Non-invasive intensive care unit ventilation: acute respiratory failure due to COVID-19
DOI:
https://doi.org/10.62827/fb.v25i2.1488Keywords:
Respiratory failure; COVID-19; noninvasive; continuous positive airway pressure.Abstract
Introduction: Research reports high mortality rates in intensive care in patients with acute respiratory failure due to COVID-19, however, non-invasive ventilation with positive airway pressure has been widely used as a treatment. However, its role in terms of efficacy and safety is still debated. Objective: To verify through scientific publications the efficacy of non-invasive positive pressure ventilatory support in an intensive care unit in acute respiratory failure due to COVID-19. Methods: A systematic review was registered in the International Systematic Review Registry under identification number CRD42023469300. A review of national and international scientific literature was conducted according to the criteria established for documentary research in the Latin American and Caribbean Health Sciences databases, Scientific Electronic Library online, Medical Literature Analysis and Retrieval System Online and US National Library of Medicine National Institutes of health, Cochrane Library, Virtual Research Center on Covid-19. Retrospective or cohort studies that reported respiratory support strategies for patients with acute respiratory failure and COVID-19 in the intensive care unit were included. Results: A total of 524 articles were identified. In the end, 08 studies met the inclusion criteria. The total population size was 307 patients. It was noted that 20% of the patients had failure with respiratory support. Noninvasive positive pressure ventilation reduced cases of tracheal intubation, mortality, and decreased length of hospital stay. Conclusions: Noninvasive positive pressure ventilation has been shown to increase oxygenation, reduce work of breathing, and reduce the need for tracheal intubation in acute respiratory failure due to COVID-19.
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Copyright (c) 2024 Ana Carla Silva dos Santos , Adriana Reis da Silva, Adrielle Laís Firmino da Silva, Lyvia Maria Bezerra da Silva (Autor)
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