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High-PEEP Noninvasive Ventilation By Means of Mask as the Respiratory Support in COVID-19 ARDS Patients: Experience From General Hospital Slavonski Brod

Published online by Cambridge University Press:  02 May 2022

Matija Jurjević ,
Ivan Mirković ,
Jasminka Kopić ,
Natalija Mrzljak Vučinić ,
Marcela Špehar Kokanović  and
Tonka Bujas Ćorluka Open the ORCID record for Tonka Bujas Ćorluka [Opens in a new window]
Matija Jurjević
Affiliation:
Department of Anesthesiology and Intensive Medicine, General Hospital Dr Josip Benčević, Slavonski Brod, Croatia
Ivan Mirković
Affiliation:
Department of Anesthesiology and Intensive Medicine, General Hospital Dr Josip Benčević, Slavonski Brod, Croatia
Jasminka Kopić*
Affiliation:
Department of Anesthesiology and Intensive Medicine, General Hospital Dr Josip Benčević, Slavonski Brod, Croatia
Natalija Mrzljak Vučinić
Affiliation:
Department of Anesthesiology and Intensive Medicine, General Hospital Dr Josip Benčević, Slavonski Brod, Croatia
Marcela Špehar Kokanović
Affiliation:
Department of Anesthesiology and Intensive Medicine, General Hospital Dr Josip Benčević, Slavonski Brod, Croatia
Tonka Bujas Ćorluka
Affiliation:
Department of Anesthesiology and Intensive Medicine, General Hospital Dr Josip Benčević, Slavonski Brod, Croatia
*
Corresponding author: Jasminka Kopić, Email: jasminka.kopic@bolnicasb.hr.
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Abstract

Objective:

Despite widespread use of noninvasive ventilation (NIV) in some coronavirus disease 2019 (COVID-19) hypoxemic patients, its clinical application is still subject of debate.

Methods:

This is a retrospective, observational study with data collected from 91 consecutive patients treated in COVID intensive care unit (ICU) in our institution between October 2020 and February 2021. Outcomes were represented as ventilation hours, ICU and hospital length of stay, and ICU and hospital mortality.

Results:

Patients’ mean age was 66 ± 11 y and severe COVID-19 pneumonia with mean paO2/FiO2 137 ± 57 was observed in 90% of the patients. High positive end-expiratory pressure (PEEP) NIV by means of total face mask was initially applied in 58 (64%) patients, high flow oxygen therapy (HFOT) in 25 (27%) patients, whilst invasive mechanical ventilation (IMV) started at the moment of admission in 8 (9%) patients. NIV and high flow oxygen therapy (HFOT) have been kept on throughout ICU stay in 50 (55%) patients, while 41 (45%) patients were put on IMV. Overall ICU mortality was 41%, while ICU mortality of patients on NIV was 14%.

Conclusions:

High PEEP NIV was convenient and safe as initial respiratory support and in some COVID-19 ARDS patients remained an optimal respiratory support throughout their disease.

Keywords

COVID-19ARDSnoninvasive ventilationpositive end expiratory pressure
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e151
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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