Almeida Borges Joana, Esquinas Antonio M
Pulmonology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra.
Intensive Care Unit, Hospital Morales Meseguer, Murcia.
Monaldi Arch Chest Dis. 2023 Jan 19;93(4). doi: 10.4081/monaldi.2023.2510.
Ventilatory alternatives to prolong noninvasive ventilation in COVID-19 patients are attractive and poorly understood. New devices to deliver negative noninvasive ventilation as biphasic cuirass ventilation (BCV) have been introduced. BCV device assist in spontaneous breathing and support ventilation. We describe a case of the combination of BCV with high-flow nasal oxygenation (HFNO) in the treatment of a COVID-19 pneumonia patient that required prolonged NIV leading to face mask intolerance, ventilator dependency secondary to residual lung fibrosis and respiratory muscular weakness. BCV provides an efficient non-invasive approach in de-escalation of therapy and weaning of prolonged NIV.
在新冠病毒肺炎患者中，延长无创通气的通气替代方案很有吸引力，但人们对此了解甚少。已推出了用于进行双相胸甲通气（BCV）以提供负压无创通气的新设备。BCV设备可辅助自主呼吸并支持通气。我们描述了一例在治疗一名新冠病毒肺炎患者时将BCV与高流量鼻导管给氧（HFNO）相结合的病例，该患者因面罩不耐受、残余肺纤维化和呼吸肌无力导致需要长时间无创通气及呼吸机依赖。BCV在治疗降级和撤离长时间无创通气方面提供了一种有效的无创方法。
