Lance Colleen G
Sleep Disorders Center, Neurological Institute, Cleveland Clinic.
Cleve Clin J Med. 2020 May 5. doi: 10.3949/ccjm.87a.ccc003.
Positive airway pressure (PAP) therapy is an open system that can generate contact, droplet, and airborne COVID-19 thereby increasing the risk of transmission of COVID-19 like other procedures such as tracheal intubation, noninvasive ventilation, and cardiopulmonary resuscitation. Medically prudent recommendations have been established for home use of PAP therapy in asymptomatic patients and patients with suspected or confirmed COVID-19. Recommendations for sleep clinics and sleep laboratory activities are also discussed as well as the emergency use of PAP devices as a substitute for ventilation.
气道正压（PAP）疗法是一种开放系统，会产生接触传播、飞沫传播和气溶胶传播的新冠病毒，从而像气管插管、无创通气和心肺复苏等其他操作一样增加新冠病毒传播风险。针对无症状患者以及疑似或确诊新冠病毒感染患者在家中使用PAP疗法，已制定了医学上审慎的建议。还讨论了针对睡眠诊所和睡眠实验室活动的建议，以及将PAP设备作为通气替代品的紧急使用情况。
