Our Success in the Treatment of Acute Respiratory Failure in Coronovirus Patients Using Non-invasive Ventilation

Prof. R.Sh. Polukhov, E.M. Nasibova, A.E. Polukhova, 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

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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

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