Prof. Polukhov R.Sh. , Nasibova E.M. ,Polukhova A.E. , Rustamkhanly A.M., Sultanova M.J., Nasibov F.G.
Azerbaijan Medical University, Baku
The novel coronavirus infection (COVID-19) pandemic, caused by the highly contagious severe acute respiratory syndrome coronavirus (SARS-CoV-2), is still at its peak, causing thousands of deaths every week. Since the beginning of the coronavirus (just a few months ago), our understanding of the disease has grown rapidly. While there are several large randomized drug trials currently underway, current survival from severe COVID-19 is entirely dependent on providing the best supportive care possible. To determine the benefits of NIV in ARF in patients with COVID-19. The study included 25 patients admitted to the intensive care unit of the AMU surgical clinic during the period from April 1 to August 1, 2020. Our experience with NIV has shown that the majority of patients undergoing NIV tolerate this procedure relatively well at the initial stage. However, in a number of patients during the first minutes or hours of NIV, there is no improvement in their condition (clinical parameters and gas exchange) or the procedure is poorly tolerated; the proportion of such patients is usually about 15–35%. Non-invasive ventilation of the lungs was carried out with an oral-nasal mask using an ELISA ventilator. The parameters were set and adjusted according to the general state and according to blood gas data 4 times a day: RR <35, pH> 7.30, neurological dysfunction according to the Kelly scale> 3-5, modified with a scale for determining the participation of auxiliary respiratory muscles
Key Words: non-invasive ventilation, acute respiratory failure, COVID-19
https://dx.doi.org/10.15407/internalmed2021.01.051
Cite:
1. Полухов, Р.Ш., Насибова, Э.М., Полухова, А.Е., Рустамханлы А.М., Султанова М.Ю., Насибов Ф.Г. Наш успех при лечении ОДН у больных с короновирусом с помощью неинвазивной вентиляции легких // Східноєвропейський журнал внутрішньої та сімейної медицини. – 2021. – №1. – С.51-57. doi: 10.15407/internalmed2021.01.051
2. Polukhov RSh, Nasibova EM, Polukhova AE. Rustamkhanly AM, Sultanova MJ, Nasibov FG [Our Success in the Treatment of Acute Respiratory Failure in Coronovirus Patients Using Non-invasive Ventilation]. Shidnoevr. z. vnutr. simejnoi med. 2021;1:51-57. Russian. doi: 10.15407/internalmed2021.01.051
References:
1. Bein B, Bachmann M, Huggett S, Wegermann P. SARS-CoV-2/COVID-19: Empfehlungen zu Diagnostik und Therapie. AINS – Anästhesiologie Intensivmedizin Notfallmedizin Schmerztherapie. 2020;55(04):257-265. http://dx.doi.org/10.1055/a-1146-8674
https://doi.org/10.1055/a-1146-8674
2. Bellani G. Noninvasive ventilation of patients with acute respiratory distress syndrome. Insights from the LUNG SAFE study. Am. J. Respir. Crit. Care Med. 2017;195:67-77.
https://doi.org/10.1164/rccm.201606-1306OC
3. Chandra D, Stamm J, Taylor B. Outcomes of noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease in the United States, 1998- 2008. Am. J. Respir. Crit. Care Med. 2012; 185 (2): 152-159. DOI: 10.1164/rccm.201106-1094OC.
https://doi.org/10.1164/rccm.201106-1094OC
4. Corrêa T, Sanches P, de Morais L, Scarin F, Silva E, Barbas C. Performance of noninvasive ventilation in acute respiratory failure in critically ill patients: a prospective, observational, cohort study. BMC Pulmonary Medicine. 2015;15(1):15-25. http://dx.doi.org/10.1186/s12890-015-0139-3
https://doi.org/10.1186/s12890-015-0139-3
5. Hess D, Pang J, Camargo C. A survey of the use of noninvasive ventilation in academic emergency departments in the United States. Respir. Care. 2009; 54 (10): 1306-1312.
6. Gattinoni L, Chiumello D, Rossi S. COVID-19 pneumonia: ARDS or not?. Critical Care. 2020;24(1):154. http://dx.doi.org/10.1186/s13054-020-02880-z
https://doi.org/10.1186/s13054-020-02880-z
7. Ergan B, Nasiłowski J, Winck J. How should we monitor patients with acute respiratory failure treated with noninvasive ventilation?. European Respiratory Review. 2018;27(148):170101. http://dx.doi.org/10.1183/16000617.0101-2017
https://doi.org/10.1183/16000617.0101-2017
8. McLaughlin K, Murray I, Thain G, Currie G. Ward-based non-invasive ventilation for hypercapnic exacerbations of COPD: a ‘real-life’ perspective. QJM. 2010;103(7):505-510. http://dx.doi.org/10.1093/qjmed/hcq063
https://doi.org/10.1093/qjmed/hcq063
9. Rochwerg B, Brochard L, Elliott M, Hess D, Hill N, Nava S, Navalesi P, Antonelli M, Brozek J, Conti G, Ferrer M, Guntupalli K, Jaber S, Keenan S, Mancebo J, Mehta S, Raoof S. Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure. European Respiratory Journal. 2017;50(2):1602426. http://dx.doi.org/10.1183/13993003.02426-2016
https://doi.org/10.1183/13993003.02426-2016
10. Scala R, Pisani L. Noninvasive ventilation in acute respiratory failure: which recipe for success?. European Respiratory Review. 2018;27(149):180029. http://dx.doi.org/10.1183/16000617.0029-2018
https://doi.org/10.1183/16000617.0029-2018
11. Fisher K, Mazor K, Goff S, Stefan M, Pekow P, Williams L, Rastegar V, Rothberg M, Hill N, Lindenauer P. Successful Use of Noninvasive Ventilation in Chronic Obstructive Pulmonary Disease. How Do High-Performing Hospitals Do It?. Annals of the American Thoracic Society. 2017;14(11):1674-1681. http://dx.doi.org/10.1513/annalsats.201612-1005oc
https://doi.org/10.1513/AnnalsATS.201612-1005OC
12. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, Wu Y, Zhang L, Yu Z, Fang M, Yu T, Wang Y, Pan S, Zou X, Yuan S, Shang Y. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. The Lancet Respiratory Medicine. 2020;8(5):475-481. http://dx.doi.org/10.1016/s2213-2600(20)30079-5
https://doi.org/10.1016/S2213-2600(20)30079-5
13. Zareifopoulos N, Lagadinou M, Karela A, Karantzogiannis G, Velissaris D. Intubation and mechanical ventilation of patients with COVID-19: what should we tell them?. Monaldi Archives for Chest Disease. 2020;90(1):. http://dx.doi.org/10.4081/monaldi.2020.1296
https://doi.org/10.4081/monaldi.2020.1296