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COVID-19 肺炎患者接受无创通气治疗时在意大利急诊病房中的俯卧位通气。

Prone positioning in patients treated with non-invasive ventilation for COVID-19 pneumonia in an Italian emergency department.

机构信息

Emergenza, Azienda USL di Piacenza, Piacenza, Italy

Emergenza, Azienda USL di Piacenza, Piacenza, Italy.

出版信息

Emerg Med J. 2020 Sep;37(9):565-566. doi: 10.1136/emermed-2020-209744. Epub 2020 Jul 6.

DOI:10.1136/emermed-2020-209744
PMID:32748797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7497566/
Abstract

We report the experience of prone ventilation in selected patients treated with helmet non-invasive ventilation (NIV) continuous positive airway pressure (CPAP) for acute respiratory failure in COVID-19 pneumonia. Preliminary results showed an improvement in the PaO value and PaO/FiO ratio after 1 hour of prone ventilation. No variation of the lung ultrasound pattern before and after prone ventilation has been detected. At the time of writing, we attempted proning with helmet NIV CPAP in 10 patients. In 4 out of 10 patients, the attempt failed due to lack of compliance of the patient, scarce pain control even with ongoing treatment and refusal by the patient to prone positioning.

摘要

我们报告了在 COVID-19 肺炎急性呼吸衰竭患者中，使用头盔无创通气（NIV）持续气道正压通气（CPAP）治疗后，选择患者进行俯卧位通气的经验。初步结果显示，俯卧位通气 1 小时后 PaO 值和 PaO/FiO 比值有所改善。未检测到俯卧位通气前后肺超声模式的变化。在撰写本文时，我们尝试对 10 名患者使用头盔 NIV CPAP 进行俯卧位通气。在 10 名患者中，有 4 名患者因患者顺应性差、即使持续治疗疼痛控制仍不足以及患者拒绝俯卧位而导致尝试失败。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/7497566/5a7ec8dd07ef/emermed-2020-209744f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/7497566/db944f0104e2/emermed-2020-209744f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/7497566/5a7ec8dd07ef/emermed-2020-209744f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/7497566/db944f0104e2/emermed-2020-209744f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1429/7497566/5a7ec8dd07ef/emermed-2020-209744f02.jpg

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Combining Non-invasive Ventilation with timed position change in the Emergency Department to improve oxygenation and outcomes in patients with COVID-19: A prospective analysis from a low resource setup.急诊科将无创通气与定时体位改变相结合以改善新型冠状病毒肺炎患者的氧合及预后：来自低资源环境的前瞻性分析
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