Kofod Linette Marie, Jeschke Klaus Nielsen, Krogh-Madsen Rikke, Albek Carsten Monefeldt, Hansen Ejvind Frausing
Ugeskr Laeger. 2020 Aug 10;182(33).
Continuous positive airway pressure (CPAP) has been suggested as a beneficial treatment for patients with coronavirus disease 2019 (COVID-19). The objective of CPAP treatment is to improve oxygenation, unload respiratory muscles and possibly delay or avoid intubation. This review describes the physiological rationale behind CPAP therapy for patients with COVID-19 and the clinical experience with CPAP, implemented in a medical ward without prior knowledge of the treatment. CPAP has the potential for reducing the burden on intensive care units if implemented on a medical ward by a multidisciplinary approach.
持续气道正压通气(CPAP)已被建议作为2019冠状病毒病(COVID-19)患者的一种有益治疗方法。CPAP治疗的目的是改善氧合、减轻呼吸肌负担,并可能延迟或避免插管。本综述描述了COVID-19患者CPAP治疗背后的生理原理以及在一个事先不了解该治疗方法的内科病房实施CPAP的临床经验。如果通过多学科方法在内科病房实施CPAP,它有可能减轻重症监护病房的负担。