Multidisciplinary Consensus on the Management of Non-Invasive Respiratory Support in the COVID-19 Patient
Copyright © 2024 SEPAR. Published by Elsevier España, S.L.U. All rights reserved..
Acute respiratory failure due to COVID-19 pneumonia often requires a comprehensive approach that includes non-pharmacological strategies such as non-invasive support (including positive pressure modes, high flow therapy or awake proning) in addition to oxygen therapy, with the primary goal of avoiding endotracheal intubation. Clinical issues such as determining the optimal time to initiate non-invasive support, choosing the most appropriate modality (based not only on the acute clinical picture but also on comorbidities), establishing criteria for recognition of treatment failure and strategies to follow in this setting (including palliative care), or implementing de-escalation procedures when improvement occurs are of paramount importance in the ongoing management of severe COVID-19 cases. Organizational issues, such as the most appropriate setting for management and monitoring of the severe COVID-19 patient or protective measures to prevent virus spread to healthcare workers in the presence of aerosol-generating procedures, should also be considered. While many early clinical guidelines during the pandemic were based on previous experience with acute respiratory distress syndrome, the landscape has evolved since then. Today, we have a wealth of high-quality studies that support evidence-based recommendations to address these complex issues. This document, the result of a collaborative effort between four leading scientific societies (SEDAR, SEMES, SEMICYUC, SEPAR), draws on the experience of 25 experts in the field to synthesize knowledge to address pertinent clinical questions and refine the approach to patient care in the face of the challenges posed by severe COVID-19 infection.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
|---|---|
| Enthalten in: |
Archivos de bronconeumologia - (2024) vom: 04. März |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Luján, Manel [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Awake proning |
|---|
| Anmerkungen: |
Date Revised 23.03.2024 published: Print-Electronic Citation Status Publisher |
|---|
| doi: |
10.1016/j.arbres.2024.02.017 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM370112210 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM370112210 | ||
| 003 | DE-627 | ||
| 005 | 20240324235524.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240324s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.arbres.2024.02.017 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1345.xml |
| 035 | |a (DE-627)NLM370112210 | ||
| 035 | |a (NLM)38521646 | ||
| 035 | |a (PII)S0300-2896(24)00057-7 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Luján, Manel |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Multidisciplinary Consensus on the Management of Non-Invasive Respiratory Support in the COVID-19 Patient |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 23.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2024 SEPAR. Published by Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a Acute respiratory failure due to COVID-19 pneumonia often requires a comprehensive approach that includes non-pharmacological strategies such as non-invasive support (including positive pressure modes, high flow therapy or awake proning) in addition to oxygen therapy, with the primary goal of avoiding endotracheal intubation. Clinical issues such as determining the optimal time to initiate non-invasive support, choosing the most appropriate modality (based not only on the acute clinical picture but also on comorbidities), establishing criteria for recognition of treatment failure and strategies to follow in this setting (including palliative care), or implementing de-escalation procedures when improvement occurs are of paramount importance in the ongoing management of severe COVID-19 cases. Organizational issues, such as the most appropriate setting for management and monitoring of the severe COVID-19 patient or protective measures to prevent virus spread to healthcare workers in the presence of aerosol-generating procedures, should also be considered. While many early clinical guidelines during the pandemic were based on previous experience with acute respiratory distress syndrome, the landscape has evolved since then. Today, we have a wealth of high-quality studies that support evidence-based recommendations to address these complex issues. This document, the result of a collaborative effort between four leading scientific societies (SEDAR, SEMES, SEMICYUC, SEPAR), draws on the experience of 25 experts in the field to synthesize knowledge to address pertinent clinical questions and refine the approach to patient care in the face of the challenges posed by severe COVID-19 infection | ||
| 650 | 4 | |a Practice Guideline | |
| 650 | 4 | |a Awake proning | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Continuous positive airway pressure | |
| 650 | 4 | |a High flow therapy | |
| 650 | 4 | |a Non invasive support | |
| 650 | 4 | |a Non invasive ventilation | |
| 700 | 1 | |a Cinesi Gómez, César |e verfasserin |4 aut | |
| 700 | 1 | |a Peñuelas, Oscar |e verfasserin |4 aut | |
| 700 | 1 | |a Ferrando, Carlos |e verfasserin |4 aut | |
| 700 | 1 | |a Heili-Frades, Sarah Béatrice |e verfasserin |4 aut | |
| 700 | 1 | |a Carratalá Perales, José Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Mas, Arantxa |e verfasserin |4 aut | |
| 700 | 1 | |a Sayas Catalán, Javier |e verfasserin |4 aut | |
| 700 | 1 | |a Mediano, Olga |e verfasserin |4 aut | |
| 700 | 1 | |a Roca, Oriol |e verfasserin |4 aut | |
| 700 | 1 | |a García Fernández, Javier |e verfasserin |4 aut | |
| 700 | 1 | |a González Varela, Antonio |e verfasserin |4 aut | |
| 700 | 1 | |a Sempere Montes, Gonzalo |e verfasserin |4 aut | |
| 700 | 1 | |a Rialp Cervera, Gemma |e verfasserin |4 aut | |
| 700 | 1 | |a Hernández, Gonzalo |e verfasserin |4 aut | |
| 700 | 1 | |a Millán, Teresa |e verfasserin |4 aut | |
| 700 | 1 | |a Ferrer Monreal, Miquel |e verfasserin |4 aut | |
| 700 | 1 | |a Egea Santaolalla, Carlos |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Archivos de bronconeumologia |d 1994 |g (2024) vom: 04. März |w (DE-627)NLM07558641X |x 1579-2129 |7 nnns |
| 773 | 1 | 8 | |g year:2024 |g day:04 |g month:03 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.arbres.2024.02.017 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |j 2024 |b 04 |c 03 | ||