Flowchart for non-invasive ventilation support in COVID-19

Intern Emerg Med · Aug 2020

Flowchart for non-invasive ventilation support in COVID-19 patients from a northern Italy Emergency Department.

With the rapid pandemic spread of the novel coronavirus (SARS-CoV2), Emergency Departments of affected countries are facing an increasing number of patients presenting with hypoxemic respiratory failure due to coronavirus disease 2019 (COVID-19). Providing mechanical support and endotracheal intubation can be challenging due to a number of patients larger than usual, often exceeding available resources. Considering the lack of recommendations available, we developed a flowchart to standardize the first approach to patients presenting to the Emergency Department with hypoxemic respiratory failure due to COVID-19.

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- Daniele Privitera, Laura Angaroni, Nicolò Capsoni, Elisa Forni, Federico Pierotti, Fabrizio Vincenti, and Andrea Bellone.
- Dipartimento Emergenza Urgenza - Pronto Soccorso, ASST Grande Ospedale Metropolitano Niguarda, Piazza dell'Ospedale Maggiore 3, 20162, Milan, Italy.
- Intern Emerg Med. 2020 Aug 1; 15 (5): 767-771.
AbstractWith the rapid pandemic spread of the novel coronavirus (SARS-CoV2), Emergency Departments of affected countries are facing an increasing number of patients presenting with hypoxemic respiratory failure due to coronavirus disease 2019 (COVID-19). Providing mechanical support and endotracheal intubation can be challenging due to a number of patients larger than usual, often exceeding available resources. Considering the lack of recommendations available, we developed a flowchart to standardize the first approach to patients presenting to the Emergency Department with hypoxemic respiratory failure due to COVID-19.

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Flowchart for non-invasive ventilation support in COVID-19 patients from a northern Italy Emergency Department.

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