fl_str_mv Revista de Epidemiologia e Controle de Infecção; Vol. 10 No. 3 (2020)
Revista de Epidemiologia e Controle de Infecção; v. 10 n. 3 (2020)
2238-3360
reponame:Revista de Epidemiologia e Controle de Infecção
instname:Universidade de Santa Cruz do Sul (UNISC)
instacron:UNISC
instname_str Universidade de Santa Cruz do Sul (UNISC)
instacron_str UNISC
institution UNISC
reponame_str Revista de Epidemiologia e Controle de Infecção
collection Revista de Epidemiologia e Controle de Infecção
repository.name.fl_str_mv Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)
repository.mail.fl_str_mv ||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com
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